When I call the number they tell me my account is fine. You may file a complaint or concern at Medicare Complaint Form Medicare Complaint Form .I can’t access any of my info for my insurance plan so now I have to put off going to the doctor because I haven’t received my insurance card in the mail either. The Office of the Medicare Ombudsman (OMO) helps you with complaints, grievances and information requests. 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 Blue Shield Association. The Benefit of Blue℠ is a service mark of the Blue Cross Blue Shield Association. All are independent licensees of the Blue Cross Blue Shield Association. Communications are issued by Horizon Blue Cross Blue Shield of New Jersey in its capacity as administrator of programs and provider relations for all its companies. Medicare Supplement plans are provided by Horizon Insurance Company. 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. We’re here for you 24 hours a day, 7 days a week. Visit /DSNP or call Member Services at 1-80. If you have questions about your plan, we’re here to help. Use it as often as you like, at no cost to you. You can also schedule virtual therapy and behavioral health appointments. Talk privately with a doctor using video or phone for things like stomach pain, fevers or skin irritations. Horizon CareOnlineSM lets you get care from the comfort of home. Visit /DSNP to learn more about your OTC benefits. You also have a separate allowance to buy personal health items from our OTC Benefit Catalog. Talk to your Care Manager for more information. You will also get an extra allowance to pay for utilities. If you qualify as chronically ill, you can use your Horizon EXTRA Benefits Card to purchase healthy food and produce. At a participating retail store, or get them shipped to you with free delivery. ![]() ![]() ![]() You have two easy ways to purchase these items. Your balance is automatically added to your card every quarter. You get a preloaded Horizon EXTRA Benefits Card to help you pay for personal health care items, like cold medicine, vitamins, dental care products and diabetic socks. Prime Therapeutics will manage your prescription benefits.ĭon’t miss a refill! Sign up for mail-order delivery. Your coverage includes Medicare Part B and Part D prescription medicines, plus Medicaid-covered drugs. This includes a Plan of Care and help with prior-authorizations and community resources. A personal Care Manager will help coordinate your care. Plus, you don’t need a referral to see a specialist. All of your care is covered at no cost to you when you use an in-network provider. Here are five things you need to know about your plan. Horizon NJ TotalCare (HMO D-SNP) manages all of your Medicare and Medicaid benefits in one plan, all at no cost to you. Eligibility Information & Enrollment Instructions
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