![]() You may file a complaint or concern at Medicare Complaint Form Medicare Complaint Form . The Office of the Medicare Ombudsman (OMO) helps you with complaints, grievances and information requests. The Horizon® name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey. The Blue Cross® and Blue Shield® names and symbols are registered marks of the Blue Cross Blue Shield Association. The Benefit of Blue℠ is a service mark of the Blue Cross Blue Shield Association. Requests for precertification/prior authorization will not be accepted through the following fax numbers on and after Septem: 1-60. All are independent licensees of the Blue Cross Blue Shield Association. Effective Septem, Horizon NJ Health will no longer accept precertification/prior authorization of initial intake requests for Prior Authorization of services by fax. ![]() Communications are issued by Horizon Blue Cross Blue Shield of New Jersey in its capacity as administrator of programs and provider relations for all its companies. Medicare Supplement plans are provided by Horizon Insurance Company. Products are provided by HIC and/or Horizon NJ Health. Enrollment in HIC Medicare products and/or Horizon NJ TotalCare (HMO D-SNP) depends on contract renewal. Horizon NJ TotalCare (HMO D-SNP) is an HMO Medicare Advantage Dual Eligible Special Needs plan with a Medicare contract and a contract with the State of New Jersey Medicaid Program. Horizon Insurance Company ("HIC") has a Medicare contract to offer HMO, HMO-POS, PPO and Part D Medicare plans, including group-Medicare Advantage plans and group Part D Prescription Drug plans. If you go 63 days or more in a row without a Medicare drug plan or other creditable coverage, you may have to pay a late enrollment penalty. Your coverage will begin January 1 of the following year. When and how do you enroll?įrom October 15 and December 7, anyone can join, switch or drop a Medicare Prescription Drug Plan. If you decide NOT to join a Medicare drug plan during your Initial Enrollment Period and you don’t receive Extra Help for your Medicare or you don’t have other creditable prescription drug coverage (benefits that are considered equal to or better than Medicare Part D benefits), you may have to pay a late enrollment penalty. You must decide whether or not to receive Medicare prescription drug benefits when you first become eligible for Medicare. Medicare prescription drug coverage (Part D) is available to everyone with Medicare. ![]() Typically, you pay a predictable portion of your prescription drug costs - in other words, a deductible, copayments or coinsurance - and the plan pays the rest. Eligibility Information & Enrollment InstructionsĪ Medicare Prescription Drug Plan (PDP) works like other insurance plans. ![]()
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