![]() ![]() Three Penn Plaza East, Newark, New Jersey 07105. © 2023 Horizon Blue Cross Blue Shield of New Jersey. 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. Both are independent licensees of the Blue Cross Blue Shield Association. 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 Horizon NJ Health. ![]() Enrollment in Horizon NJ TotalCare (HMO D-SNP) depends on contract renewal. Horizon NJ Health has a Medicare contract and a contract with the State of New Jersey Medicaid Program to offer Horizon NJ TotalCare (HMO D-SNP) an HMO Medicare Advantage Dual Eligible Special Needs plan. Enrollment in HIC Medicare products depends on contract renewal. Horizon Insurance Company ("HIC") has a Medicare contract to offer Part D Medicare plans, including group Part D Prescription Drug Plans. Available to members with Medicare Part B primary only : Visit. Basic Option FEP Blue Focus Tier 1: 15: copay. 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. Blue Cross and Blue Shield Service Beneft. 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. For more information about Medicare including a complete listing of plans available in your service area, please contact the Medicare program at 1-800-MEDICARE (TTY users should call 1-87) or visit Medicare has neither reviewed nor endorsed this information.Eligibility Information & Enrollment InstructionsĪ Medicare Prescription Drug Plan (PDP) works like other insurance plans. Each Blue Cross Blue Shield company is responsible for the information that it provides. To find out about premiums and terms for these and other insurance options, how to apply for coverage, and for much more information, contact your local Blue Cross Blue Shield company. Enrollment in these plans depends on the plan’s contract renewal with Medicare. Medicare Advantage and Prescription Drug Plans are offered by a Medicare Advantage organization and/or Part D plan sponsor with a Medicare contract. Plans are insured and offered through separate Blue Cross and Blue Shield companies. Viewing this Medicare overview does not require you to enroll in any Blue Cross Blue Shield plans. Option to add a prescription, vision and/or dental plan. Save up to 24/per year with EFT payments. Exclusive member discounts through Blue365®. No membership fees and no application fees. Medicare overview information on this website was developed by the Blue Cross and Blue Shield Association to help consumers understand certain aspects about Medicare. Horizon Medicare Blue Supplement plan advantages: See any doctor that accepts Medicare. ![]() After you reach that limit, you will pay only a small share of your prescription costs for the remainder of the year. Some Part D plans require that you pay a percentage (coinsurance) of a medication’s cost every time you fill a prescription.Īlthough plan designs can vary, most Medicare Part D plans have a cost sharing component commonly known as a coverage gap or “donut hole.” The coverage gap is a temporary limit where you are responsible for all of your drug costs until you reach the plan’s annual out-of-pocket limit. Many Part D plans require that you pay a fixed copayment each time you fill a prescription. Most Part D plans require a monthly premium. Part D coverage is generally included in most Medicare Advantage (Part C) plans. Original Medicare (Part A and Part B) with a Medigap Plan.You can choose to receive this coverage in addition to: Medicare Prescription Drug plans are offered by private health insurance companies and cover your prescription drug costs for covered medications.
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