Member Support

How Horizon NJ Health Works

Specialists and Referral Forms
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If you need to see a specialist, your Primary Care Provider (PCP) will make the arrangements. You must have a Referral to see a participating specialist. Your PCP will give you a paper Referral Form or a script with the specialist’s name and phone number.

You do not need a referral for:

  • Routine gynecological care
  • Mammogram
  • Obstetrical care
  • Routine eye examination
  • Dental care
  • Emergency room care

If you have a condition that needs ongoing care from a specialist, your PCP can give you a “standing referral.” This allows you to go to your specialist as often as necessary for the specialist to treat your medical condition. The specialist may also be able to act as your PCP and specialty care provider.

The complete list of Horizon NJ Health specialists is available in the Physician Directory. You can search for a Doctor by using the Physician Directory (in the right hand column) or you can ask Member Services or your PCP for help.

If you would like a printed copy of the Directory call Member Services toll free at 1-877-7NJ-HEALTH (1-877-765-4325). They are available 24 hours a day, 7 days a week. Hearing and speech-impaired members may use their TDD / TTY equipment or service to call our TDD / TTY toll-free line at 1-800-654-5505.