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:
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.
Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1 of each calendar year. Please contact Horizon Blue Cross Blue Shield of New Jersey for details.
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.
The geographic service area for our plan is the state of New Jersey.
† You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.
Horizon Medicare Blue Rx Standard and Horizon Medicare Blue Rx Plus are Medicare prescription drug plans. They are issued by Horizon Healthcare Services, Inc. d/b/a Horizon Blue Cross Blue Shield of New Jersey, which has a Medicare Part D contract with the Centers for Medicare and Medicaid Services (CMS). Horizon Blue Cross Blue Shield of New Jersey is an independent licensee of the Blue Cross and Blue Shield Association.