Horizon Medicare Advantage NJ DIRECT (PPO)

Effective January 1, 2019, Horizon Blue Cross Blue Shield of New Jersey will no longer administer Medicare Advantage (MA) PPO plans for the New Jersey State Health Benefits Program (SHBP).

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BlueCard® Medical Policies

You also have the ability to access medical policy and pre-certification/pre-authorization information for your patients enrolled in Blue Cross and/or Blue Shield plans other than Horizon BCBSNJ.

To view medical policy or general pre-certification/pre-authorization information for your patients enrolled in another Blue Cross and/or Blue Shield plan, please select the type of information requested, enter the first three letters of the member's identification number on the Blue Cross Blue Shield ID card, and click "GO".

If you need help or have questions about the information you are trying to access for a BlueCard (out-of-area) Member, please call BlueCard Eligibility at 1-800-676-BLUE (2583).