Medical Plans

We’ve got you covered! Learn more about our various health care plans to find out what’s right for you.

Choice matters, which is why we provide you with one of the largest selections of doctors, other health care professionals and hospitals in the state. Our broad network gives you access to the care you need when and where you need it—and our tools and resources help explain the insurance process, helping you to make the best decisions for you and your family.

On a national level, we’re a proud member of the Blue Cross and Blue Shield Association, one of the largest, best-known and most respected names in health insurance. In fact, the original Blue Cross and Blue Shield companies first pioneered the concept of health insurance nearly a century ago — and while health care certainly has changed over the years, the importance of having access to affordable quality health care hasn’t.

All 2020 SHBP/SEHBP plans include:

  • Well Care and Preventive Care: Services such as annual physical and gynecological exams, well baby/child medical care, immunizations and annual vision exams are covered 100% when using an in-network doctor.
  • Behavioral Health and Substance Use Disorder: Counseling services are covered for mental/nervous conditions and alcohol/substance use disorder.
  • Horizon Health Guides: Your Horizon Health Guide can help with all your health care needs: answering questions, making medical appointments, solving issues, helping with claims, finding care, even making health and wellness benefit suggestions tailored to you. And we’ll help you manage a chronic health condition. Coming in February!
  • Telemedicine: Talk to a doctor 24/7/365 using Horizon CareOnline℠.
  • Health Programs: Registered nurses help you manage a chronic or complex health condition.
  • Precious Additions®: A prenatal education program supported by My Health Manager®, powered by WebMD®, gives you access to online tools and resources.

Your health plan may also include care outside of NJ through these options: