Horizon BCBSNJ Brief Notes V. 22, No. 914: New Horizon Blue App provides quick access to health plan information

Applies to: All markets

New Horizon Blue App provides quick access to health plan information anywhere, anytime

Horizon Blue Cross Blue Shield of New Jersey is pleased to announce the release of our new Horizon Blue App. With our new Horizon Blue App, our members can use their hand-held device to find everything from health plan options and information to our Online Provider Directory, which offers quick and easy access to contact information for our 72 network hospitals and over 28,000 physicians and health care professionals located across New Jersey.

Staying connected is easier than ever for members, with all of their essential information right at their fingertips. By downloading the new Horizon Blue App to their iPhones™ or Androids™*, members will have quick access to:

Online Provider Directory

• Search for a provider based on specialty or ZIP code.
• View detailed information for a provider through the search results.
• Access map navigation to a provider’s address.

Claims Information

• View most recent claims and their details.
• Search for claims within a date range.
• View benefit information such as copayment, coinsurance and deductibles for a specific claim.

Authorizations and Referrals

• View authorization and referral details.
• Check the status of authorizations.

Identification (ID) Cards

• View the front and back of ID cards.
• Request a duplicate ID card.

Benefits

• View product and coverage information.
• View benefits information such as copayment, coinsurance and deductibles.

Update Additional Insurance

• Add or update coordination of benefits.

Manage An Account/Profile

• Register for Member Online Services
• Retrieve a User ID.
• Retrieve a password.
• Modify a profile (password, e-mail address or phone number).
• Opt-in or opt-out for paperless explanations of benefits (EOBs), e-mails or text alerts.
• Change a Primary Care Physician

Contact Us

• Access our telephone directory.
• E-mail questions via an online form.

Providing our members with easy access to their health plan information is the latest example of how Horizon BCBSNJ is Making Healthcare Work.

* There is no charge from Horizon BCBSNJ to download the Horizon Blue App, but rates from members’ wireless providers may apply.

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Please click the link below to access the United Broker Health Reform Guide.

Also, see attached for the PDF version.

http://mydigimag.rrd.com/publication/?i=145496

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UnitedBrokerReformGuide (Size: 2454 Kb )

AmeriHealth New Jersey and Cooper University Health Care form new venture

In a highly innovative move, unprecedented in New Jersey, a health insurer and a hospital system AmeriHealth New Jersey and Cooper University Health Care announce today that Cooper will acquire a 20 percent interest in AmeriHealth New Jersey. This venture intends to transform health care in the state by increasing quality and lowering costs through a more highly coordinated care model.

For more information, please read the press kit or contact your AmeriHealth New Jersey broker representative.

http://www.amerihealth.com/htdocs/custom/nj/cooper.html

Horizon BCBSNJ Brief Notes V. 22, No. 913: Debit Card Regulation
April 5, 2013 V ol. 22 No. 913

Applies to: HRA and FSA Debit Card Holders

A new regulation went into effect as part of the Dodd-Frank Wall Street Reform and Consumer Protection Act

Effective April 1, 2013, a new regulation went into effect as part of the Dodd-Frank Wall Street Reform and Consumer Protection Act. This new regulation requires consumers to be provided with the option to pay for eligible expenses using a Personal Identification Number (PIN) at the time of purchase, in addition to the current signature process.

This does not change how members currently use their Horizon MyWay or Benny Prepaid Benefits cards. Members may continue to use their card as they always have by swiping their card and providing a signature. However, now they have the option of entering a PIN when using their card.

To use the PIN option, members must first call 1-866-898-9795 to set up their self-selected PIN. The automated system will walk members through the prompts to create a PIN for their card.

Members making a purchase using the Horizon MyWay or Benny Prepaid Benefits Card can:

Swipe their card, then choose:

• Credit to require their signature; or
• Debit to enter their PIN.
• Cash-back and ATM transactions are not allowed under either payment option.

Horizon Blue Cross Blue Shield of New Jersey representatives are available to answer members’ questions about this new payment option, or any other questions about their health care coverage.

Members who have a:

• Health Reimbursement Arrangement (HRA) should call 1-800-355-BLUE (2583).
• Flexible Spending Account (FSA) should call 1-800-224-4426.

Member Services representatives are available Monday through Wednesday and Friday between 8 a.m. and 6 p.m., Eastern Time (ET), or Thursday between 9 a.m. and 6 p.m., ET

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Please click the link below for Aetna INsider, April 2013:

http://links.mkt2614.com/servlet/MailView?ms=NTMyNjk4MgS2&r=NDAyODYzMzg1OTUS1&j=MzE1ODMxODIwS0&mt=1&rt=0

Horizon BCBSNJ Brief Notes V. 22, No. 912:
Applies to: Public Sector and Mid-size (100 to 499 employees) groups

Horizon Blue Cross Blue Shield of New Jersey Launches- New Fitness Reimbursement Program

Horizon Blue Cross Blue Shield of New Jersey is pleased to offer HorizonbFit to eligible members ages 18 years and older enrolled in public sector and fully insured mid-size groups. The program launches April 1, 2013 and offers reimbursements of $20 per month to members who enroll and visit a participating fitness facility at least 12 times or more a month. Members can earn up to $240 a year in rewards. The program makes it easier and more affordable for members to exercise regularly.

HorizonbFit is the only fitness reimbursement program that offers:

• All-electronic utilization tracking and reimbursement processing. Members do not have to track their visits or submit any paperwork to claim their reimbursements.
• Secure, online personal account management. Members establish an online account. Once established, members can view their attendance and reimbursements, change their primary fitness facilities and update their personal profiles and account information.
• The ability for Horizon BCBSNJ members who are currently members at a fitness facility to participate in HorizonbFit. All eligible Horizon BCBSNJ members can participate in HorizonbFit without having to cancel their existing fitness facility memberships. If a member belongs to a fitness facility that is not included in the network, the member can nominate it for inclusion pending agreement with the fitness facility.
• Access to medically integrated fitness centers. HorizonbFit includes hospital-affiliated fitness centers that offer exercise programs that can be integrated with chronic care management, rehabilitation and other physician-directed health maintenance, measurement and testing.
• Utilization review. Through its all-electronic utilization tracking, data can be analyzed by Horizon BCBSNJ to better manage member care.
• Full membership privileges, preferred rates, flexible, month-to-month membership terms and “away-from-home” access to any participating facility. (Only for Horizon BCBSNJ members who join a fitness facility when they enroll in HorizonbFit.)

HorizonbFit is administered by Advanta Health Solutions, an innovative health and fitness provider that develops and manages physical activity programs to help people live healthier. It is initially being offered to members ages 18 years and older in the public sector and mid-size (100 to 499) employer group markets. Eligible members can enroll online now at HorizonbFit.com for an April 1, 2013 effective date.

Horizon BCBSNJ is dedicated to working with our valued brokers to provide your clients and their employees with competitive offerings that support member satisfaction and retention. HorizonbFit’s approach to corporate fitness rewards healthy behavior and fosters personal accountability. It is cost-effective for the employer group and motivational for employees.

View the HorizonbFit enrollment site at HorizonbFit.com.

If you have questions, please contact your Horizon BCBSNJ sales executive or account manager.

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As always, AmeriHealth New Jersey strives to provide comprehensive health care that’s as affordable as possible throughout the state. The AmeriHealth New Jersey IHC Exclusive Provider Organization (EPO) does exactly that. The IHC EPO allows members to choose their own doctors and hospitals from our participating provider network without selecting a primary care physician (PCP) and receive services without referrals. Members must use network providers in order to access their benefits. IHC EPO does not have out-of-network benefits. AmeriHealth New Jersey IHC EPO plans are only available with the Value Network.

Click below to view online:
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