Horizon NJ TotalCare (HMO D-SNP) Medicare, Medicaid and more in one plan
Horizon NJ TotalCare (HMO D-SNP) combines all covered Medicare and Medicaid (NJ FamilyCare) managed care benefits in one plan, plus includes extra features and services all at no cost to you.
Get more benefits including:
- One card for all: Use a single ID card for all your care
- No money out of pocket: $0 copays, coinsurance, premiums and deductibles
- No referrals: No referrals required to see an in-network specialist
- Total coverage: Vision, dental, hearing and behavioral health coverage
- 24-hour support: 24-hour Nurse Line as well as Personalized Care Management services
- Emergency worldwide transportation services
- Routine podiatry services—up to 8 visits per year
Plus Horizon NJ TotalCare (HMO D-SNP) comes with these valuable extras:
- Up to $1,000 annually to use toward purchasing eligible items with a Horizon Blue Cross Blue Shield of New Jersey Over-the-Counter (OTC) Benefit Card
- An additional $980 credit annually to purchase health care items from the Health Products Benefit catalog
- The option to talk securely and confidentially with a US board-certified licensed doctor at no cost, via phone, video or online chat with Horizon CareOnline℠
- A no-cost fitness program that includes a choice of membership at over 8,000 participating fitness centers and select YMCAs
As a Horizon NJ TotalCare (HMO D-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 D-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.
Eligibility Requirements:
- Live in New Jersey
- Have proof of Medicare Part A and Part B coverage
- Receive full Medicaid (NJ FamilyCare) benefits from State of New Jersey
- Cannot be enrolled in a Program of All-Inclusive Care for the Elderly (PACE) at the same time; you must disenroll from PACE in order to enroll in this plan
- Does not have End-Stage Renal Disease (ESRD) at the time of enrollment (unless you meet the exceptions to Medicare Advantage eligibility rules for persons who have ESRD)
Questions? Ready to enroll?
Call 1-877-234-1240
(8 a.m. to 8 p.m. Monday to Sunday)