Depending on the order of events, you may have situations where you only see Tier 2 providers before ever seeing a provider in the Tier 1 network. If you meet the Tier 2 deductible first, Horizon will then consider any applicable Tier 1 deductible to have also been met. You are enrolled in Omnia Bronze high deductible plan that has a $3,000 deductible for both Tier 1 and Tier 2 claims.

Please check eligibility, plan details and member cost sharing on our Eligibility and Benefits Cost Share Estimator. The Incentive Program is available to first-time enrollees who must remain enrolled for one year, from January 1, 2021, through December 31, 2021.

Pharmacy Programs

The OMNIA Gold Plan is a good choice if you expect to use a fair amount of medical services. The OMNIA Bronze Plan is our lowest premium Bronze plan. It offers our lowest monthly premium, but highest out-of-pocket costs, when compared to other OMNIA Health Plans. Bronze plans, on average, pay for 60% of the covered medical expenses; you pay 40%, and money-saving subsidies may be available. The OMNIA℠ Bronze Plan is a good choice if you don’t expect to use a lot of medical services.

• They provide me with all the information and care that I need to ensure my health is on point.
• You can reach out to me anytime and I will review the plans and prices with you.
• For 2021, the OMNIA Silver Value product is 2.3 percent lower.
• Horizon BCBSNJ paid out 73.5 million claims in 2019.
• Aside from Emergency care, out-of-network care is not covered under the Horizon Omnia Plan.
• Silver plans, on average, pay for 70% of the covered medical expenses; you pay 30%.

Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in a health plan. Contact your tax horizon omnia plans or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only.

About Horizon Blue Cross Blue Shield of New Jersey health insurance

If you participate in the Horizon Managed Care Network, you are in network with our OMNIA Health Plans, and your participation status is either OMNIA Tier 1 or Tier 2. Members will pay less out of their pocket for care when they use OMNIA Tier 1 physicians, other health care professionals, hospitals and ancillary providers. Advantage EPO also offers bronze, silver and gold options. It doesn’t require you to pick a primary care physician or get referrals to specialists. Out-of-network services aren’t covered except in an emergency or in certain situations. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency in all 50 states and DC. Not all agents are licensed to sell all products.

Companies displayed may pay us to be Authorized or when you click a link, call a number or fill a form on our site. Our content is intended to be used for general information purposes only. It is very important to do your own analysis before making any investment based on your own personal circumstances and consult with your own investment, financial, tax and legal advisers.

Patient Health Support

I would just like to inform everyone to never ever go with Horizon Blue Cross Blue Shield of New Jersey, or just Blue Cross Blue Shield in general for anything. They have no heart and do not care about anyone but themselves. Patients are just a number to them and even when you fight so hard again and again and again to get approved of a surgery that could change my life //adprun.net/ because medication alone hasn’t been helping for over 10 years. Network Providers than for Tier 2 In-Network Providers. So you can go anywhere in New Jersey that’s in network, anywhere in the Philadelphia region that’s in network, New York, parts of Delaware. You don’t need a referral for these plans. You don’t have to worry about anything being Tier one or Tier two.