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OMNIA℠ Health Plan


Did you know that OMNIA members receive care at no cost when using a RWJBH (“Domestic”) facility or provider?

The OMNIA Health Plan offers you the benefits of patient-centered care, along with access to all healthcare professionals in the Horizon Managed Care Network. Coverage levels vary depending upon what providers are used.

  1. There is generally no cost to you when you use Domestic Providers — this includes RWJBH hospitals and labs, the Medical Group, and Joint Venture facility and physician groups of RWJBH.
  2. The Inner Circle of providers is inclusive of healthcare providers that are affiliated with the RWJBH healthcare system — doctors that have admitting privileges and work closely with RWJBH but are not employed by RWJBH.
  3. The OMNIA Tier 1 network includes participating OMNIA Alliance providers. Your out-of-pocket expenses for using this health plan are higher than the Domestic or Inner Circle tiers.
  4. The OMNIA Tier 2 network includes all other providers and facilities in the Horizon Network, along with the National Blue Card network (for coverage outside of New Jersey). Your out-of-pocket expenses for using this health plan are higher than the Domestic or Inner Circle tiers.

NOTE THAT THERE IS NO OUT-OF-NETWORK COVERAGE, EXCEPT IN THE CASE OF AN EMERGENCY


Check your member ID card or refer to your benefit booklet for specific out-of-pocket costs, benefit information and exclusions.