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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.
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.
This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not the Health Insurance Marketplace website. This website does not display all Qualified Health Plans available through the Health Insurance Marketplace website. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare.gov.
Some pages of our website may include links to others that we do not own, control or influence. We refer to external websites that we think might be useful to you, but we are not liable for their content or privacy practices. Information contained in those websites is not endorsed by Horizon BCBSNJ.