Services

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Locate doctors, hospitals and other health care professionals participating in the OMNIA Health Plan, NJ DIRECT and Horizon HMO plans.
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Our Doctor & Hospital Finder is designed to help you locate participating doctors, hospitals and other health care professionals participating with the OMNIASM Health Plan, NJ DIRECT and Horizon HMO network. Keep in mind that participation can change at any time. Therefore, you should call Member Services or the health care professional to verify a health care professional’s participation in the network.

OMNIA Health Plan members should look for the OMNIA Tier 1 icon when searching for doctors, hospitals and other health care professionals. Using an ONMIA Tier 1 doctor or hospital will save OMNIA members money on premiums, deductibles, copayments and other out-of-pocket costs.

NJ DIRECT members with ID Prefix NJX and OMNIA members with ID Prefix NJO can search for providers outside the area with the National Doctor and Hospital Finder. Horizon HMO members are required to choose a Primary Care Physician (PCP) from the network in New Jersey and the surrounding area. The PCP you select will provide referrals for specialty care.

Horizon HMO members, please call Horizon SHBP/SEHBP Member Services at 1-800-414-SHBP (7427) for:

  • Emergency or urgent care while outside the service area.
  • Information about our “Away from Home” Care Program for HMO guest membership when out of the area for longer periods.

Additional provider information:

Cancer Care

Horizon BCBSNJ’s networks include many doctors, facilities and other health care professionals that provide high-quality care to members with cancer. All in-network doctors, facilities and other health care professionals can be found on the Doctor & Hospital Finder.

Cancer Treatment Centers of America at Eastern Regional Medical Center in Philadelphia, PA, though not listed in our Doctor & Hospital Finder, is an in-network facility for SHBP/SEHBP members through a special agreement with the state of New Jersey.

Additionally, a number of in-network cancer centers, doctors and facilities have earned Blue Distinction Centers® (BDC) for Cancer Care designation as part of the Blue Cross and Blue Shield Association’s Blue Distinction Specialty Care program. By combining nationally consistent quality criteria with locally effective value-based programs, Blue Distinction Centers for Cancer Care deliver maximum value to members cancer by aligning health care payments with improved health outcomes.

Review more information about BDC designations.