Plans

Choosing a Plan

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When you choose a plan from Horizon BCBSNJ, you can be confident that you have access to one of largest physician and hospital networks¹ across the state and nationwide. The State Health Benefits Program (SHBP) and School Employees’ Health Benefits Program (SEHBP) offer different health plans to their eligible members.

Horizon BCBSNJ Plans:

All Horizon BCBSNJ plans include:

  • 100% coverage for preventive services (including physical exams, well-child care, immunizations) when provided by an in-network doctor
  • No need to select a Primary Care Physician (PCP), except Horizon HMO
  • Lower out-of-pocket costs and higher plan benefits when using in-network doctors, hospitals and other health care professionals
  • No need for referrals for specialty care, except Horizon HMO
  • No claims to file when accessing care in network
  • Prior authorization for certain services required
  • Dedicated nurses for additional support in managing a condition or an episode of care
  • Horizon Wellness discounts for health-related products and services
  • Online Services to manage your personal benefit and claim information
  • Horizon Blue app connecting you to care and support 24/7
  • My Health Manager, powered by WebMD®, for a range of health and wellness tools and resources online
  • Precious Additions®, a prenatal education and information program, except Horizon Medicare Advantage NJ DIRECT (PPO)

The OMNIA Health Plan and Horizon Medicare Advantage NJ DIRECT (PPO) are not available to SEHBP members. The OMNIA Health Plan is also not available to retirees.

2019 SHBP Health Plan Guide

2019 State Health Benefits Program (SHBP) Plans for State Employee CWA Members *NEW

2019 SEHBP Health Plan Guide

2018 SHBP Health Plan Guide

2018 SEHBP Health Plan Guide

Application to​ change health benefits plan

For benefit information, including prescription coverage, please visit the New Jersey Division of Pensions and Benefits website.

¹Based on physician network data as of 5/31/19 and is subject to change.