We currently partcipate in the State Health Benefits Program.
CLICK HERE for a link to their home page.
Visit the Horizon Blue Cross Link to set up an account and search for providers:
CLICK HERE When you set up your account, you will be able to:
- Request additional ID Cards
- Print temporary cards
- Download forms
- Elect to have your EOB's (Explanation of Benefits) sent to you electronically and not to your home.
We currently participate in the NJ Direct 10 Blue Cross Blue Shield Plan
. Our prescription coverage is managed through Medco. (You should have two separate ID cards) CLICK HERE for an updated NJDirect10 summary for 2013.
Please CLICK HERE
for a copy of the NJ Direct 10 claim form. (This is to be used for out of network reimbursement). It is more efficient if you are able to print this form to a color printer. Claims submitted on black and white copies have to be entered manually, thus delaying the processing.
Always verify that your physician(s) and pharmacy have your current health coverage information.
Please note that change forms must be submitted for the following events:
- Address Change
- Name Change
- Addition of Dependent (Spouse, Child)
- Deletion of Dependent
- Change of Benefit Plan
If you wish to waive coverage, you must submit an enrollment waiver, along with a waiver of coverage form. If you previously waived coverage and wish to be reinstated, you must also complete an enrollment form and provide required documentation.
The open enrollment period begins on October 1st for any changes that will become effective on January 1st
. (All change requests must be submitted during the month of October and are due into the State on November 1st) While you have the option to switch to another plan please note that equal to or better than will only apply to NJ Direct 10. This is most closely associated with our previous coverage.
Horizon Blue Cross/Blue Shield Customer Service
Medco Prescription Customer Service