Horizon HMO


A health maintenance organization (like Horizon HMO) allows you to enjoy minimal costs out of your own pocket by receiving your health care services through your Primary Care Physician (PCP). Your PCP guides and coordinates your health care, including filing your claims. When needed, your PCP refers you to specialists, hospitals, and other health care professionals available to you through your Horizon HMO plan.

As a Horizon HMO member, you have access to many health care services and programs, as well as access to one of the largest participating physician networks in the state. We offer preventive care benefits, an easy-to-use referral system, direct access to your Ob/Gyn, emergency medical care, and value-added programs.

Do I need to choose a PCP?

Your Horizon HMO plan starts with your Primary Care Physician (PCP). Your PCP is a duly licensed practitioner who has entered into an agreement with us to participate in the Horizon BCBS Managed Care Network and is responsible for coordinating all aspects of your medical care, including referrals to specialists, ancillary providers, or inpatient facilities. Your PCP:

  • understands your medical history;
  • determines the best treatment for you; and
  • refers you to the right specialist in our participating network.

Easy Service—No Hassles

When using Horizon HMO doctors and hospitals, members have no claim forms to file and virtually no paperwork. All Horizon HMO providers handle all of the paperwork for members. Horizon BCBS offers toll-free customer service Monday through Friday, 8 a.m. to 6 p.m., Eastern Standard Time, so members can get the help they need.

Finding in-network doctors and hospitals

Members can locate in-network Horizon HMO doctors and hospitals using our Doctor & Hospital Finder.