Horizon Health Insurance, also known as Horizon Blue Cross Blue Shield of New Jersey, is a leading health insurance provider in the state of New Jersey. With a rich history dating back to 1932, the company has established itself as a trusted and reliable partner for individuals, families, and employers seeking comprehensive health insurance coverage. As a non-profit organization, Horizon Health Insurance is committed to providing high-quality, affordable healthcare solutions to its members, while also contributing to the well-being of the communities it serves.
One of the key strengths of Horizon Health Insurance is its extensive network of healthcare providers, which includes over 35,000 physicians, hospitals, and other medical facilities throughout New Jersey. This network provides members with access to a wide range of medical specialties and services, from primary care and pediatrics to specialized care and hospital services. Additionally, Horizon Health Insurance offers a variety of health insurance plans, including individual and family plans, group plans for employers, and Medicare and Medicaid plans for seniors and low-income individuals.
Key Points
- Horizon Health Insurance is a non-profit organization with over 85 years of experience in the healthcare industry
- The company offers a wide range of health insurance plans, including individual and family plans, group plans, and Medicare and Medicaid plans
- Horizon Health Insurance has an extensive network of over 35,000 healthcare providers throughout New Jersey
- The company is committed to providing high-quality, affordable healthcare solutions to its members
- Horizon Health Insurance offers a variety of additional benefits and services, including wellness programs, disease management programs, and patient advocacy services
Health Insurance Plans and Coverage Options
Horizon Health Insurance offers a variety of health insurance plans and coverage options to meet the diverse needs of its members. These plans include individual and family plans, group plans for employers, and Medicare and Medicaid plans for seniors and low-income individuals. Each plan is designed to provide comprehensive coverage for essential health benefits, including doctor visits, hospital stays, prescription medications, and preventive care services.
In addition to its standard health insurance plans, Horizon Health Insurance also offers a range of additional benefits and services, including wellness programs, disease management programs, and patient advocacy services. These programs are designed to help members manage their health and wellbeing, prevent illnesses and injuries, and navigate the healthcare system. For example, the company's wellness programs offer incentives and rewards for members who engage in healthy behaviors, such as exercise, healthy eating, and stress management.
Network and Provider Options
Horizon Health Insurance has an extensive network of healthcare providers throughout New Jersey, including primary care physicians, specialists, hospitals, and other medical facilities. The company’s network includes over 35,000 healthcare providers, giving members a wide range of options for receiving medical care. Members can choose from a variety of providers, including those who participate in the company’s tiered network, which offers different levels of coverage and cost-sharing based on the provider’s participation level.
In addition to its network of healthcare providers, Horizon Health Insurance also offers a range of online tools and resources to help members find and access care. These tools include a provider directory, which allows members to search for providers by name, specialty, or location, and a cost estimator, which provides members with an estimate of the costs associated with a particular medical procedure or service.
| Plan Type | Network Size | Cost-Sharing Options |
|---|---|---|
| Individual and Family Plans | Over 35,000 providers | Varying deductibles, copays, and coinsurance |
| Group Plans | Over 35,000 providers | Customizable deductibles, copays, and coinsurance |
| Medicare and Medicaid Plans | Over 35,000 providers | Fixed deductibles, copays, and coinsurance |
Additional Benefits and Services
In addition to its standard health insurance plans, Horizon Health Insurance offers a range of additional benefits and services to support the health and wellbeing of its members. These benefits and services include wellness programs, disease management programs, and patient advocacy services, which are designed to help members manage their health, prevent illnesses and injuries, and navigate the healthcare system.
For example, the company's wellness programs offer incentives and rewards for members who engage in healthy behaviors, such as exercise, healthy eating, and stress management. The company's disease management programs provide members with personalized support and guidance to manage chronic conditions, such as diabetes, heart disease, and asthma. And the company's patient advocacy services provide members with assistance and support in navigating the healthcare system, including help with claims, billing, and medical records.
Quality and Performance Metrics
Horizon Health Insurance is committed to delivering high-quality, patient-centered care to its members. The company’s quality and performance metrics are designed to measure the effectiveness of its health insurance plans and services, and to identify areas for improvement. These metrics include measures of patient satisfaction, health outcomes, and cost efficiency, as well as metrics related to the company’s network of healthcare providers and its claims processing and customer service operations.
For example, the company's patient satisfaction metrics include measures of member satisfaction with their healthcare providers, as well as measures of satisfaction with the company's customer service and claims processing operations. The company's health outcomes metrics include measures of member health status, such as blood pressure control, diabetes management, and cancer screening rates. And the company's cost efficiency metrics include measures of healthcare spending and resource utilization, such as hospital readmission rates and emergency department utilization.
What types of health insurance plans does Horizon Health Insurance offer?
+Horizon Health Insurance offers a variety of health insurance plans, including individual and family plans, group plans for employers, and Medicare and Medicaid plans for seniors and low-income individuals.
How large is Horizon Health Insurance’s network of healthcare providers?
+Horizon Health Insurance has an extensive network of over 35,000 healthcare providers throughout New Jersey, including primary care physicians, specialists, hospitals, and other medical facilities.
What additional benefits and services does Horizon Health Insurance offer?
+Horizon Health Insurance offers a range of additional benefits and services, including wellness programs, disease management programs, and patient advocacy services, which are designed to help members manage their health, prevent illnesses and injuries, and navigate the healthcare system.
