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OMNIA℠ Health Plan for RWJBH BHealthy Care


You and your family can receive care AT NO COST from Domestic providers if you are enrolled in the OMNIA Plan! Our network of Domestic providers is expanding and includes all RWJBH providers, facilities, and many other affiliated groups. Copay will apply for Emergency Room visits.

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

  • Domestic Tier: There is generally no cost to you when you use RWJBH hospitals and labs, the Medical Group, and Joint Venture facility and physician groups of RWJBH.
  • Inner Circle Tier: The Inner Circle Tier includes 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.
  • OMNIA Tier 1: Your out-of-pocket expenses for using OMNIA Tier 1 providers are higher than the Domestic or Inner Circle tiers.
  • OMNIA Tier 2: Your out-of-pocket expenses for using OMNIA Tier 2 providers are the highest of all tiers. Tier 2 includes all providers and facilities in the Horizon Network, along with the National BlueCard® network for coverage outside of New Jersey.

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