Plans

OMNIA Health Plan

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The OMNIA Health Plan allows you to visit any of the 45,000 participating New Jersey doctors and health care professionals in our broad Horizon Managed Care Network1. You also have access to more than 1.3 million doctors, hospitals, facilities and other health care professionals in our BlueCard® PPO program, available outside New Jersey. Blue Cross Blue Shield Global Core covers you and your covered dependents for eligible services when abroad.

And when you use one of more than 32,000 OMNIA Tier 1 doctors, other health care professionals or facilities in New Jersey1, there are lower copayments, lower out-of-pocket costs and no deductibles.

BlueCard and Blue Cross Blue Shield Global Core participating doctors and hospitals are covered at the Tier 2 level of benefits.

With the OMNIA Health Plan, there are no referrals for specialists and you do not have to select a Primary Care Physician. Certain services require prior authorization.

Our OMNIA Health Plan also includes:

  • 100% coverage for preventive services (physical exams, well-child care, immunizations) when provided by an in-network doctor.
  • No claims to file when accessing care in network.
  • Dedicated nurses for additional support in managing a condition or an episode of care.
  • Precious Additions®, a prenatal education and information 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.

By enrolling in the OMNIA Health Plan for Plan Year 2019, State Health Benefit Program (SHBP) subscribers may receive up to $20002Learn more.

Local government employers may also offer this incentive for enrolling in the OMNIA Health Plan. Ask your employer if you qualify.

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

SHBP Plan Comparison Chart 2018

OMNIA Health Plan Handbook

Application to change health benefits plan

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

1Based on physician network data as of 8/1/18 and is subject to change.
2First time enrollees must enroll in the OMNIA Health Plan for 2019 and participate for a minimum of two years to receive the incentive: $1,000 for single; $1,250 for member/spouse; $1,250 for parent/child(ren); $2,000 for family. The incentive will be issued no later December 31, 2019, and is considered taxable income. CWA members are not eligible for the incentive.