Member Support

Horizon Blue Cross Blue Shield of New Jersey has a new Dual-Eligible Special Needs Plan (DSNP) called Horizon NJ TotalCare (HMO SNP). This new plan combines all covered Medicare and Medicaid managed care benefits into one health plan. Many members who meet eligibility for both Medicare and NJ FamilyCare are now eligible to enroll in Horizon NJ TotalCare (HMO SNP).

Horizon NJ TotalCare (HMO SNP) will coordinate all of the Medicaid and Medicare managed care benefits, including primary care and preventive services, behavioral health and long-term care. Members will receive quality care designed to meet all of their needs.

Among the most important features of the plan are:

• $500 annual credit ($125 per quarter) to purchase over-the-counter medicines that will be delivered directly to you
• 24/7 Nurse Line at no cost to you
• Routine Podiatry Services at no cost to you
• A Personalized Horizon Care Management plan customized just for you
• A broad network of participating physicians, specialists and hospitals

In 2017, Horizon NJ TotalCare (HMO SNP) will be available to residents of the following counties: Atlantic, Cumberland, Essex, Gloucester, Hudson, Hunterdon, Mercer, Monmouth, Morris, Passaic, Salem, Somerset, Sussex, Union, Warren.

As a Horizon NJ TotalCare (HMO SNP) member, you can see any doctor or specialist in any county as long as he or she is in the Horizon NJ TotalCare (HMO SNP) provider network. If your Primary Care Provider (PCP) or specialist is not in our network, we can help you find a new one that is in our network.

If you would like to enroll in Horizon NJ TotalCare (HMO SNP), you can call the enrollment number at 1-877-234-1240 (TTY/TDD 711).