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    Horizon Medicare Advantage Special Needs Plan

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Benefits

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Horizon Healthcare of New Jersey, Inc. offers two Medicare Advantage Special Needs Plans designed to help coordinate care for New Jersey residents who receive Medicaid from the state. Eligibility for these plans and the exact benefits available vary depending on your level of Medicaid eligibility. However, both plans provide all the benefits Medicare offers and more.

Our Medicare Advantage Special Needs Plans deliver these advantages to you:

Comprehensive Coverage
Horizon Healthcare of New Jersey, Inc. has a contract with the Centers for Medicare and Medicaid Services (CMS) that allows us to offer you your Medicare benefits through our Medicare Advantage Special Needs Plans - Horizon Medicare Blue Solutions and Horizon Medicare Blue Solutions (Enhanced Plan). In addition to our contract with CMS, Horizon Healthcare of New Jersey, Inc. has a contract with New Jersey's Division of Medical Assistance and Health Services to offer Horizon Medicare Blue Solutions and Horizon Medicare Blue Solutions (Enhanced Plan). Both plans include:

  • More benefits than Original Medicare
  • Low or no out-of-pocket costs
  • A large network of doctors
  • Prescription drug coverage with government subsidies under Medicare Part D (as long as you continue to pay your Medicare Part B premium)
  • Health and wellness education including a nurse hotline and health club membership
  • No restrictions on when you can enroll and disenroll
  • And much, much more!

Coordination of Care
Both of these Medicare Advantage Special Needs Plans are designed to streamline Medicare and Medicaid benefits, making it easier to navigate the health care system.

In addition to your Horizon Medicare Blue Solutions or Horizon Medicare Blue Solutions (Enhanced Plan) ID card, you should also carry your Medicaid Identification card. You will need this card to access certain services not covered by Medicare but are covered by Medicaid.

And you'll have peace of mind knowing that your health care will be coordinated for you by your personal primary care physician whom you choose from our extensive network of physicians.

Eligibility
To be eligible to join Horizon Medicare Blue Solutions, you must live in New Jersey and be entitled to Medicare Part A and enrolled in Medicare Part B. You must also receive Medicaid from the state.

To be eligible to join Horizon Medicare Blue Solutions (Enhanced Plan), you must live in New Jersey and have evidence of Medicare Part A and Part B coverage (or be enrolled in Medicare Part C coverage) and have full Medicaid coverage or full Medicaid coverage with Qualified Medicare Beneficiary (QMB) eligibility.

Please call Horizon Healthcare of New Jersey, Inc. to see if you are eligible to join.

Friendly, Local Service
More than 3.6 million members have chosen Horizon Healthcare of New Jersey, Inc. for their health care coverage. Our local service ensures that you'll get the personal attention you deserve. With over 75 years of experience in meeting the health care coverage needs of New Jersey residents, you can count on us to be there for you whenever you need us.


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Last Updated: November 14, 2008