Introduction
Welcome, readers! Are you curious about Horizon NJ Family Care? This comprehensive guide will delve into everything you need to know about this healthcare plan. Whether you’re a current member or considering joining, this article will provide valuable insights and help you make informed decisions about your healthcare.
Horizon NJ Family Care is a Medicaid and CHIP program that provides affordable health coverage to eligible New Jersey residents. It offers a wide range of benefits, including doctor visits, hospital stays, prescription drugs, mental health services, and more.
Understanding Eligibility and Enrollment
Eligibility
To be eligible for Horizon NJ Family Care, you must meet certain income and residency requirements. Generally, households with incomes at or below 138% of the federal poverty level qualify. Residency in New Jersey is also a requirement.
Enrollment
Enrolling in Horizon NJ Family Care is easy. You can apply online, by phone, or by mail. The application process typically takes around 30 minutes. Once you’re enrolled, your coverage will begin on the first of the following month.
Benefits of Horizon NJ Family Care
Horizon NJ Family Care offers a comprehensive package of healthcare benefits for individuals and families. These benefits include:
Basic Health Coverage
- Doctor visits
- Hospital stays
- Emergency care
- Prescription drugs
Mental Health and Substance Abuse Services
- Therapy and counseling
- Medication management
- Crisis intervention
Maternity and Newborn Coverage
- Prenatal and postpartum care
- Delivery and hospital stay
- Newborn care
Dental and Vision Care
- Routine dental exams and cleanings
- Fillings and extractions
- Eye exams and glasses
Additional Features of Horizon NJ Family Care
Member Portal
Once you’re enrolled, you’ll have access to a secure member portal where you can:
- View your benefits and coverage
- Track your claims
- Find a provider
- Request prescription refills
Transportation Assistance
Horizon NJ Family Care provides non-emergency transportation to medical appointments for members who need it.
Health Education and Wellness Programs
Horizon NJ Family Care offers a variety of health education and wellness programs to help members stay healthy. These programs include:
- Nutrition counseling
- Smoking cessation support
- Chronic disease management
Who Pays for Horizon NJ Family Care?
Horizon NJ Family Care is primarily funded by the federal government and the state of New Jersey. Members may also be required to pay a small monthly premium, depending on their income.
How to Apply for Horizon NJ Family Care
To apply for Horizon NJ Family Care, you can:
- Apply online: Visit the Horizon NJ Family Care website at www.horizonblue.com/njfamilycare.
- Call the hotline: Dial 1-800-701-0710.
- Mail an application: Print and complete the application form available at www.horizonblue.com/njfamilycare. Mail the completed form to:
Horizon NJ Family Care
PO Box 166
Trenton, NJ 08625-0166
Conclusion
Horizon NJ Family Care is an affordable and comprehensive healthcare plan that can help you and your family access the healthcare services you need. Whether you’re new to Horizon NJ Family Care or considering switching plans, this guide has provided valuable information to help you make an informed decision.
Don’t forget to check out our other articles for more tips and resources on healthcare, insurance, and finance. Stay tuned for more informative content in the future.
FAQ about Horizon NJ FamilyCare
What is Horizon NJ FamilyCare?
Horizon NJ FamilyCare is New Jersey’s Medicaid and Children’s Health Insurance Program (CHIP) program. It provides health insurance coverage to low-income individuals, families, and children.
Who is eligible for Horizon NJ FamilyCare?
Residents of New Jersey who meet certain income and other eligibility requirements may qualify for Horizon NJ FamilyCare.
What services are covered by Horizon NJ FamilyCare?
Horizon NJ FamilyCare covers a wide range of healthcare services, including doctor visits, hospital stays, prescriptions, and mental health services.
How do I apply for Horizon NJ FamilyCare?
You can apply for Horizon NJ FamilyCare online at the New Jersey Medicaid website or by calling the NJ FamilyCare Customer Service line at 1-800-701-0710.
What is the cost of Horizon NJ FamilyCare?
Most Horizon NJ FamilyCare members do not have to pay a monthly premium. However, some members may have to pay a small copayment for certain services.
How do I find a doctor who accepts Horizon NJ FamilyCare?
You can find a doctor who accepts Horizon NJ FamilyCare by using the Horizon Blue Cross Blue Shield of New Jersey Provider Directory.
What if I have a question or need help with my Horizon NJ FamilyCare coverage?
You can contact Horizon NJ FamilyCare Customer Service at 1-800-701-0710 or visit the New Jersey Medicaid website for help.
Can I get dental care through Horizon NJ FamilyCare?
Yes, Horizon NJ FamilyCare covers dental care for children under the age of 21 and pregnant women.
Can I get vision care through Horizon NJ FamilyCare?
Yes, Horizon NJ FamilyCare covers vision care for children under the age of 21 and pregnant women.
How do I report suspected fraud or abuse involving Horizon NJ FamilyCare?
You can report suspected fraud or abuse by calling the New Jersey Medicaid Fraud, Waste, and Abuse Hotline at 1-877-550-4333.
