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Select a Primary Care Physician (PCP). |
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Choose a PCP from your Horizon BCBSNJ Directory of Participating
Physicians and Other Health Care Professionals. The Provider Directory
can also be accessed by clicking here.
Without a PCP, you may pay more for your care. Please refer to your Member Handbook for details.
Click for more info...
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| 2. |
Improve your health through preventive care. |
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Use your extensive preventive care benefits. Be sure to
visit your PCP for regular checkups. |
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| 3. |
Visit an in-network Ob/Gyn without a referral. |
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You do not need a referral for routine Ob/Gyn care or
to obtain a mammogram. Click for more info... For more information regarding referrals, click here.
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| 4. |
Choose a hospital from our comprehensive network. |
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When you use an in-network hospital, you can be admitted by an in-network or out-of-network
physician. To have your services covered at the in-network level, follow the prior authorization
procedures. Visit the Online Provider Directory
for a list of our more than 70 in-network quality hospitals.
Click for more info...
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| 5. |
Follow these steps in case of an emergency. |
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- Go to the nearest emergency room, or call 911 or your local emergency
response number.
- If possible, call your PCP before you go to the emergency room.
- Contact your PCP to coordinate your follow-up care after the emergency or hospital stay.
Click for more info...
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| 6. |
Use the BlueCard Program when traveling out of state. |
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If you’re traveling cross-country or around the world,
call 1-800-810-BLUE to find doctors and hospitals participating in the BlueCard
Program. Lower your out-of-pocket expense by using these in-network providers and hospitals,
and follow the referral and authorization requirements.
Click for more info...
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| 7. |
Use our in-network lab facilities. |
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Always visit LabCorp or AtlantiCare Clinical Labs for
your lab services. If you use an out-of-network lab facility, you will pay
more for your care.
Click for more info...
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| 8. |
Get a referral and prior authorization (if required) before you receive specialty care. |
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Your care will be covered at the in-network level when
you obtain a referral from your PCP, and prior authorization (if required)
and use an in-network specialist. Without a referral and prior authorization,
your care will be considered out of network, and you will pay more for your
specialty care.
Click for more info...
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| 9. |
Know if you have prescription drug coverage. |
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If your ID card has the CVS/Caremark logo, you have prescription drug coverage administered
by CVS/Caremark. To save on prescription drugs, request generic alternatives under your plan. |
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| 10. |
Know the facts about receiving out-of-network care. |
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If you choose to receive out-of-network care, be sure
to get the necessary referrals and prior authorizations, as required. Click for more info...
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| Access benefit and claims information
about your plan – 24/7. |
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- Call our Interactive Voice Response (IVR)
System. It’s available 24 hours a day, 7 days a week by calling
1-800-355-BLUE (2583).
- Speak with a Member Services Representative
to get benefit and claims information and more. Call 1-800-355-BLUE
(2583)
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Monday – Wednesday and Friday: |
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8 a.m. to 6 p.m. |
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Thursday: |
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9 a.m. to 6 p.m. |
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® Registered marks of the Blue Cross and Blue Shield
Association
®' and SM Registered and service marks of Horizon Blue Cross Blue Shield
of New Jersey
© 2008 Horizon Blue Cross Blue Shield of New Jersey
Three Penn Plaza East, Newark, New Jersey 07105
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