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The RWJBarnabas Health Inner Circle Network/Domestic Tier (also called the “Inner Circle”) is comprised of RWJBarnabas Health-recognized facilities, doctors and other health care professionals, which together make up one of the largest health systems in New Jersey.

If you are an OMNIA℠ Health Plan or Horizon Direct Access® member, you will receive the highest level of benefits when you and your eligible dependents use doctors, hospitals and other health care professionals from the Inner Circle.

If you have the High-Deductible Health Plan, your in-network benefits will apply when you see any in-network health care professional, including those in the Inner Circle. Please note that there are no specific Inner Circle benefits, such as reduced copayments.

The Horizon Managed Care Network and Horizon Hospital Network are comprised of New Jersey-based independent primary and specialty care doctors, hospitals and other health care professionals who have contracted with Horizon BCBS to provide medical services to our members.

All members of our Horizon Managed Care Network and Horizon Hospital Network who are not in your Inner Circle are either OMNIA Tier 1 or Tier 2. This is important to know if you have the OMNIA Health Plan, as you will save more on out-of-pocket costs using doctors, hospitals and other health care professionals from OMNIA Tier 1.

If you have the Horizon Direct Access or High-Deductible Health Plan, you can see OMNIA Tier 1 and Tier 2 doctors, hospitals and other health care professionals at the in-network rate.

You also have access to the national BlueCard PPO program. BlueCard PPO helps you get in-network care when outside of the Horizon BCBSNJ service area. Search for an in-network doctor or hospital by visiting the National Doctor and Hospital Finder.

Horizon Direct Access and High-Deductible Health Plan members can also use out-of-network doctors and hospitals and receive the applicable out-of-network level of coverage for their plan. There are no out-of-network benefits for OMNIA Health Plan members.