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Senior Market Product Overview

Medicare Advantage

Horizon Blue Cross Blue Shield of New Jersey offers several Medicare Advantage (MA) plans for Medicare-eligible individuals. Horizon’s Medicare Blue Advantage (HMO) is a $0 monthly premium plan that offers low out-of-pocket costs, helping members on a fixed income get quality care they can afford. With this plan, members can also save more by having access to our lowest prescription drug deductible, as well as low copays on both Primary Care Physician (PCP) visits and specialist visits.

Horizon Medicare Blue Advantage (HMO) is offered throughout New Jersey (excluding Burlington, Camden, Cape May, Gloucester, Passaic, and Salem counties) in four distinct services areas: Regions 1, 2, 3 and 4. Plan benefits are mostly the same across all of the regions; however, there are some differences in premiums and Rx deductibles. Horizon Medicare Blue Advantage (HMO) Regions 1, 2, and 3 offer a $0 monthly plan premium, while Region 4 (Morris, Atlantic, and Cumberland counties) offers a $75 monthly plan premium.

Horizon Medicare Blue Select (HMO-POS) is offered in Union county only offers low copays for in network providers as well as out of network benefits.

Medicare Advantage Individual Products New Jersey County Service Areas
Horizon Medicare Blue Advantage (HMO) Region 1: Ocean, Monmouth
Horizon Medicare Blue Advantage (HMO) Region 2: Bergen, Essex, Hudson, Middlesex, Union, Mercer
Horizon Medicare Blue Advantage (HMO) Region 3: Somerset, Sussex, Warren, Hunterdon
Horizon Medicare Blue Advantage (HMO)

Horizon Medicare Blue Select (HMO-POS)
Region 4: Morris, Atlantic, Cumberland

Union

Listed below are other Horizon BCBSNJ MA products for Medicare-eligible individuals. Members must reside in the counties shown to enroll in the respective product. Members in the plans listed below will have access to Horizon BCBSNJ’s statewide Horizon Managed Care Network.

Medicare Advantage Individual Products New Jersey County Service Areas
Horizon Medicare Blue Value (HMO) Cape May, Hudson, Salem, Union, Warren
Horizon Medicare Blue Value w/Rx (HMO) Cape May, Hudson, Salem, Union, Warren
Horizon Medicare Blue Choice w/Rx (HMO) Atlantic, Burlington, Camden, Cumberland, Gloucester, Hunterdon, Mercer, Morris, Passaic, Somerset, Sussex
Horizon Medicare Blue (PPO)

Horizon NJ TotalCare (HMO SNP)
Sussex

All NJ counties

Horizon Medicare Blue Access Group (HMO-POS) plans with and without prescription drug coverage are available to employer groups in New Jersey. Horizon BCBSNJ offers base group HMO-POS plans, and benefit riders are available for purchase to customize the plans for employer groups. Cost sharing and premiums will vary depending on the riders selected.

Medicare Advantage Group Products Service Area
Horizon Medicare Blue Access Group (HMO-POS) New Jersey
Horizon Medicare Blue Access Group w/Rx (HMO-POS) New Jersey

Our Horizon Medicare Blue Group (PPO) and Horizon Medicare Blue Group w/Rx (PPO) plans are available to employer groups to purchase to cover members in New Jersey and nationwide. These plans offer in- and out-of-network benefits. Horizon BCBSNJ offers a base group PPO plan, and benefit riders are available for purchase to customize the plan for employer groups. Cost sharing and premiums will vary depending on the riders selected.

Medicare Advantage Group Products Service Area
Horizon Medicare Blue Group (PPO) National
Horizon Medicare Blue Group w/Rx (PPO) National

Medicare Supplement plans

The following are Horizon BCBSNJ’s Medicare Supplement plan offerings available in New Jersey. Members can also enroll in a stand-alone Prescription Drug Plan (PDP) when choosing a Medicare Supplement product, if they want to have Part D prescription drug coverage.

Medigap Products  
Horizon Medicare Blue Supplement Plan A Horizon Medicare Blue Supplement Plan K
Horizon Medicare Blue Supplement Plan G Horizon Medicare Blue Supplement Plan F
Horizon Medicare Blue Supplement Plan C Horizon Medicare Blue Supplement Plan N

Prescription Drug Plans

The following are Horizon BCBSNJ’s stand-alone PDP offerings. Members must reside in New Jersey to enroll in these products.

PDP Products Service Area
Horizon Medicare Blue Rx Standard (PDP) New Jersey
Horizon Medicare Blue Rx Enhanced (PDP) New Jersey

Our network includes pharmacies with preferred cost-sharing, which may offer members lower cost-sharing than the standard cost-sharing offered by other pharmacies within the network. Our network also includes many well-known retail pharmacies such as:

  • CVS
  • Rite Aid
  • ShopRite
  • Target
  • Walmart

If Horizon BCBSNJ members or other New Jersey Medicare beneficiaries have questions or need help selecting a product, they may call 1-800-365-2223 or visit our website at Medicare.HorizonBlue.com.