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Horizon Blue Cross Blue Shield of New Jersey

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Home :  Members :  Looking For Coverage? :  Coverage Options :  Dental Plans :  Employer 51+
Employer 51+

If you are interested in purchasing our Dental products, please contact our sales department at 1-800-4DENTAL (1-800-433-6825).

Dental Plans for Employers with 51+ Employees
We have a portfolio of dental programs, ranging from cost-saving Managed Care plans to traditional fee-for-service coverage. One of them is sure to meet your needs, and all can satisfy your employees.

The Horizon Dental Option Plan

The Horizon Dental Option Plan offers a great way to save premium dollars without reducing benefits. Members have the freedom to receive dental services from any dentist. If you use a dentist who participates with the Horizon Dental Option Plan, you can maximize your benefits and save money. Discounts on participating dentists’ charges range between 10 and 30 percent. You have the option of selecting from over 80,000 participating dental offices nationwide. With any choice made there's always a dental benefit and you are always covered for eligible services because of the plan's out-of-network benefit.

The Horizon Dental PPO Plan

  • In-Network
    The Horizon Dental PPO Plan, a Preferred Provider Organization Plan, offers the lowest fees available to our customers through our Horizon Dental PPO Network of participating dentists. These dentists accept our reduced allowances as payment in full, less any applicable deductible and/or coinsurance.

  • Out-of-Network
    With an out-of-network option, members may go to a nonparticipating dentist and may have to pay the dentist his/her usual fees in advance. Members must then file claims for reimbursement. Reimbursement is based on our reduced allowances, and members are responsible for any charges in excess of these amounts.

The Horizon Dental PPO Access Plan

The Horizon Dental PPO Access Plan provides 100 percent coverage for the most frequently needed dental services when you visit a participating dentist.

  • In-Network
    The plan covers frequently needed, eligible preventive and diagnostic services, such as exams, cleanings and X-rays, as well as selected basic services, such as amalgam (silver) fillings and space maintainers, at 100 percent. For eligible major or specialty services, such as root canals, crowns and bridges, you’ll pay only a reduced Horizon Dental PPO Plan allowance to participating dentists. There is no annual deductible, no annual maximum and no wait period for major services.

  • Out-of-Network
    The plan allows you to use nonparticipating dentists for certain eligible preventive and diagnostic services, however you may have to pay for any charges above the Horizon Dental PPO Plan allowance, pay dentists at the time of service and submit claims for reimbursement. There is no out-of-network benefit for major or specialty services.

Horizon Dental Choice

Horizon Dental Choice saves your company money and increases employee satisfaction through its cost-effective design and comprehensive benefits.

  • No deductibles
  • No annual benefit maximums
  • No copayments for most eligible routine services
  • Low copayments for eligible major specialty services

Horizon Dental Choice is an HMO-type of coverage that features a strictly credentialed network of participating dentists. It's a great addition to your benefits program, either in combination with another Horizon Blue Cross Blue Shield of New Jersey dental plan or as an alternative to your existing traditional program.

Horizon Dental Companion Plan

The Horizon Dental Companion Plan is available only when combined with a Horizon Blue Cross Blue Shield of New Jersey medical plan.

  • In-Network
    The plan covers frequently needed, eligible preventive and diagnostic services, such as exams, cleanings and X-rays, as well as selected basic services, such as amalgam (silver) fillings and space maintainers, at 100 percent. For eligible major or specialty services, such as root canals, crowns and bridges, members pay only a reduced Horizon Dental PPO Plan allowance to participating dentists. There is no annual deductible, no annual maximum and no wait period for major services.

  • Out-of-Network
    The plan allows members to use nonparticipating dentists for certain eligible preventive and diagnostic services, however they may have to pay for any charges above the Horizon Dental PPO Plan allowance, pay dentists at the time of service and submit claims for reimbursement. There is no out-of-network benefit for major or speciality services. The Horizon Dental Companion Plan is available only when combined with a Horizon Blue Cross Blue Shield of New Jersey medical plan.

Horizon Dual Choice

This program offers a Horizon Dental Choice program as a alternative to your traditional dental plan.

Horizon TotalCare Dental

Members have no out-of-pocket costs when they select and receive their dental care at one of Horizon TotalCare Dental's conveniently located offices. Horizon TotalCare Dental covers 100 percent of all eligible basic, major, and specialty services with no copayment, maximum, deductibles, or paperwork, and no waiting for reimbursement. Eligible services include: periodontia, crowns, dentures, child orthodontia, routine checkups, X rays, routine cleanings, and fillings. Horizon TotalCare Dental is dental care the way you always hoped it would be.