![]() ![]() Products are provided by HIC and/or Horizon NJ Health. Enrollment in HIC Medicare products and/or Horizon NJ TotalCare (HMO D-SNP) depends on contract renewal. ![]() Horizon NJ TotalCare (HMO D-SNP) is an HMO Medicare Advantage Dual Eligible Special Needs plan with a Medicare contract and a contract with the State of New Jersey Medicaid Program. Horizon Insurance Company ("HIC") has a Medicare contract to offer HMO, HMO-POS, PPO and Part D Medicare plans, including group-Medicare Advantage plans and group Part D Prescription Drug plans. Here's a list of questions you should ask your doctor during your annual exam. Make the most of your doctor's appointment. Go over my plan of treatment, tests and any follow-up care?.Make sure that I understand the medicine I’m taking, including how to take them and possible side effects?.Encourage me to participate in making choices about treatment options?.Actively listen to and address my concerns in terms I understand?.Talk with me about my symptoms so that I understand the information provided?.Schedule any follow-up appointments before I left the office?.Taking care of your health doesn’t end when you leave your doctor’s office. Don’t be afraid to ask questions about something you don’t understand or something your doctor hasn’t covered. Make sure you understand what your doctor is telling you.Discuss your current symptoms and go over your list of questions or concerns.Make a list of questions you have concerning your symptoms, condition and treatment.Bring along medical information, such as test results and medications you are taking, including prescriptions, over-the-counter medications and herbal supplements. Here are some tips to get the most from your next doctor's visit. People who have a strong relationship with their doctor tend to be healthier and more satisfied with their care. You can also search for doctors by name, specialty or hospital affiliation and filter by your location. Select the type of care you are looking for and your plan name, Horizon NJ TotalCare (HMO D-SNP). Use our Doctor & Hospital Finder to look for doctors, dentists or specialists near you. The Braven Health℠ name and symbols are service marks of Braven Health.Eligibility Information & Enrollment Instructions The Horizon® name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey. The Blue Cross® and Blue Shield® names and symbols are registered marks of the Blue Cross and Blue Shield Association. Communications may be issued by Horizon Blue Cross Blue Shield of New Jersey in its capacity asĪdministrator of programs and provider relations for all its companies. Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey, Horizon Insurance Company, Horizon Healthcare of New Jersey, Braven Health, and/or Horizon Healthcareĭental, Inc., each an independent licensee of the Blue Cross and Blue Shield Association. To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at This website does not display all Qualified Health Plans This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey’s Health Insurance Marketplace. Horizon Blue Cross Blue Shield of New Jersey You will not be disenrolled, discriminated against or penalized if you submit an appeal.įor mental health and substance abuse claims, except for Medicare Supplement plans, send your appeal to:įor mental health and substance abuse claims for Medicare Supplement plans, send your appeal to: Your duly authorized representative, your doctor or other health care professional acting for you and with your consent can also file an appeal. Your appeal must be filed within one year of your receipt of the Explanation of Benefits (EOB) statement. Patient’s name and address (if different from member).To file an appeal, your request must be made in writing and include the following information: You can appeal our decision on your mental health or substance abuse claim. ![]()
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