Skip to main content
notification

Hurricane Michael Update: October 11, 2018

Horizon Blue Cross Blue Shield is working to ensure that all members who are impacted by Hurricane Michael have continued access to care.

Notification_close
‌
ALL
searchbutton
  • Home
  • Members
  • Providers
  • Brokers
  • Employers
  • alert
  • Contact Us
  • About Us
  • CAREERS
  • search_has_popup
Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield of New Jersey
READ FAQS MEMBER SIGN IN
Alert
Toggle menu
  • BACKback to www.horizonblue.com
  • MEMBERS
  • Plans & ServicesPlans & Services
    • Plans & Services
    • Away From Home Care ProgramAway From Home Care Program
    • Medical PlansMedical Plans
      • Medical Plans
      • BlueCard PPOBlueCard PPO
      • EPO (Exclusive Provider Organization)EPO (Exclusive Provider Organization)
      • Horizon Direct AccessHorizon Direct Access
      • Horizon HMOHorizon HMO
      • Horizon MyWayHorizon MyWay
        • Horizon MyWay
        • About Horizon MyWayAbout Horizon MyWay
        • Horizon MyWay HSAHorizon MyWay HSA
        • Horizon MyWay FSAHorizon MyWay FSA
        • Horizon MyWay HRAHorizon MyWay HRA
        • FIND A DOCTOR
        • MEMBER SIGN IN
        • SHOP FOR A PLAN
      • Horizon POS (Point of Service)Horizon POS (Point of Service)
      • OMNIA Health PlansOMNIA Health Plans
      • Traditional IndemnityTraditional Indemnity
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • Horizon DentalHorizon Dental
    • Horizon VisionHorizon Vision
    • Horizon PharmacyHorizon Pharmacy
      • Horizon Pharmacy
      • Flu Shots & Other ImmunizationsFlu Shots & Other Immunizations
      • Generic DrugsGeneric Drugs
      • Orally Administered Cancer Medication Coverage LawOrally Administered Cancer Medication Coverage Law
        • Orally Administered Cancer Medication Coverage Law
        • Orally Administered Cancer Medication Coverage Law FAQsOrally Administered Cancer Medication Coverage Law FAQs
        • FIND A DOCTOR
        • MEMBER SIGN IN
        • SHOP FOR A PLAN
      • Home Delivery Pharmacy ServiceHome Delivery Pharmacy Service
      • Prescription Drug ListsPrescription Drug Lists
        • Prescription Drug Lists
        • Classic Drug List for the ExchangeClassic Drug List for the Exchange
        • Classic Drug ListClassic Drug List
        • Fertility Drug ListFertility Drug List
        • Office-Administered Specialty Medications ListOffice-Administered Specialty Medications List
        • Orally Administered Cancer MedicationsOrally Administered Cancer Medications
        • PA Medical Necessity Drug ListPA Medical Necessity Drug List
        • Patient Protection and Affordable Care Act Preventive Drug ListPatient Protection and Affordable Care Act Preventive Drug List
        • Self-Administered Specialty Medicine ListSelf-Administered Specialty Medicine List
        • NetResults Drug ListNetResults Drug List
        • FIND A DOCTOR
        • MEMBER SIGN IN
        • SHOP FOR A PLAN
      • Specialty RxSpecialty Rx
        • Specialty Rx
        • Specialty Pharmaceutical Pharmacy BenefitSpecialty Pharmaceutical Pharmacy Benefit
        • Specialty Pharmaceutical for Office AdministrationSpecialty Pharmaceutical for Office Administration
        • Specialty Rx Program for Infertility TreatmentSpecialty Rx Program for Infertility Treatment
        • FIND A DOCTOR
        • MEMBER SIGN IN
        • SHOP FOR A PLAN
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • Patient-Centered ProgramsPatient-Centered Programs
      • Patient-Centered Programs
      • Accountable Care OrganizationAccountable Care Organization
      • Episodes of CareEpisodes of Care
      • Patient-Centered Medical HomePatient-Centered Medical Home
      • Patient-Centered Pediatric ProgramPatient-Centered Pediatric Program
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • MedicareMedicare
    • MedicaidMedicaid
    • 24/7 Nurse Line24/7 Nurse Line
    • AbleTo Support ProgramAbleTo Support Program
    • Case ManagementCase Management
      • Case Management
      • Specialty Case Management ProgramsSpecialty Case Management Programs
      • Case Management FAQsCase Management FAQs
      • Enrollment FormEnrollment Form
      • Trigger Events and Diagnosis CodesTrigger Events and Diagnosis Codes
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • Chronic Care ProgramChronic Care Program
      • Chronic Care Program
      • Enrollment FormEnrollment Form
      • Program DetailsProgram Details
      • Chronic Care FAQsChronic Care FAQs
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • Horizon CareOnlineHorizon CareOnline
    • Horizon Behavioral HealthHorizon Behavioral Health
    • Coverage Outside New JerseyCoverage Outside New Jersey
      • Coverage Outside New Jersey
      • Away from Home Care ProgramAway from Home Care Program
      • BlueCardBlueCard
      • International TravelInternational Travel
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • ID Protection ServicesID Protection Services
    • SHBP and SEHBP MembersSHBP and SEHBP Members
    • Horizon MyWayHorizon MyWay
    • Cancer ProgramCancer Program
    • FIND A DOCTOR
    • MEMBER SIGN IN
    • SHOP FOR A PLAN
  • Our NetworksOur Networks
    • Our Networks
    • ProvidersProviders
    • Care FacilitiesCare Facilities
    • Urgent Care CentersUrgent Care Centers
    • Sanitas Medical CentersSanitas Medical Centers
    • Lab WorkLab Work
    • PharmaciesPharmacies
    • Horizon Care@HomeHorizon Care@Home
    • Radiology/Cardiology ImagingRadiology/Cardiology Imaging
    • FIND A DOCTOR
    • MEMBER SIGN IN
    • SHOP FOR A PLAN
  • ToolsTools
    • Tools
    • Connect With Us OnlineConnect With Us Online
    • Member Online ServicesMember Online Services
    • Doctor & Hospital FinderDoctor & Hospital Finder
    • Treatment Cost EstimatorTreatment Cost Estimator
    • Horizon MyWayHorizon MyWay
      • Horizon MyWay
      • Flexible Spending Accounts (FSA)Flexible Spending Accounts (FSA)
        • Flexible Spending Accounts (FSA)
        • Eligible & Ineligible ExpensesEligible & Ineligible Expenses
        • FIND A DOCTOR
        • MEMBER SIGN IN
        • SHOP FOR A PLAN
      • Health Savings Accounts (HSA)Health Savings Accounts (HSA)
      • Health Reimbursement Accounts (HRA)Health Reimbursement Accounts (HRA)
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • LabCorp BeaconLabCorp Beacon
    • Horizon Get Care FAQsHorizon Get Care FAQs
    • FIND A DOCTOR
    • MEMBER SIGN IN
    • SHOP FOR A PLAN
  • FormsForms
    • Forms
    • Search by Form TypeSearch by Form Type
      • Search by Form Type
      • Appeal / Dispute FormsAppeal / Dispute Forms
      • Authorization FormsAuthorization Forms
      • Claim FormsClaim Forms
      • Enroll / Elect / Apply FormsEnroll / Elect / Apply Forms
      • Inquiry / Request FormsInquiry / Request Forms
      • Manage Private Information FormsManage Private Information Forms
      • Prescription Drug Mail Order FormsPrescription Drug Mail Order Forms
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • Search by Frequently Used FormsSearch by Frequently Used Forms
      • Search by Frequently Used Forms
      • Dental FormsDental Forms
      • Manage Private Information FormsManage Private Information Forms
      • Medical FormsMedical Forms
      • Prescription FormsPrescription Forms
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • Search by Plan TypeSearch by Plan Type
      • Search by Plan Type
      • Away from Home Care FormsAway from Home Care Forms
      • Dental FormsDental Forms
      • Horizon NJ TotalCare (HMO SNP) FormsHorizon NJ TotalCare (HMO SNP) Forms
      • Medical FormsMedical Forms
      • Pharmacy FormsPharmacy Forms
      • Spending / Savings Account FormsSpending / Savings Account Forms
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • FIND A DOCTOR
    • MEMBER SIGN IN
    • SHOP FOR A PLAN
  • WellnessWellness
    • Wellness
    • My Health ManagerMy Health Manager
      • My Health Manager
      • Health AssessmentHealth Assessment
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • Living & SavingsLiving & Savings
      • Living & Savings
      • HorizonbFitHorizonbFit
      • Healthy DiscountsHealthy Discounts
      • Horizon Balance LivingHorizon Balance Living
        • Horizon Balance Living
        • Balance Living FAQsBalance Living FAQs
        • FIND A DOCTOR
        • MEMBER SIGN IN
        • SHOP FOR A PLAN
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • Maternity ProgramMaternity Program
      • Maternity Program
      • Maternity Health CoachMaternity Health Coach
      • My Pregnancy AssistantMy Pregnancy Assistant
      • Postpartum DepressionPostpartum Depression
      • Is Breastfeeding Right for You and Your Baby?Is Breastfeeding Right for You and Your Baby?
      • Enrollment FormEnrollment Form
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • FIND A DOCTOR
    • MEMBER SIGN IN
    • SHOP FOR A PLAN
  • Education CenterEducation Center
    • Education Center
    • Advance DirectiveAdvance Directive
    • Focus on HealthFocus on Health
      • Focus on Health
      • Focus on Health Fall 2018Focus on Health Fall 2018
      • A healthy you takes twoA healthy you takes two
      • Access standards help you get the care you need when you need itAccess standards help you get the care you need when you need it
      • Access to quality careAccess to quality care
      • Accessing home health servicesAccessing home health services
      • All you need to know about Durable Medical EquipmentAll you need to know about Durable Medical Equipment
      • Are you up to date on your cancer screenings?Are you up to date on your cancer screenings?
      • Coverage decisionsCoverage decisions
      • Does your doctor fit your needs?Does your doctor fit your needs?
      • Effective careEffective care
      • Find participating doctors and hospitals in and outside of New JerseyFind participating doctors and hospitals in and outside of New Jersey
      • Learn how you can become a donorLearn how you can become a donor
      • Learn more about your pharmacy benefitsLearn more about your pharmacy benefits
      • Living with a chronic illness and depressionLiving with a chronic illness and depression
      • Lower your out-of-pocket expenses by staying in networkLower your out-of-pocket expenses by staying in network
      • Medical policies and prior authorizationsMedical policies and prior authorizations
      • Referrals help your doctor manage your careReferrals help your doctor manage your care
      • Researching new technology and treatmentsResearching new technology and treatments
      • Six questions to ask when your doctor orders testsSix questions to ask when your doctor orders tests
      • Take control of your diabetesTake control of your diabetes
      • Urgent care centers: an alternative to the Emergency RoomUrgent care centers: an alternative to the Emergency Room
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • Gaining a better understanding of ProstheticsGaining a better understanding of Prosthetics
    • Making a PaymentMaking a Payment
      • Making a Payment
      • Remember to Pay On TimeRemember to Pay On Time
      • Easy Ways to PayEasy Ways to Pay
      • Understanding Your Premium BillUnderstanding Your Premium Bill
      • Understanding the Three-Month Grace PeriodUnderstanding the Three-Month Grace Period
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • Member HandbooksMember Handbooks
    • Member Rights and ResponsibilitiesMember Rights and Responsibilities
    • NJ Individual MandateNJ Individual Mandate
    • Other Health Expense PlansOther Health Expense Plans
    • Pharmacy & PrescriptionsPharmacy & Prescriptions
      • Pharmacy & Prescriptions
      • Utilization ManagementUtilization Management
      • Prior AuthorizationPrior Authorization
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • Unclaimed Property Due Diligence LetterUnclaimed Property Due Diligence Letter
    • Understanding Your CoverageUnderstanding Your Coverage
      • Understanding Your Coverage
      • Understanding Your CostsUnderstanding Your Costs
      • HCR (Health Care Reform) Preventive Care Information GuideHCR (Health Care Reform) Preventive Care Information Guide
      • How to Find an In-Network Provider, Care Facility or PharmacyHow to Find an In-Network Provider, Care Facility or Pharmacy
      • Navigating the Health NetworkNavigating the Health Network
      • Out-of-Network PaymentsOut-of-Network Payments
      • Calculator for the Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability ActCalculator for the Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act
      • Qualifying Life EventsQualifying Life Events
      • Staying In NetworkStaying In Network
      • The Role of Your Primary Care Physician or Personal DoctorThe Role of Your Primary Care Physician or Personal Doctor
      • Third Party Designation for Senior Citizen InsuredsThird Party Designation for Senior Citizen Insureds
      • Understanding Your Member ID CardUnderstanding Your Member ID Card
      • Who to Contact When You Have a QuestionWho to Contact When You Have a Question
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • Understanding Your OMNIA Health PlanUnderstanding Your OMNIA Health Plan
      • Understanding Your OMNIA Health Plan
      • Accessing Doctors and HospitalsAccessing Doctors and Hospitals
      • Get Answers to Your QuestionsGet Answers to Your Questions
      • Getting the Most From Your OMNIA Health PlanGetting the Most From Your OMNIA Health Plan
      • Transforming Health Care in New JerseyTransforming Health Care in New Jersey
      • Welcome VideoWelcome Video
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • Preventive HealthPreventive Health
      • Preventive Health
      • Preventive Health GuidelinesPreventive Health Guidelines
      • Preventive Health Guidelines: Birth to age 21 yearsPreventive Health Guidelines: Birth to age 21 years
      • Preventive Health Guidelines: AdultsPreventive Health Guidelines: Adults
      • Your Health MattersYour Health Matters
      • Health TopicsHealth Topics
      • FIND A DOCTOR
      • MEMBER SIGN IN
      • SHOP FOR A PLAN
    • FIND A DOCTOR
    • MEMBER SIGN IN
    • SHOP FOR A PLAN
  • NewsNews
    • News
    • Member AlertsMember Alerts
    • Member NewsMember News
    • FIND A DOCTOR
    • MEMBER SIGN IN
    • SHOP FOR A PLAN
  • FIND A DOCTOR
  • MEMBER SIGN IN
  • SHOP FOR A PLAN
  • Plans & Services

    • Away From Home Care Program

      Medical Plans

      Horizon Dental

      Horizon Vision

      Horizon Pharmacy

      Patient-Centered Programs

      Medicare

      Medicaid

      24/7 Nurse Line

      AbleTo Support Program

      Case Management

      Chronic Care Program

      Horizon CareOnline

      Horizon Behavioral Health

      Coverage Outside New Jersey

      ID Protection Services

      SHBP and SEHBP Members

      Horizon MyWay

      Cancer Program

  • Our Networks

    • Providers

      Care Facilities

      Urgent Care Centers

      Sanitas Medical Centers

      Lab Work

      Pharmacies

      Horizon Care@Home

      Radiology/Cardiology Imaging

  • Tools

    • Connect With Us Online

      Member Online Services

      Doctor & Hospital Finder

      Treatment Cost Estimator

      Horizon MyWay

      LabCorp Beacon

      Horizon Get Care FAQs

  • Forms

    • Search by Form Type

      Search by Frequently Used Forms

      Search by Plan Type

  • Wellness

    • My Health Manager

      Living & Savings

      Maternity Program

  • Education Center

    • Advance Directive

      Focus on Health

      Gaining a better understanding of Prosthetics

      Making a Payment

      Member Handbooks

      Member Rights and Responsibilities

      NJ Individual Mandate

      Other Health Expense Plans

      Pharmacy & Prescriptions

      Unclaimed Property Due Diligence Letter

      Understanding Your Coverage

      Understanding Your OMNIA Health Plan

      Preventive Health

  • News

    • Member Alerts

      Member News

  1. Home
  2. ›Members
  3. ›Forms
  4. ›Search by Plan Type
Search by Form TypeSearch by Form Type
Appeal / Dispute Forms
Authorization Forms
Claim Forms
Enroll / Elect / Apply Forms
Inquiry / Request Forms
Manage Private Information Forms
Prescription Drug Mail Order Forms
Search by Frequently Used FormsSearch by Frequently Used Forms
Dental Forms
Manage Private Information Forms
Medical Forms
Prescription Forms
Search by Plan TypeSearch by Plan Type
Away from Home Care Forms
Dental Forms
Horizon NJ TotalCare (HMO SNP) Forms
Medical Forms
Pharmacy Forms
Spending / Savings Account Forms

Search by Plan Type

Away from Home Care Forms

Dental Forms

Horizon NJ TotalCare (HMO SNP) Forms

Medical Forms

Pharmacy Forms

Spending / Savings Account Forms

Connect with us

  • ‌
  • ‌
  • ‌
  • ‌
  • ‌
  • ‌

This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not the Exchange (federal Marketplace) website. This website does not display all Qualified Health Plans available through the Exchange website. To see all available Qualified Health Plan options, go to the Exchange website at

HealthCare.gov

Horizon Blue Cross Blue Shield of New Jersey is an independent licensee of the Blue Cross and Blue Shield Association.

Information in other Languages

  • Español
  • 中文
  • 한국어
  • Tagalog
  • ગુજરાતી
  • Polski
  • Italiano
  • Русский язык
  • हिंदी
  • Français
  • عربي
  • اردو
  • Português
  • Kreyòl ayisyen
  • Tiếng Việt
  • Privacy Center
  • Claims Payment Policies and Other Information
  • Notice of Non-Discrimination
  • Horizon BCBSNJ Employees
  • Horizon BCBSNJ Retirees
NCQA Accredited Health Plan CAQH opens in a new window

Are you sure you want to leave this website?

You are leaving the Horizon Blue Cross Blue Shield of New Jersey website. Please click Continue to leave this website. Or, if you would like to remain in the current site, click Cancel.

CONTINUE link