Which tools can subscribers and dependents use?
Subscribers and dependents have access to many online tools, such as:
- Claims
- Update Additional Coverage (Coordination of Benefits)
- Member ID card. Dependents will see their member ID card with the subscriber’s name and the note: “This ID Card is the same for all members.”
- Authorizations and referrals
- Add or remove a Personal Representative to help you with your health care and payment for health care
- Email Us
- Chat
- And many more
If you are the subscriber, “Subscriber” will be listed under your name when you select Benefits & Coverage, then Benefits Overview.
If you are not the subscriber, “Spouse/Partner” or “Dependent” will be listed. Dependents CANNOT access the features listed below. Only the subscriber can access them:
- The amount that all members on the policy have paid toward the Family Deductible or Maximum Out-of-Pocket (MOOP)1
- The ability to pay or view premium information online
- Horizon MyWay®, including Flexible Spending Account (FSA), Health Savings Account (HSA) and Health Reimbursement Account (HRA) information
- Paperless Settings
- Update Social Security Number2
- Certain documents within Document Center, such as Tax Documents3
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1Patient health information is protected under the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA). The subscriber will not be able to view specific details online (such as Explanation of Benefits statements) for minors over the age of 12 and adult dependents on their policy, unless the member appoints the subscriber as their Limited Personal Representative with access to sensitive services, or Legal Representative.
2This feature is only available to members enrolled in a fully insured health plan. If you have fully insured health coverage, you will see “Insured by Horizon BCBSNJ” on the back of your member ID card.
3Only members who bought their insurance directly from Horizon will be able to view tax documents online.