Chronic Care FAQs
Q. Are DMEs (durable medical equipment) and prescriptions covered?
A. DMEs and prescriptions are not covered as part of this program, but they may be available as part of your health plan. Check your plan information for details.
Q. Are all Chronic Care Programs free?
Yes, all programs are free to eligible Horizon BCBSNJ members. Participation in the programs will not affect your premium or your status with the plan.
Q. Can I enroll on my own?
Eligible Horizon BCBSNJ members may enroll in the Chronic Care Program by completing the Chronic Care Program referral form or by calling the applicable number below. Assistance is available Monday through Friday, from 8 a.m. to 5 p.m. Eastern Time.
- Horizon BCBSNJ members: 1-888-334-9006
- FEP® members: 1-866-697-9696 option 1
Q. How often will I receive information?
Once enrolled, you will receive an introductory letter and brochure informing you about the programs and how participation can help you better manage your conditions.
Q. How was I identified for this program?
You may have been identified either through claims data, pharmacy data, your doctor's referral or by our Case Management program.
Members can be referred to our Case Management Program from other departments at Horizon BCBSNJ, including our Utilization Management department and Chronic Care Program department, the 24/7 Nurse Line, as well as, rehabilitation facilities, facility discharge planners, behavioral health providers, practitioners, caregivers and pharmacy vendors.
Q. Is my health information kept confidential?
Yes, all programs are free to eligible Horizon BCBSNJ members. Participation in the programs will not affect your premium or your status with the plan.Yes, we always work to ensure that all of your personal health information remains confidential.
Q. What if I join the program and then decide not to participate?
All programs are completely voluntary. You can contact us at any time to cancel your participation.
Q. Which doctors can I see?
You should continue to choose physicians and other health care professionals as you usually do under your plan. If you need to find a doctor, specialist or care facility, use our Doctor & Hospital Finder.
Q. Who can I contact with questions or to enroll?
Call the appropriate number below Monday through Friday, from 8 a.m. to 5 p.m. Eastern Time.
- Horizon BCBSNJ members: 1-888-334-9006
- FEP® members: 1-866-697-9696