How can we help?

Yes. The Horizon Blue app provides you with 24/7 access to care, support and plan information from your smartphone or other mobile device.

To get the app, text GetApp to 422-272 or visit the App Store® or Google Play™. There is no cost to download the Horizon Blue app, but rates from your wireless carrier may apply.

To sign in to the app, enter the username and password that you used to register for HorizonBlue.com and click Sign In. Biometric sign in (fingerprint or facial recognition) is also an option.

With the Horizon Blue app, you can:

• Submit out-of-network medical and behavioral health claims.
• Display, download, print and share your member ID card.
• Quickly connect with health care professionals.
• View your claims, see how much your health plan paid, and any amount you may owe.
• Find doctors and hospitals.
• Check if a specific treatment or service is covered.
• Track your deductible, if applicable, and maximum out-of-pocket costs.
• Email or chat with a Member Services Representative to get answers to your questions.
• If you purchased insurance for yourself or your family directly through Horizon or through the NJ state-based exchange (SBE), you can pay your premium bill online and set up Auto Pay.

You cannot update your address using our member website or the Horizon Blue App. Instead, to request that we change the address we have on file for you, be sure to provide your name, member ID number and new address when contacting us below.

If you purchased coverage through the NJ state-based exchange (SBE): Go to Get Covered New Jersey or call 1-833-677-1010 (TTY 711).

If you purchased your insurance directly through Horizon:

• Use our Email Us tool. Under Category, choose Enrollment;
• Fax your information to 1-973-274-4413; or
• Check the box titled Report Address Change and complete the information on your invoice when sending your premium payment by mail.

State Health Benefits Program (SHBP) and School Employees’ Health Benefits Program (SEHBP) members except for Rutgers employees:

Log into Benefitsolver, a tool of the SHBP/SEHBP via your MyNewJersey account. Rutgers employees must update their address and phone number directly with Rutgers.

Medicare Supplement members (other than SHBP and SEHBP members):

• Use our Email Us tool. Under Category, choose Enrollment; or
• Send a written request to: Horizon, PO Box 10138, Newark, NJ 07101

For other members with coverage through an employer not mentioned above: You may need to work directly with your employer’s benefits administrator or human resources department to update your mailing address. If you are not sure if this applies to you or if you need additional help, contact us through our Email Us or Chat tools. We will let you know if you need to contact your employer directly, or if we can make the change.

You can receive email and text message notifications when certain documents are ready or changes are made to your account.

To update your email and text message notification preferences, select Profile & Settings, then Notification Preferences.

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

To view plan documents, select Document Center. From there, some members may be able to access their Summary of Benefits & Coverages (SBC)¹. Your SBC shows you what your plan covers and how much your out-of-pocket costs will be for services.

To view a summary of what your plan will pay and what you will owe for common services, select Benefits & Coverage, then Benefits Overview. Scroll down to Plan Details.

To request a copy of other plan documents, use our Email Us or Chat tools and select Benefits to contact a Member Services Representative.

You can select or change your PCP when signed in to your member web portal account from your computer (this option is not available to members on a mobile device such as a smartphone, tablet or notebook). Then:

1. Click Profile & Settings in the upper-right corner.
2. Click Primary Care Physician. Note: This option will not be available if your plan does not require you to have a PCP. Depending on your plan, you may be able to Email Us or Chat with us if you are unsure if you are required to have a PCP on file, or would like to contact a Horizon BCBSNJ Member Services Representative to change your PCP.
3. Click Change Doctor.
4. You will be redirected to our Doctor & Hospital Finder, where you will be able to search by selecting "All Primary Care Physicians (PCPs)" from the Common Searches.
5. Scroll down the page.
6. Once you have identified the doctor you would like to choose, click View Profile.
7. At the top of the screen, click Modify Selection to update your PCP.

Medical and Behavioral Health Claims

When you submit out-of-network medical claims through your account using our website or the Horizon Blue app, you don’t need to submit a claim form by mail. Simply select Claims, then Submit a Claim.

To submit these claims by mail, please include the appropriate claim form below and mail it, and the required information listed on the form, to the address on the form:

• Merck members: Merck Health Insurance Claim Form
• Organon members: Organon Health Insurance Claim Form
• State Health Benefit Program (SHBP) and School Employees’ Health Benefits Program (SEHBP) members: SHBP/SEHBP Medical Plan Claim Form
• All other members: Horizon Health Insurance Claim Form

Prescription Claims

Select Prescriptions, then Pharmacy Benefits¹ to go to your pharmacy’s website, where you can find information about submitting prescription claims. Members with Prime Therapeutics as their pharmacy manager can mail the Prescription Drug Claim Form, and the required information listed on it, to the address on the form.

Dental Claims

Complete the Dental Claim Form and mail it, and the required information listed on it, to the address on the form.

Vision Claims

Select Get Care, then Vision. Follow the instructions on screen to be redirected to the appropriate vendor’s website, where you can find information about submitting vision claims.

If you have other health insurance in addition to your Horizon health plan (such as a car insurance policy with medical benefits), it is important to let us know so that we can work with your other health plan to manage how your claims are paid. We will “coordinate benefits” with the other health plan so that one health plan pays first (is primary) and one plan pays second (is secondary). This prevents charges from being overpaid.

You can update your additional insurance information by selecting Benefits & Coverage, then Additional Coverage. Please provide the most up-to-date insurance information for all covered family members to help with the processing of your claims.

If your claim was denied because Coordination of Benefits (COB) information is requested, or if you have questions about which health plan is currently listed as primary and which is secondary, use our Email Us or Chat tools.

To change the email address on file for your account, select Profile & Settings, then Personal Information.

Please note that each email address can only be associated with one account.

You can receive email and text message notifications when certain documents are ready or changes are made to your account.

To update your email and text message notification preferences, select Profile & Settings, then Notification Preferences.