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Horizon Family Grins

Bundle Horizon Family Grins with your medical plan adding comprehensive coverage for the entire family.

Features

  • Deepest discounts across the state for eligible preventive, basic and major services.
  • Access to Horizon BCBSNJ’s extensive PPO network.
  • Orthodontic coverage for those under age 19 not meeting the medically necessary orthodontic criteria.
Preventative/Diagnostic: Prophylaxis-Cleaning, Fluoride, Sealant ,Oral Exams, X-Rays Discount
  • Coverage available for children and adults
  • Annual premium
  • No annual maximum or deductible
  • No waiting period
  • Network - PPO (Preferred Provider Organization)
Restorative: Amalgam, Composite Fillings Discount
Restorative: Crowns/Inlays/Onlays Discount
Endodontics: Root Canal Discount
Periodontics: Periodontal Scaling, Root Planing, Maintenance Discount
Prosthodontics: Bridges, Dentures Discount
Oral Surgery: Non-Surgical, Surgical, Extraction of Teeth Discount
Orthodontics: Lifetime Maximum Not covered
Orthodontics: Medical Necessity Not covered
Orthodontics: Cosmetic Not covered

Horizon Family Grins Plus

Bundle Horizon Family Grins Plus with your medical plan adding comprehensive coverage for the entire family.

Features

  • Plan provides In- and Out-of-network benefits for members over age 19.
  • Access to Horizon BCBSNJ’s extensive PPO and National Grid Networks.
  • Deepest discounts across the state for eligible preventive, basic and major services.
  • Orthodontic coverage for those under age 19 not meeting the medically necessary orthodontic criteria.
Preventative/Diagnostic: Prophylaxis-Cleaning, Fluoride, Sealant ,Oral Exams, X-Rays Free
  • Coverage available for Under/Over 19 years
  • Annual premium
  • No annual maximum or deductible
  • No waiting period
  • Horizon Dental Choice Network
Restorative: Amalgam, Composite Fillings Free
Restorative: Crowns/Inlays/Onlays 30% / 40% / 50%
Endodontics: Root Canal 30% / 40% / 50%
Periodontics: Periodontal Scaling, Root Planing, Maintenance 30% / 40% / 50%
Prosthodontics: Bridges, Dentures 30% / 40% / 50%
Oral Surgery: Non-Surgical, Surgical, Extraction of Teeth 30% / 40% / 50%
Orthodontics: Lifetime Maximum Not covered
Orthodontics: Medical Necessity Not covered
Orthodontics: Cosmetic Not covered

Horizon Young Grins

Add Horizon Young Grins (pediatric essential health benefit) to any of Horizon’s medical plans. Only those under the age of 19 are eligible for benefits.

Features

  • Comprehensive benefit plan for those members under 19, including medically necessary orthodontics.
  • Access to Horizon BCBSNJ’s extensive PPO network.
  • Designed for members under 19.
Preventative/Diagnostic: Prophylaxis-Cleaning, Sealant, Fluoride, Oral Exams, X-Rays Free after deductible
  • Coverage available for under 19 years only
  • No annual maximum
  • No waiting period & ACA Compliant
  • PPO / Grid Network
  • $25 applies to preventative deductible
  • $100/$200 applies to Basic & Major
Restorative: Amalgam, Composite Fillings 20% after deductible
Restorative: Crowns/Inlays/Onlays 50% after deductible
Endodontics: Root Canal 20% after deductible
Periodontics: Periodontal Scaling, Root Planing, Maintenance 20% after deductible
Prosthodontics: Bridges, Dentures 50% after deductible
Oral Surgery: Non-Surgical, Surgical, Extraction of Teeth 20% after deductible
Orthodontics: Lifetime Maximum None
Orthodontics: Medical Necessity Covered 50%
Orthodontics: Cosmetic Not Covered

Horizon Centurion Dental

Maximize your savings with Horizon Centurion Dental (Horizon’s Discount Only Plan). Members receive discounts on covered services when they receive care from a PPO Network dentist.

Features

  • Our lowest-cost dental program (as low as $5/month).
  • Members must utilize a Horizon PPO provider.
  • Deepest discounts in the state for eligible preventive, basic, and major services.
  Under 19 years Over 19 years  
Preventative/Diagnostic: Prophylaxis-Cleaning, Oral Exams, X-Rays Free after deductible Free after deductible
  • Coverage available for Under/Over 19 years
  • No annual maximum
  • No waiting period & ACA Compliant
  • PPO /Grid Network
  • $25 applies to preventative deductible
  • $100/$200 applies to Basic & Major
Preventative/Diagnostic: Sealant, Fluoride Free after deductible Not covered
Restorative: Amalgam, Composite Fillings 20% after deductible Discount
Restorative: Crowns/Inlays/Onlays 50% after deductible Discount
Endodontics: Root Canal 20% after deductible Discount
Periodontics: Periodontal Scaling, Root Planing, Maintenance 20% after deductible Discount
Prosthodontics: Bridges, Dentures 50% after deductible Discount
Oral Surgery: Non-Surgical, Surgical, Extraction of Teeth 20% after deductible Discount
Orthodontics: Lifetime Maximum $1,000 Not covered
Orthodontics: Medical Necessity Covered 50% Not covered
Orthodontics: Cosmetic Covered for those under age 19 Not covered

Horizon Healthy Smiles

Horizon Healthy Smiles plan offers comprehensive dental coverage at an affordable price.

Features

  • Access to Horizon BCBSNJ’s extensive PPO and National GRID Networks.
  • No out-of-network benefits.
  • Flexible benefit options at an affordable price.
  Under 19 years Over 19 years
In/Out of Network
Preventative/Diagnostic: Prophylaxis-Cleaning, Oral Exams, X-Rays Free Free
  • Coverage available for Under/Over 19 years
  • No waiting period & ACA Compliant
  • PPO/Grid Network for Horizon Under 19 years/Over 19 years INN 1
  • Out of Network Benefits for over 19 years
  • $25 applies to preventative deductible
  • $100/$200 applies to Basic & Major
Preventative/Diagnostic: Sealant, Fluoride Free Not covered
Restorative: Amalgam, Composite Fillings 20% after deductible 20% after deductible
Restorative: Crowns/Inlays/Onlays 50% after deductible 50% after deductible
Endodontics: Root Canal 20% after deductible 20% after deductible
Periodontics: Periodontal Scaling, Root Planing, Maintenance 20% after deductible 20% after deductible
Prosthodontics: Bridges, Dentures 50% after deductible 50% after deductible
Oral Surgery: Non-Surgical, Surgical, Extraction of Teeth 20% after deductible 20% after deductible
Orthodontics: Lifetime Maximum $1,000 Not covered
Orthodontics: Medical Necessity Covered 50% Not covered
Orthodontics: Cosmetic Covered for those under age 19 Not covered

Horizon Healthy Smiles Plus

Horizon Healthy Smiles Plus plan offers comprehensive dental coverage at an affordable price. (Not an ACA-compliant plan)

Features

  • Access to Horizon BCBSNJ’s extensive PPO, Traditional and National GRID plus networks.
  • No out-of-network benefits.
  • Flexible benefit options at an affordable price.
  Under 19 years Over 19 years
Preventative/Diagnostic: Prophylaxis-Cleaning, Fluoride, Sealant, Oral Exams, X-Rays Free 20%
  • Coverage available for Under/Over 19 years
  • Annual maximum $1,000
  • Waiting period may apply
  • PPO /Grid Network
  • Additional plan options available when you get a quote
Restorative: Amalgam, Composite Fillings 20% after deductible 20% after deductible
Restorative: Crowns/Inlays/Onlays 50% after deductible 50% after deductible
Endodontics: Root Canal 50% after deductible 50% after deductible
Periodontics: Periodontal Scaling, Root Planing, Maintenance 50% after deductible 50% after deductible
Prosthodontics: Bridges, Dentures 50% after deductible 50% after deductible
Oral Surgery: Non-Surgical, Surgical, Extraction of Teeth 50% after deductible 50% after deductible
Orthodontics: Lifetime Maximum $1,000 $1,000
Orthodontics: Medical Necessity Not covered Not covered
Orthodontics: Cosmetic Covered for those under 19 years Not covered for those over 19 years

Horizon Individual Dental

Access convenient and comprehensive dental coverage at a low-cost. Choose a primary care dentist from Horizon’s Dental Choice Network where you can access all of your dental care within one office location.

Features

  • No annual maximums or deductibles.
  • Preventive and diagnostic eligible services covered at 100%.
  • Low annual cost (as low as $15/month).
  Under 19 years Over 19 years
Preventative/Diagnostic: Prophylaxis-Cleaning, Fluoride, Sealant, Oral Exams, X-Rays Free 20%
  • Coverage available for Under/Over 19 years
  • Annual maximum $1,000
  • Waiting period may apply
  • PPO /Traditional/Grid Plus Network
  • Additional plan options available when you get a quote
Restorative: Amalgam, Composite Fillings 20% after deductible 50% after deductible
Restorative: Crowns/Inlays/Onlays 50% after deductible 50% after deductible
Endodontics: Root Canal 50% after deductible 50% after deductible
Periodontics: Periodontal Scaling, Root Planing, Maintenance 50% after deductible 50% after deductible
Prosthodontics: Bridges, Dentures 50% after deductible 50% after deductible
Oral Surgery: Non-Surgical, Surgical, Extraction of Teeth 50% after deductible 50% after deductible
Orthodontics: Lifetime Maximum $1,000 $1,000
Orthodontics: Medical Necessity Not covered Not covered
Orthodontics: Cosmetic Covered for those under 19 years Not covered for those over 19 years

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2018 Health Plans Guide

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