Introducing Our New Horizon Value Access Plans
During the upcoming open enrollment period, individual consumers who reside in Hunterdon, Morris, Sussex and Warren counties will have the option to enroll in one of our new Horizon Value Access Plans for 2022. These plans provide a lower-cost option for consumers in this region.
The New Plans Will Use a Subset of Our Networks
On or before October 1, 2021, providers in the Horizon Managed Care Network, and certain facilities in the Horizon Hospital Network that are located in the counties listed above, will receive a letter indicating their participation status in the Horizon Value Access plans.
Not all participating Managed Care Network or Horizon Hospital Network providers located in this four-county area will be participating with Horizon Value Access plans. Providers located outside this four-county area will not participate in our Horizon Value Access plans.
Participation in the Horizon Value Access plans is at the group level. All providers who bill for services under a participating Horizon Value Access group practice Tax ID Number (TIN) or Medicare ID number are considered participating when treating Horizon Value Access members.
You can check your Horizon Value Access participation status on our Doctor & Hospital Finder.
Member Access
Enrolled members will have access to certain physicians, other health care professionals and ancillary providers in the Horizon Managed Care Network, and certain facilities in the Horizon Hospital Network that are located in Hunterdon, Morris, Warren and Sussex counties.
- Members enrolled in our Horizon Value Access Plans must use health care professionals and facilities that participate in our Horizon Value Access Plans.
- Members must select a Primary Care Physician who participates in our Horizon Value Access Plans.
- Except for emergency care, members have no benefits for services from a provider that does not participate with the Horizon Value Access Plans.
Review more information on the Horizon Value Access plans.