To find an in-network doctor, specialist, facility or hospital, visit /hmh. This plan gives you many options to get the high quality care you need so you can get and stay healthy. Once you have satisfied your annual deductible, you will then be responsible for 50% of all costs up to your out-of-pocket maximum. You must first meet a $2,000 deductible before your Horizon Blue Cross Blue Shield of New Jersey benefits kick in. Smith and learn that she falls within Tier 2. In this final case, you choose to see Dr. If you choose to see a physician or hospital within Tier 2, you will pay more out-of-pocket. Tier 2 also includes in-network doctors, specialists and facilities. In addition, all other services beyond office visits are subject to a $1,500 annual deductible and once met, you will then be responsible for 30% coinsurance. Smith is in OMNIA Tier 1, it means your visit will cost you a $100 specialist copay, or $50 for a PCP. In our third example, if you visit the Doctor and Hospital Finder and learn that Dr. OMNIA Tier 1 includes thousands of physicians and other health care professionals within the Horizon Managed Care Network. If you were seeing a PCP at this level, your copay would be $5.The OMNIA Health Plan also includes two additional tiers of in-network providers. Your only cost will be a $15 specialist copay. With an Inner Circle doctor, you still have no deductible to meet and no coinsurance. While she is not in the PRIME tier, you will still save money by choosing Dr. Smith participates in the Inner Circle tier. Horizon Blue Cross Blue Shield of New Jersey. Pour parler avec un interprète, veuillez appeler le. In this next scenario, you refer to the Doctor and Hospital Finder and learn that Dr. sujet de Horizon Blue Cross Blue Shield of New Jersey, vous avez le droit d’obtenir de l’aide dans votre langue, sans aucun frais. An eviCore Healthcare representative will: Find. If your PCP decides that you need an X-ray or scan, call eviCore Healthcares Scheduling Line at 1-86, weekdays, from 7 a.m. This means that your visit will cost you nothing. We work with eviCore Healthcare eviCore Healthcare opens a dialog window for non-emergency outpatient radiology and diagnostic imaging services. Smith and discover that she participates in the Inner Circle PRIME tier. ![]() You refer to the Doctor and Hospital finder at Horizon /hmh or the Horizon Blue app, look up Dr. Your team mate suggests you make an appointment with Dr. ![]() You’ve injured your knee playing softball and need to see a specialist. Let’s walk through each of the four possible scenarios. The amount of money you pay out-of-pocket will depend on which tier your doctor or facility participates in. And, as with every Hackensack Meridian Health 2021 health plan, you’ll also have access to in-network coverage outside of New Jersey through BlueCard®. Plus, with the Inner Circle and Inner Circle PRIME tier providers, you’ll enjoy the highest level of benefits with low or no copays, coinsurance or deductibles. This new plan, the OMNIA Health Plan, gives you greater access to a wide range of doctors, hospitals, and other health care professionals. Narrator: Hackensack Meridian Health is pleased to offer our team members a new plan for 2021.
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