Horizon Blue Cross Blue Shield of New Jersey wants you to understand and get the most from your benefits. New Jersey State Police officers enrolled in NJ DIRECT, the OMNIA℠ Health Plan or Horizon HMO are covered for one annual, in-network physical each calendar year. You may use this covered benefit to complete the New Jersey State Police Annual Medical Examination requirement and obtain physician authorization to participate in physical agility testing.
The 2019 Annual Medical Examination period runs from February 4, 2019 through June 7, 2019.
The 2019 Annual Medical Examination includes:
Detailed information about the annual medical examination is provided in the New Jersey State Police Physician Authorization to Participate in Physical Agility Testing form. Your Primary Care Physician (PCP) can complete the Physician Authorization to Participate in Physical Agility Testing form and the applicable sections of the Annual Medical History form and return them to you for submission to the Occupational Health Bureau. If your health care professional’s office charges a fee to complete the medical forms, you are responsible for paying the fee.
To be eligible for reimbursement, all services associated with the annual medical examination must be provided by health care professionals who participate in the Horizon Managed Care Network. These services are not covered if performed by an out-of-network, or nonparticipating, health care professional.
Some services, such as audiogram, EKG and Pap tests, may be performed by a participating specialist and, if so, will require a separate appointment. Referrals are required for specialty care under Horizon HMO.
Any outpatient laboratory tests must be performed at one of the following labs to be covered at the in-network level of benefits:
Preventive medical evaluations submitted with a preventive medicine CPT® code do not require a copayment. Services billed as Office or Other Outpatient Consultations require a copayment.
Remember, you can also earn NJWELL activity points for completing your physical exam and for submitting your NJWELL Physician Results Form. NJWELL is an incentive-based wellness program offered to active employees and their covered spouses/partners who participate in the SHBP/SEHBP. Participants can earn a $250 Visa® Prepaid card1 by completing required activities by October 31, 2019. To learn more about NJWELL, see the enclosed flyer or visit nj.gov/njwell.
If you have questions regarding benefits or eligibility, sign in to HorizonBlue.com/shbp or call Member Services at 1-800-414-SHBP (7427).
¹Cards are issued by The Bancorp Bank, Member FDIC, pursuant to a license from Visa U.S.A. Inc. Cards will not have cash access and can be used everywhere Visa® debit cards are accepted.
CPT® is a registered mark of the American Medical Association.
NJ DIRECT and OMNIA are administered by Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) and Horizon HMO is administered by Horizon Healthcare of New Jersey, Inc. (HHNJ). Both Horizon BCBSNJ and HHNJ are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross® and Blue Shield® names and symbols and BlueCard® are registered marks of the Blue Cross and Blue Shield Association. The Horizon® name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey.
© 2019 Horizon Blue Cross Blue Shield of New Jersey. Three Penn Plaza East, Newark, New Jersey 07105.