Member Support

To see if a doctor or dentist is part of Horizon NJ Health’s network, check our Provider Directory or call Member Services. A Provider Directory is a list of Horizon NJ Health physicians, dentists, hospitals and specialists.

Check the Provider Directory

You must use a provider who is contracted with Horizon NJ Health. Each member is assigned a Primary Care Provider (PCP). Your assigned PCP will coordinate all of your health care needs. If you receive care from a provider who does not participate with Horizon NJ Health without our approval, you may be responsible for the cost of the care. 

Call Member Services and they will help you choose a new doctor. You will get a new member ID card with the updated information. If you need to visit the doctor before you receive your new card, let Member Services know and they will help you.

All visits to a specialist must be coordinated with your doctor. Your doctor should give you a Referral Form or a script that you will need to bring with you when you see the specialist. You do not need a referral to visit a Dentist, OB / GYN, to have routine eye care or to get a mammogram.

If you have dental coverage, it will be shown on your Horizon NJ Health member ID card.

No, in case of an emergency, always go to the nearest hospital for care. You do not need to get approval from Horizon NJ Health to go to the emergency room.

You should not receive bills for services covered by your plan. If you do get a bill, call Member Services; they will give you instructions on what to do.

Medicaid, SSI and / or DYFS members must renew eligibility every six months. NJ FamilyCare members need to renew their eligibility every year. Certain parents who do not renew their eligibility on time will lose their membership and will not be able to re-enroll. Contact your county caseworker or NJ FamilyCare Health Benefits Coordinator for your renewal dates.