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Choose the type of claim you'd like to submit.
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When you submit out-of-network medical and behavioral claims using the Horizon Blue app, you do not need to submit a claim form. Simply sign in to the Horizon Blue app and tap Claims, then Submit a Claim.
When you submit out-of-network claims by mail, please include the appropriate claim form below and mail it, and the required information listed on the form, to the address on the form:
- Merck members: Merck Health Insurance Claim Form
- Organon members: Organon Health Insurance Claim Form
- State Health Benefit Program (SHBP) and School Employees’ Health Benefits Program (SEHBP) members: SHBP/SEHBP Medical Plan Claim Form
- All other members: Horizon Health Insurance Claim Form
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- Under Doctors & Care, click Prescriptions.
- If you see Go to Prime Therapeutics: Mail the Prescription Drug/COVID-19 At Home Test Kit Claim Form, and the required information listed on the form, to the address on the form. If you do NOT see Go to Prime Therapeutics: Follow the instructions on screen to be redirected to the appropriate vendor’s website, where you can find information about submitting prescription claims.
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Complete the Claim Form - Dental and mail it, and the required information listed on the form, to the address on the form. You can submit out-of-network dental claims by mail only.
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- Click Vision under Doctors & Care.
- Follow the instructions on screen to be redirected to the appropriate vendor’s website, where you can locate information about submitting vision claims.
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Last updated:
Dec 20,2022
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You cannot update your address using our member website or the Horizon Blue App. Instead, to request that we change the address we have on file for you, be sure to provide your name, member ID number and new address when contacting us below.
If you purchased coverage through the NJ state-based exchange (SBE): Go to Get Covered New Jersey or call 1-833-677-1010 (TTY 711).
If you purchased your insurance directly through Horizon:
- Use our Email Us tool. Under Category, choose Enrollment;
- Fax your information to 1-973-274-4413; or
- Check the box titled Report Address Change and complete the information on your invoice when sending your premium payment by mail.
State Health Benefits Program (SHBP) and School Employees’ Health Benefits Program (SEHBP) members except for Rutgers employees:
Log into Benefitsolver, a tool of the SHBP/SEHBP via your MyNewJersey account. Rutgers employees must update their address and phone number directly with Rutgers.
Medicare Supplement members (other than SHBP and SEHBP members):
- Use our Email Us tool. Under Category, choose Enrollment; or
- Send a written request to: Horizon, PO Box 10138, Newark, NJ 07101
For other members with coverage through an employer not mentioned above: You may need to work directly with your employer’s benefits administrator or human resources department to update your mailing address. If you are not sure if this applies to you or if you need additional help, contact us through our Email Us or Chat tools. We will let you know if you need to contact your employer directly, or if we can make the change.
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Last updated:
Jan 20,2023
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Yes. The Horizon Blue app provides you with 24/7 access to care, support and plan information from your smartphone or other mobile device.
To get the app, text GetApp to 422-272 or visit the App Store® or Google Play™. There is no cost to download the Horizon Blue app, but rates from your wireless carrier may apply.
To sign in to the app, enter the username and password that you used to register for HorizonBlue.com and click Sign In. Biometric sign in (fingerprint or facial recognition) is also an option.
With the Horizon Blue app, you can:
- Submit out-of-network medical and behavioral health claims.
- Display, download, print and share your member ID card.
- Quickly connect with health care professionals.
- View your claims, see how much your health plan paid, and any amount you may owe.
- Find doctors and hospitals.
- Check if a specific treatment or service is covered.
- Track your deductible, if applicable, and maximum out-of-pocket costs.
- Email or chat with a Member Services Representative to get answers to your questions.
- If you purchased insurance for yourself or your family directly through Horizon or through the NJ state-based exchange (SBE), you can pay your premium bill online and set up Auto Pay.
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Last updated:
Jan 20,2023
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You must download and use the Horizon Blue app to submit an out-of-network claim electronically.
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Last updated:
Jan 07,2022
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To unlock your secure member web portal account, please call the eService Help Desk at 1-888-777-5075 (TTY 711), weekdays, between 7 a.m. and 6 p.m., ET.
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Last updated:
Oct 30,2021
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- Sign in to your account.
- Click Horizon MyWay under My Accounts.
- Scroll down and click View More Activity.
- Scroll down. Under "I Want To" (the blue menu on the left-hand side), click Get Reimbursed.
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Last updated:
Nov 10,2022
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If you do remember your current password:
- Sign in to your account.
- Within Profile & Settings under Privacy and Security, click Username & Password.
- Click Change Password. You will be prompted to enter your current password and create a new password.
If you do NOT remember your current password and need to reset it:
- Go to HorizonBlue.com. Under Member Sign In, select Forgot username or password?
- Enter your username or, if you forgot it, click Let’s try finding it.
- You will be prompted to verify your identity via email or text message using a one-time verification code.
- After verifying your identity, you will be prompted to create a new password.
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Last updated:
Oct 13,2022
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Change your email address by clicking Personal Information under Profile & Settings.
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Last updated:
Apr 05,2023
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Submit your claim with the Horizon Blue App in a few easy steps:
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When using the Horizon Blue App to submit a claim, you do not need to submit a claim form. However, you will need to photograph and submit an itemized bill or receipt.
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When you open the Horizon Blue App, tap Claims, then Submit a Claim.
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Upload photos of your itemized bill or receipts.
You can also upload any other supporting documents. You can submit multiple images per claim.
Please note: You cannot use the Horizon Blue App to take pictures. You’ll need to import them from another source, such as your phone’s photo library.
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Before you submit your claim, you'll be asked to confirm the photos you selected. See the example below:
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Last updated:
Nov 03,2022
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Your account can be locked for one of the following reasons:
- The username or password was incorrectly entered five consecutive times.
- Invalid responses were entered to the security questions during ‘Forgot Username’ or ‘Forgot Password’ transaction.
To unlock your account, please call the eService Help Desk at 1-888-777-5075, between 7 AM and 6 PM EST.
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Last updated:
Oct 30,2021
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Can't Find an Answer to Your Question?
Browse our Help Center categories and topics. For questions about your medical plan or technical support, sign in to send us an email or start a live chat. For other questions, visit the Contact Us information page on HorizonBlue.com.