![]() Behavioral Health and Substance Abuse Benefits Claims and authorizations are handled through Magellan Behavioral Health. For visits to a specialist, referrals are required, except for the HMO Access Product. Horizon offers 5 different HMO products: Horizon HMO Horizon HMO Access Horizon HMO Access Value Horizon HMO Coinsurance, and Horizon HMO Coinsurance Plus For the HMO product, members must choose a PCP who coordinates their care with specialists and hospitals. Advanced Imaging Services CareCore National, LLC handles authorizations for radiology, cardiology and pain management. ![]() Hospital Services All inpatient admissions require authorization. Out-of-Network Benefits No out-of-network benefits, except in an emergency. Preventive Services When provided by a participating provider, no member cost share (no copayment). Referrals required for specialist visits. Horizon HMO - New for 2013 Horizon HMO1525 – New for 2013 Horizon HMO2030 – New for 2013 NJ DIRECT10 NJ DIRECT15 NJ DIRECT1525 NJ DIRECT2030 NJ DIRECT HD1500 NJ DIRECT HD4000ĥ HMO Plans - Prefix SNJ Key Features Preventive Services In 2013, Horizon BCSBNJ is offering the following health plan options under the State Health Benefits Program (SHBP) and School Employees’ Health Benefits Program (SEHBP). ![]() 1 HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEYĢ AGENDA Horizon Products Policies Navinet
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