Horizon Neighbors in Health: Education Works

As a Horizon NJ Health member, you can earn a high school diploma through our Horizon Neighbors in Health: Education Works program.

We’re here to help
Through Horizon Neighbors in Health: Education Works, you will get a custom plan that fits your life to help you study for and get your high school diploma.

Best of all, it’s no cost to you!

Why get a high school diploma?
Getting a high school diploma can open doors to a better job and help you improve your health.

Horizon Neighbors in Health: Education Works will:

  • Connect you with groups in your area to help you study.
  • Give you telephone coaching throughout the process to help you stay on track.
  • Work with you one-on-one to understand your situation and remove any barriers that are preventing you from getting your high school diploma, such as transportation to the testing center or childcare during the test.*
  • Pay the pre-test and test fees.**

To enroll in Horizon Neighbors in Health: Education Works program, you must:

  • Be a current member of Horizon NJ Health
  • Have a valid photo ID card, such as driver’s license or state ID card
  • Be 18 years of age or older
  • Not have a high school diploma or equivalent
  • Not be enrolled in an accredited high school

With this program, you get the tools and information you need to reach your goals. For more information, call 1-800-682-9094 x52076 (TTY 711), Monday through Friday, from 9 a.m. to 5 p.m., Eastern Time, or email EducationWorks@HorizonBlue.com.

*Services will be provided when needed.
**Limited to three attempts.

Enrollment Form

Tikka Attach

Horizon Neighbors in Health: Education Works

Horizon Neighbors in Health: Education Works
wants to help you get the tools and information you
need to get your high school equivalency diploma.

Are you a current member of Horizon NJ Health? m Yes m No
Member ID: ???????????????????????????????????????????????????????????????????????????????

Name: ????????????????????????????????????????????????????????????????????????????????????

Street address: ????????????????????????????????????????????????????????????????????????????

City: ????????????????????????????????????????????????????State: ????????? Zip: ???????????????

Phone number: ???????????????????????????? Email address: ??????????????????????????????????

Gender: ?????????????????? Date of birth: ??????????????????????????????? Age: ???????????????

Race or ethnicity: ?????????????????????????? Primary language spoken: ????????????????????????

What is the last grade of school you finished? ?????????????????????????????????????????????????

Are you in school now? ???????????????If so, where? ??????????????????????????????????????????

Have you ever attended a high school equivalency diploma program? ????????????????????????????

If so, where????????????????????????????????????????????????????????????????????????????????

Are you currently attending a high school equivalency diploma program? ?????????????????????????

If so, where????????????????????????????????????????????????????????????????????????????????

To give you the right support, list any past challenges you?ve faced for getting a high school

equivalency diploma. ???????????????????????????????????????????????????????????????????????

??????????????????????????????????????????????????????????????????????????????????????????

??????????????????????????????????????????????????????????????????????????????????????????

Signature:???????????????????????????????????????????????? Date: ???????????????????????????

To enroll, you must:
? Be a current member of Horizon NJ Health

? Have a valid photo ID card, such as driver?s
license or state ID card

? Be 18 years of age or older

? Not have a high school diploma or equivalent

? Not be enrolled in an accredited high school

For more information, call 1-800-682-9094 x52076 (TTY 711),
Monday through Friday, from 9 a.m. to 5 p.m., Eastern Time,
or visit horizonNJhealth.com/EducationWorks.

EducationWorks@HorizonBlue.com

horizonNJhealth.com/EducationWorks

Horizon NJ Health
Attn: Sandy Estrada
1700 American Blvd.
Pennington, NJ 08534

MAIL

WEB

EMAIL

Submit your completed form by:

Enrollment Form



ATTENTION: If you speak a language other than English, language assistance services, free of
charge, are available to you. Call 1-800-682-9090 (TTY 711). This document is also available
in other languages, as well as other formats, such as large print and Braille.
Horizon NJ Health complies with applicable Federal civil rights laws and does not discriminate against nor does it exclude people or treat them
differently on the basis of race, color, gender, national origin, age, disability, pregnancy, gender identity, sex, sexual orientation or health status
in the administration of the plan, including enrollment and benefit determinations.

Spanish (Espa?ol): Para ayuda en espa?ol, llame al 1-800-682-9090 (TTY 711).
Chinese (??)??????????? 1-800-682-9090 (TTY 711)?
Products are provided by Horizon NJ Health. Communications are issued by Horizon Blue Cross Blue Shield of New Jersey in its capacity
as administrator of programs and provider relations for all its companies. Both are independent licensees of the Blue Cross and Blue Shield
Association. The Blue Cross? and Blue Shield? names and symbols are registered marks of the Blue Cross and Blue Shield Association.
The Horizon? name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey.
? 2019 Horizon Blue Cross Blue Shield of New Jersey, Three Penn Plaza East, Newark, New Jersey 07105.
EC004532B (0919) 086-19-126


Member ID:
Name:
Street address:
City:
State:
Zip:
Phone number:
Email address:
Gender:
Date of birth:
Age:
Race or ethnicity:
Primary language spoken:
What is the last grade of school you finished:
Are you in school now:
If so where:
Have you ever attended a high school equivalency diploma program:
If so where_2:
Are you currently attending a high school equivalency diploma program:
If so where_3:
equivalency diploma 1:
equivalency diploma 2:
equivalency diploma 3:
Date:
Yes:
No: