Families
Health Care Plans for: Individuals and Families
We've got the right plan for you!
With a Managed Care or traditional fee-for-service plan from Horizon BCBSNJ, you'll always be prepared for whatever is on your horizon.
Horizon Individual Direct Access Plan A/50 70/50*
Our new Horizon Individual Direct Access Plan A/50 70/50 offers access to network providers, and gives you additional freedom to seek care outside the network with no referrals. You can choose from annual deductibles of $2,500 for individuals and $5,000 for family, both with copayments for certain services and 70% coinsurance for other types of services...click for details.
Horizon Individual Direct Access Plan C 80/70*
Our new Horizon Individual Direct Access Plan C 80/70 gives you a higher percentage of coverage versus Horizon Individual Direct Access Plan A/50 70/50; all at a competitive monthly rate. Under this plan, you also have access to network providers, and additional freedom to seek care outside the network with no referrals. You can choose from annual deductibles of $2,500 for individuals and $5,000 for family, both with copayments for certain services and 80% coinsurance for other types of services...click for details.
Horizon Direct Access Plan C 100/70*
Our new Horizon Individual Direct Access Plan C 100/70 provides you with the highest percentage of coverage versus the other Direct Access plans. This plan has no in-network deductible, copayments for certain services and 100% coverage for other types of services. You will also have access to network providers and the additional freedom to seek care outside the network with no referrals...click for details.
Horizon HMO*
This Managed Care plan can give you the security of low out-of-pocket expenses, comprehensive coverage, and virtually no claim forms to fill out; all at a competitive monthly rate. All your medical care is managed through your Primary Care Physician (PCP), whom you choose from our network of more than 10,000 doctors in the state. Your PCP also refers you to specialists and hospitals... click for details.
Horizon Basic and Essential EPO and EPO Plus
Horizon Basic and Essential EPO and EPO Plus are Exclusive Provider Organization plan designs. In order to receive coverage, eligible members must use in-network providers participating in the Horizon Managed Care Network (except in the case of medical emergencies). There is no Primary Care Physician selection and no referrals are required to see specialists...click for details. Horizon Basic Plan A/50*
Horizon Basic Plan A/50 gives you the freedom to select and use any doctor or hospital for your care. You choose an annual deductible of $1,000, $2,500, $5,000 or $10,000 with a 50% coinsurance. Using our Horizon Traditional Network physicians always keeps your out-of-pocket expenses low...click for details.
If you would like to receive a quote or enroll in any Basic or Traditional Indemnity Plan, please contact our Sales Department at 1-800-224-1234.
Horizon Traditional Plan B*
This is a traditional fee-for-service health benefits plan. Under Plan B, you can choose from annual deductibles of $1,000 and $2,500 with a 60% coinsurance. Use any physician you choose. Using our Horizon Traditional Network physicians always keeps your out-of-pocket expenses low...click for details. If you would like to receive a quote or enroll in any Basic or Traditional Indemnity Plan, please contact our Sales Department at 1-800-224-1234.
Horizon Traditional Plan C*
Horizon Traditional Plan C is a traditional fee-for-service plan that gives you a higher percentage of coverage than our Traditional Plan B; all at a competitive monthly rate. Under Plan C, you can choose from annual deductibles of $1,000 and $2,500 with a 70% coinsurance and use any physician you choose. Using our Horizon Traditional Network physicians always keeps your out-of-pocket expenses low...click for details. If you would like to receive a quote or enroll in any Basic or Traditional Indemnity Plan, please contact our Sales Department at 1-800-224-1234.
Horizon Traditional Plan D*
Horizon Traditional Plan D provides you with the highest percentage of coverage of all the traditional fee-for-service plans. Under Plan D, you can choose from annual deductibles of $1,000 and $2,500 with an 80% coinsurance and can use any physician you choose. Using our Horizon Traditional Network physicians always keeps your out-of-pocket expenses low...click for details. If you would like to receive a quote or enroll in any Basic or Traditional Indemnity Plan, please contact our Sales Department at 1-800-224-1234.
*The information on these pages is a summary of the benefits coverage, terms, conditions, and exclusions contained in Horizon Healthcare Services policies/contracts. In the event of a conflict between the information contained on these pages and the actual terms of a policy or contract, the terms of the policy or contract will prevail.
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