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Hospitals and Other Facilities

You can get care from one of our many in-network hospitals, labs, imaging centers and other facilities. They offer quality care while keeping your out-of-pocket costs low.

Urgent Care Centers

When you have an injury or illness that isn’t life-threatening and you can’t see your doctor, an Urgent Care Center can often treat you faster with lower out-of-pocket costs than an Emergency Room (ER).

With evening and weekend hours, Urgent Care Centers treat wounds, sprains and other health issues that need quick care.

You do not need a referral to go to a participating Urgent Care Center, but you must pay your copayment, coinsurance and/or deductible.

Please note: Routine office visits, including preventive care, sports physicals, routine obstetric services, occupational medicine and physical therapy services are not covered at participating Urgent Care Centers.

Learn how to decide whether to visit an ER or an Urgent Care Center.

Lab Services

You can get quality laboratory services as ordered by your doctor and based on your plan benefits. You pay less when you use in-network preferred laboratories.

You can also lower your wait times by scheduling a visit using the links below.

  • If your plan uses the Horizon PPO Network (Horizon PPO, Indemnity, Horizon MyWay® and Federal Employee Program® [FEP®] plans), you have in-network access to the following laboratories:

     
  • If your plan uses the Horizon Managed Care Network (Horizon HMO, Horizon Advantage EPO, OMNIA℠ Health Plans, Horizon Direct Access®, Horizon POS, Horizon Medicare Advantage or NJ DIRECT and Value Access plans), you have in-network access to the following laboratories:

     
    You can find other participating laboratories with our Doctor & Hospital Finder or the Horizon Blue app.

Pathology services provided in a hospital setting to members enrolled in Horizon managed care plans by a practice that participates in the Horizon Managed Care Network are allowed as an exception to the above-described LabCorp/Quest Diagnostics network use requirements.

LabCorp is the commonly used name for Laboratory Corporation of America Holdings®. Laboratory Corporation of America® is a registered mark of Laboratory Corporation of America Holdings. Quest Diagnostics® is a registered mark of Quest Diagnostics. BioReference is a registered mark of BioReference Laboratories, Inc. The laboratories referenced herein are independent from and not affiliated with Horizon Blue Cross Blue Shield of New Jersey or its companies.

Imaging Services

Horizon’s network of radiologists and facilities provide quality, affordable care when you need diagnostic testing.

You should use a participating facility and provider to keep your out-of-pocket costs low.

  • We work with eviCore healthcare for non-emergency outpatient radiology and diagnostic imaging services.

     

    If your PCP decides that you need an X-ray or scan, you should call eviCore healthcare’s Scheduling Line at 1-866-969-1234, weekdays, from 7 a.m. to 7 p.m., ET.

     

    An eviCore healthcare representative will:

     
    • Find an in-network facility near you.
    • Coordinate with the in-network imaging center of your choice to schedule your exam and give you a confirmation number. You don’t need a referral for most radiology services.
    • Decide whether a service is medically necessary.
  • Your doctor must call eviCore healthcare before you get these services:

     
    • CT/CTA scans
    • Diagnostic left-heart catheterization
    • Echo stress tests
    • Echocardiograms
    • MRIs/MRAs
    • Nuclear medicine studies (including nuclear cardiology)
    • PET scans

eviCore Healthcare supports Horizon Blue Cross and Blue Shield of New Jersey in the administration of advanced radiology benefits. eviCore Healthcare is independent from, and not affiliated with Horizon Blue Cross and Blue Shield of New Jersey or the Blue Cross Blue Shield Association.

To find an in-network hospital or facility near you, use our Doctor & Hospital Finder or the Horizon Blue app.