Horizon Blue Cross Blue Shield NJ 2023

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Welcome to the assistance page for Horizon Blue Cross Blue Shield NJ | Member Benefits | Guide | Medicare | BCBS NJ | medicare.horizonblue.com:

For any questions call the Member Services Phone Number:

1-800-365-2223

Company Summary:

Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) is one of the largest and most prominent health insurance companies in the state of New Jersey, serving millions of individuals and businesses. As a not-for-profit organization, Horizon BCBSNJ is committed to improving the health and well-being of its members and the communities it serves. The company’s mission is to empower its members to achieve their best health by offering innovative and personalized healthcare solutions. Horizon BCBSNJ operates with a strong focus on delivering quality care and exceptional customer service.

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Welcome to the assistance page for Horizon Blue Cross Blue Shield NJ | Member Benefits | Guide | Medicare | BCBS NJ | medicare.horizonblue.com:

For any questions call the Member Services Phone Number:

1-800-365-2223

By submitting this form, you are consenting to receive marketing emails from: HealthManagementCorp (HMC). You can revoke your consent to receive emails at any time by using the Unsubscribe link, found at the bottom of every email. By using this form, you acknowledge that you have read and agree to the Privacy Policy and Terms & Conditions.

Company Summary:

Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) is one of the largest and most prominent health insurance companies in the state of New Jersey, serving millions of individuals and businesses. As a not-for-profit organization, Horizon BCBSNJ is committed to improving the health and well-being of its members and the communities it serves. The company’s mission is to empower its members to achieve their best health by offering innovative and personalized healthcare solutions. Horizon BCBSNJ operates with a strong focus on delivering quality care and exceptional customer service.

What items can you get with OTC card?

Over-the-counter drugs are medicines that can be purchased without a prescription. Generally OTC products are used for the treatment of minor health problems. They are safe and effective when you follow the directions on the label and as directed by your health care professional. If you’re a member of a plan with an over-the-counter (OTC) benefit, you’ll receive a OTC card with a pre-funded monthly allowance upon enrollment.

Items that may be available with this allowance are:

  • Diabetes Care ItemsVitamins & Mineral / Dietary Supplements
  • Cold, Flu, Allergy , Sinus, Asthma Medicines
  • Oral, Eye, Ear, Foot, Skin, Sun Care Products
  • Cough / Sore Throat Relief
  • Pain Relief Medicine
  • Nasal Sprays, Moisturizer & Washes
  • Compression sleeves, garments, and other accessories
  • Health Supports such as arm slings, braces or bandages
  • Digestive Products
  • Weight Control / Nutritional Food Products
  • Smoking Prevention / Deterrents
  • First Aid Items
  • A Blood Pressure Kit or Other Diagnostics (Home Test Kits)

Online Access

Today, they offer eligible Members access to a free and secure online card management tool. The online portal allows patients to perform the following tasks:

  • Verify the card balance.
  • Check the transaction history.
  • View all the participating retailers.
  • Verify exactly which items are eligible by scanning the barcode when using the mobile app. Or use search by product category, manufacturer, and product name by accessing or login in to an online account. (See below for steps on how to access an account.)

ALERT: please visit the site directly to verify the details and obtain more information.

Advantages of using OTC benefit:
  • Save your time – one less trip to the pharmacy will mean that members may get to spend more valuable time on what matters most.clock

  • Easy access – OTC purchases are sent straight to the members’ homes.  The need to drive anywhere will be lessened.

  • You will save money – Members may get OTC items they require without using money out of your own pocket.  An allowance per quarter will be used on a varied range of health-related products like cold remedies and other personal care products.

  • Shipping is FREE – No shipping or handling fees!

Members must make sure to review the Summary of Benefits of their existing personal plan to verify if their plan has this benefit included in it.  If it does, members must also be aware of the plan’s specified OTC allowance frequency, whether it is provided monthly or quarterly.  The allowance amount may vary depending on the plan.  The number to contact is given at the start of this article if you need further information about your plan benefits.

Over-The-Counter Medications

There are a few plans that are inclusive of an allowance that is provided on a quarterly basis.  These credits may be consumed to purchase some over-the-counter medications and supplies, comprising of digestive health treatments, allergy medication, pain relievers, first aid supplies, and so many more.  Members must review the Evidence of Coverage of their plan to check if it is included in their benefit and to find out the exact amount of the quarterly allowance provided.

IMPORTANT: Go directly to the site to confirm and acquire more information.

  • https://secure.horizonblue.com/mga/sps/authsvc/policy/memberAuth
  • https://medicare.horizonblue.com
  • https://medicare.horizonblue.com/members/member-services

NOTE: The information provided here is not a comprehensive explanation of the benefits available to you.  It is always best to communicate directly with the company to know more information about their available plans.

Easy-to-follow steps are provided below should you feel the need to access the login or registration page.  A brief guide is available for you so you can discover how you can login or activate a new online account and gain access.  Just make sure your personal information is close by.

Easy steps to follow for new members who need to create an account:
  1. Visit medicare.horizonblue.com in your preferred internet browser on your device.
  2. Select the “For Members” tab then select the “Member Sign In” button found on the page. Finally select the “Register” button.
  3. Enter in your Date of Birth in the space provided.
  4. Type in your Member ID Number or SSN in the space provided.
  5. Select the “Continue” button to proceed forward.
  6. Continue to move forward and provide all the necessary information until you receive a successful registration confirmation.

An email verification will appear in your inbox once you have registered successfully.  This will give you complete access to your online account and start taking advantage of Horizon Blue Cross Blue Shield NJ OTC pharmacy benefits that is included in your plan.

Easy steps to follow for existing members who need to log in to their account online:
  1. Visit medicare.horizonblue.com in your preferred internet browser on your device.
  2. Select the “For Members” tab then select the “Member Sign In” button found on the page.
  3. Type in your Username in the space provided.
  4. Enter in your Password in the space provided.
  5. Select the blue “Sign In” button to move forward.
  6. You may now start accessing your account.
Valuable guidelines for creating / processing / submitting your order:
  • Members may purchase any OTC eligible item once per calendar quarter.  To clarify, members may order:
    • One time during the 1st quarter (January, February, or March)
    • One time during the 2nd quarter (April, May, or June)
    • Once during the 3rd quarter (July, August, or September)
    • One time during the 4th quarter (October, November, or December)
  • Any and all unused benefits will expire; they will NOT roll over to the next benefit period. It is also important to note that you will not be allowed to request a partial or submit multiple orders. Due to this, you will need to make sure that you submit a complete order of all the items you need for the benefit period when submitting your order online or over the phone.

Other Useful Tips:

  • There is normally no limit to the number of items you order.  However, there is a restriction per order to fifteen (15) quantities per any single item.  Blood Pressure Monitors, however, have a limit to one (1) per year.  You still have to ensure that the total amount due is still within your allotted benefit amount.
  • It is not allowed to order more than the total allotted amount during each benefit period.  If you decide to order select items that cost more than your allowable amount, you will NOT be able to pay the balance with either cash or card.  As an example, if your monthly benefit is $20 and your total orders amounted to $20.95, you will have to remove certain items from your order to bring the value back down to the monthly benefit allotted amount.

Delivery & Return Tips:

  • The items you have ordered will be delivered within 7-10 working days as soon as you have successfully submitted your order.
  • RETURN POLICY: For damaged items, you may direct your concerns to the OTC company and return the items within 30 days.  The OTC company will replace it with the same item only.  No other returns or exchanges are allowed.
Visit the App Store or Google Play if you wish to download the Horizon Blue Cross Blue Shield app.

You may log in using your ID and password that you use in the website.  Select “Sign Up” on your mobile device to begin the process if you have not yet signed up.

Benefits of downloading and using the app:

  • View available discounts by scanning the barcode with the app
  • Find and locate participating retailers.
  • View and verify which items are eligible.
  • Check on your card balance.

You may download Horizon Blue Cross Blue Shield NJ OTC Catalog:
Horizon Blue Cross Blue Shield NJ Video Summary:

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