Horizon HMO

Members with Horizon HMO have access to doctors, health care professionals and facilities in the Horizon Managed Care Network and all hospitals in the Horizon Hospital Network.

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Members must select a Primary Care Physician (PCP) from the Horizon Managed Care Network. Your PCP will refer you for specialty care when needed. Certain services require prior authorization.

Horizon HMO also offers:

  • Membership in our Away from Home® Care program if you or a covered family member will be out of the area for an extended period of time.
  • 100% coverage for preventive services (physical exams, well-child care, immunizations) received in network.
  • No claims to file when accessing care in network.
  • Dedicated nurses for additional support in managing a condition or an episode of care.
  • PRECIOUS ADDITION®, a prenatal education program.
  • Online services to securely 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, including NJWELL, the state’s wellness program.

2020 Plan Guides
State and State College/University Employee Plans
SHBP State and State College/University Employees Plans for CWA Members
SHBP Local Government Employee Plans
SEHBP Local Education Employee Plans

2019 Plan Guides
SHBP Health Plan Guide
2019 State Health Benefits Program (SHBP) Plans for State Employee CWA Members
2019 SEHBP Health Plan Guide

SEHBP Plan Comparison Chart 2019


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

SHBP Plan Comparison Chart 2019

SHBP Plan Comparison Chart 2018

SEHBP Plan Comparison Chart 2018


Application to change health benefits plan

Horizon HMO Member Guidebook

For benefit information, visit the New Jersey Division of Pensions and Benefits website.