5 tips to get the most from your plan

We work hard to offer you exceptional programs, care management and member services that go beyond other NJ FamilyCare plans. To get the most from your Horizon NJ Health plan:

1. Build a relationship with your PCP.

The right care starts with your PCP. Your PCP should:

  • Listen carefully to your health concerns

  • Help you get access to a specialist

  • Explain things in a clear and understandable way

  • Talk to you about any medications you are taking

If you need to change your PCP for any reason, please call Member Services at 1-800-682-9090 (TTY 711).

2. Let our Care Management team help you coordinate all of your health care needs.

Our Care Management team can help you understand your benefits and coordinate the care you need.

They can help you:

  • Manage chronic conditions such as diabetes or high blood pressure
  • Arrange other resources or services you may need

Our Care Managers are available weekdays, from 8 a.m. to 5 p.m., Eastern Time (ET). Please call 1-800-682-9090 x89634 (TTY 711).

3. Schedule preventive care visits and health screenings.

We will send you reminders for preventive care, like your annual wellness exam and flu shot. When you get the reminders, make sure to schedule an appointment with your PCP or other provider. Staying up to date on your vaccines and preventive care can save your life.

4. Get appointments with your doctor quickly and easily.

Your time is valuable. If you’re on time for your appointment, you should not have to wait too long to see your doctor. Things to remember:

  • When making your appointment, ask to be the first one seen that day.

  • Call us if you need help getting an appointment with a specialist.

  • Ask your doctor’s office to let you know if they are running late.

5. Access your benefits with our online tools.

Sign in to our secure member web portal at horizonNJhealth.com to:

  • View your covered benefits

  • Enroll in a Disease Management program

  • Request a new member ID card

  • Change your PCP

We want to make sure that the care and services you get are appropriate, necessary and properly administered. That’s why we have a Quality Improvement (QI) program that works with members and providers to improve the quality of the care and services you receive. We monitor areas that affect the care our members get, like access to care, screenings and member satisfaction.

For more information about how Horizon NJ Health’s QI program is improving the care you get, visit horizonNJhealth.com/quality, or call Member Services at 1-800-682-9090 (TTY 711) and ask for the Quality Department.