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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.
    • Schedule appointments.
    • 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 BCBSNJ or through the NJ state-based exchange (SBE), you can pay your premium bill online and set up Auto Pay.

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    Aug 18,2022

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  • Choose the type of claim you'd like to submit.

    • You can submit out-of-network medical claims using the Horizon Blue App (which does not require a claim form) or by mail. This includes claims for the following:

      • Behavioral health (mental health and substance use disorders)
      • Prescriptions
      • Eyeglasses
      • Durable medical equipment like breast pumps, sleep apnea machines, diabetic supplies, orthotics, etc.


      Submitting a Medical or Behavioral Health Claim

      To submit a medical or behavioral health claim using the Horizon Blue App, sign in and tap Claims, then Submit a Claim.

      To submit a medical or behavioral health claim by mail:
       

      1. For all members except State Health Benefit Program (SHBP) or School Employees’ Health Benefits Program (SEHBP), download and complete the Horizon Health Insurance Claim Form

        For State Health Benefit Program (SHBP) or School Employees’ Health Benefits Program (SEHBP) members, download and complete the SHBP/SEHBP Medical Plan Claim Form
         
      1. Follow the instructions on the claim form to include an itemized bill. This includes:  
        • Patient name
        • Member ID number
        • Date of service
        • Diagnosis code(s)
        • Procedure code(s)
        • Place of service
        • Total charge
      1. Mail medical claims to the address on the claim form. Mail behavioral health claims to:

        Horizon Blue Cross Blue Shield
        Horizon Behavioral Health
        P.O. Box 10191
        Newark, NJ 07101-3189

       

    • You can submit out-of-network dental claims by mail only.

      For all members except State Health Benefit Program (SHBP) or School Employees’ Health Benefits Program (SEHBP), download and complete the Claim Form - Dental. Mail it to the address on the form.

      For State Health Benefit Program (SHBP) or School Employees’ Health Benefits Program (SEHBP) members, download and complete the Dental Claim Form. Mail it to the address on the form.

       

    • You can submit out-of-network prescription claims by mail only. Follow these steps:

      1. Sign in to HorizonBlue.com.
         
      2. Under Doctors & Care, click Prescriptions.
         
      3. If you see Go to Prime Therapeutics: Mail the Prescription Drug/COVID-19 At Home Test Kit Claim Form to the address on the form.
         
      4. If you do NOT see Go to Prime Therapeutics: Follow the instructions on screen to be redirected to the appropriate vendor. You can obtain the prescription claim form from their website, or call the number on your prescription drug identification card.

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    Last updated:

    Nov 03,2022

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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:

    Rutgers employees must update their address and phone number directly with Rutgers.

    Medicare Supplement and Medicare Advantage 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, contact us through our Email Us or Chat tools. We will let you know if you need to contact employer directly, or if we can process the change.

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    13 votes with an average rating of 2.7.

    Last updated:

    Sep 16,2022

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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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    11 votes with an average rating of 3.9.

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    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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    Oct 30,2021

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  • Submit your claim with the Horizon Blue App in a few easy steps:

    • 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.

    • When you open the Horizon Blue App, tap Claims, then Submit a Claim.

    • 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.

    • Before you submit your claim, you'll be asked to confirm the photos you selected. See the example below:

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    2 votes with an average rating of 3.

    Last updated:

    Nov 03,2022

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  • If you do remember your current password:

    1. Sign in to your account.
    2. Within Profile & Settings under Privacy and Security, click Username & Password.
    3. 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:

    1. Go to HorizonBlue.com. Under Member Sign In, select Forgot username or password?
    2. Enter your username or, if you forgot it, click Let’s try finding it.
    3. You will be prompted to verify your identity via email or text message using a one-time verification code.
    4. 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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    1. Sign in to your account.

    2. Click Horizon MyWay under My Accounts.

    3. Scroll down and click View More Activity.

    4. 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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  • You can change your email address by signing in and following the steps below:

    1. Click Profile & Settings.
    2. Under Profile, click Personal Information to edit and save your new email address.

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    2 votes with an average rating of 3.

    Last updated:

    Oct 30,2021

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  • The Treatment Cost Estimator tool can give you a general understanding of the possible cost ranges of common types of health care services. This tool is populated with data based on the patient claims paid by Horizon BCBSNJ to health care professionals in the past for services performed on their patients. These estimates can help you understand the range of costs for a specific treatment of health care services.

    Please Note: These estimates do not include the unusually highest or lowest costs. It also does not calculate your out-of-pocket costs. Your out-of-pocket costs are based on your benefits.


    To use the Treatment Cost Estimator, follow the steps below:

    1. Click Benefits & Coverage.
    2. Then click Treatment Cost Estimator.
    3. Then Go to Treatment Cost Estimator to be directed to Healthsparq, our partner website.

    Healthsparq provides insights into estimated costs for hospital stays, MRIs, office visits, surgeries, vaccines, X-rays and more.

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    Last updated:

    Oct 30,2021

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