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New Dual Special Needs plan offers more easy-to-use benefits

Posted By Admin on March 27, 2017
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Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) has announced it is offering a Dual-Eligible Special Needs Plan (DSNP) for the upcoming 2017 plan year.

Horizon BCBSNJ is offering the Horizon NJ TotalCare (HMO SNP) plan to eligible beneficiaries in Atlantic, Cumberland, Essex, Gloucester, Hudson, Hunterdon, Mercer, Monmouth, Morris, Passaic, Salem, Somerset, Sussex, Union and Warren counties. This plan offers a single, integrated benefit package for people eligible for both Medicaid and Medicare and features $0 premiums and $0 copays.

"People eligible for both Medicaid and Medicare often have particular health care needs," explained Erhardt Preitauer, Senior Vice President, Government Programs, Horizon BCBSNJ. "Horizon TotalCare (HMO SNP) provides a single card that helps coordinate care with easy-to-use benefits that help our members achieve their best health."

How does Horizon NJ TotalCare (HMO SNP) work?

Horizon NJ TotalCare (HMO SNP) includes coverage for all covered Medicare and Medicaid managed care benefits in one health plan. Most DSNP covered services are covered by Medicare, and a few are covered exclusively by Medicaid, including dental, vision, hearing aids and fittings, certain private duty nursing services, medical day care, personal care assistance and long-term (non-medical with daily activity support) nursing facility care. Generally, when Medicaid covers health care services beyond the limits of Medicare, Medicaid will pay for what Medicare does not.

When you choose Horizon NJ TotalCare (HMO SNP), your Horizon ID card is all you’ll ever need to show at the doctor’s office, pharmacy or hospital. With Horizon NJ TotalCare (HMO SNP), you pay nothing for all covered services:

  • $0 cost for all prescription drugs and many over-the-counter medicines
  • $0 cost for dental care including exams, X-rays, cleanings, fillings, crowns, periodontal care and dentures
  • $0 cost for hearing care including exams and hearing aids
  • $0 cost for vision care including exams, glasses and contact lenses

Additional benefits

  • $500 annual credit ($125 per quarter) to purchase over-the-counter medicines which will be delivered directly to you.
  • Free 24/7 Nurse Line
  • Free Routine Podiatry Services

Horizon NJ TotalCare (HMO SNP) also gives you access to a broad network of participating physicians, specialists, and hospitals, as well as a personalized Horizon Care management plan customized just for you.

For more information, please contact 1-877-234-1240 or visit