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    Horizon Medicare Prescription Drug Plans

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Overview


We Offer a Choice of Three Plans - Starting at $41.20 a Month†

All of our plan options feature an affordable premium†, low out-of-pocket costs, and no annual maximum. Horizon Medicare Blue Rx Plus features the added advantage of an available $0 copay for generic drugs in the "coverage gap" — which helps you control your out-of-pocket costs.


Our Negotiating Strength Allows Us to Pass on Additional Savings to You

We've worked with our large network of participating retail pharmacies to provide discounts exclusively for Horizon Blue Cross Blue Shield of New Jersey members. Just show your member ID card and you'll get additional savings off the retail price of both brand name and generic prescriptions.


Our List of Covered Drugs Is Extensive: Chances Are the Drugs You Use Are Included!

Your benefits include coverage for various brand-name and generic prescription drugs. Please review the enclosed summary list to see if your medications are covered under our plan. (If you do not see your medication on this list, please call 1-877-234-1235; TTY/TDD#: 1-800-852-7899; Monday through Friday, 8:30 am to 5:00 pm EST.)


Our Participating Retail Pharmacy Network Is One of the Largest in New Jersey - to Give You More Convenience

Our network includes many well-known chains like CVS, Eckerd, Drug Fair, Pathmark, Rite Aid, ShopRite, Target, Wal-Mart and Walgreens, as well as many privately owned pharmacies. In fact, more than 98% of New Jersey's pharmacies participate in our network. There is even a convenient mail order service available.


You Can Take Advantage of My Health Manager, Our Personalized Online Health Guide

My Health Manager includes a variety of online tools that can help you live a healthier life. These include health assessment tools and health profiling modules that can help you identify risks and manage health conditions. With My Health Manager, you could also store, manage and maintain health information online in one location. You could even take advantage of a hospital quality comparison tool and a treatment cost estimator tool to help you make informed health care decisions.


We're a Leading Insurer in New Jersey - with Substantial Experience in Prescription Drug Coverage

Horizon Blue Cross Blue Shield of New Jersey has been providing health care coverage to New Jersey residents for more than 70 years. Now, thanks to our Medicare-approved prescription drug plan, Medicare beneficiaries can enjoy the benefits of having prescription drug coverage backed by the Horizon Blue Cross Blue Shield of New Jersey name.

If you qualify for extra help with your Medicare Prescription Drug Plan costs, your premium and drug costs will be lower. When you join a Horizon Blue Cross Blue Shield of New Jersey Prescription Drug Plan, Medicare will tell us how much extra help you are getting. Then, we will let you know the amount you will pay. If you aren't getting any extra help, you can see if you qualify by calling:

  • 1-800-MEDICARE (1-800-633-4227). (TTY/TDD users should call 1-877-486-2048, 24 hours a day/7days a week), or
  • Your State Medicaid Office, or
  • The Social Security Administration at 1-800-772-1213 between 7 am and 7 pm, Monday through Friday. (TTY/TDD users should call, 1-800-325-0778.)
You may contact Horizon Blue Cross Blue Shield of New Jersey customer service at 1-877-234-1235 (TTY/TDD users: 1-800-852-7899) Monday - Friday, 8:30 am - 5:00 pm, ET.

All health plans in the Medicare program agree to stay with the program for a full year at a time. Each year, the plans decide whether to continue for another year. Even if a Medicare health plan leaves the program, you will not lose Medicare coverage. If a plan decides not to continue, it must send you a letter at least 90 days before your coverage will end. The letter will explain your options for health care coverage in your area and give you information about your right to get Medicare supplemental insurance coverage. You can choose another health plan if one is available, or you can receive care from the Original Medicare Plan.

If Horizon Blue Cross Blue Shield of New Jersey ever denies your claim, or a service, we will explain our decision to you. You always have the right to appeal and ask us to review the claim or service that was denied. If a decision is not made in your favor, your appeal will be reviewed by an independent organization that works for Medicare.

† You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.
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Last Updated: November 14, 2008