Beginning January 1, 2017, (and December 24, 2016 for certain members), the hospital Emergency Room (ER) copayment will increase for some of the Horizon Blue Cross Blue Shield of New Jersey plans offered under the State Health Benefits Program (SHBP).
The chart below shows the new ER copayment amounts by plan.
ER Copayment Chart
|OMNIASM Health Plan||$100||$100|
|NJ DIRECT HD1500||Deductible/Coinsurance||Deductible/Coinsurance|
|NJ DIRECT HD4000||Deductible/Coinsurance||Deductible/Coinsurance|
Any increase to an ER copayment does not apply for dependent children under age 19 years or to ER visits for members referred to the ER by a doctor. In addition, ER copayments are waived if the member is admitted to the hospital via the ER.
There are no ER copayment changes for members in group numbers 93500 or 95300.
New identification cards were not issued as a result of the ER copayment changes. Please refer to the above chart for copayment amounts.