1. Click My Coverage.
2. Then click What’s Covered.
3. Then from the dropdown menu marked Service Type Category select Hospital Services.
4. Under Service Type, select the sub-service category: Hospital – Outpatient.
5. Then, check the chart(s) to see if the benefit, service or supply is covered, how much your plan will pay, and how much you will pay. You may need to scroll down to view all the information you need.

1. Sign in to Member Online Services. You must register with Member Online Services to use Live Chat.
   
2. Click Live Chat at the top of the screen.
   
3. Click the blue Start Chat button in the middle of the page. A new window will pop up.
   
4. In the pop-up window, use the dropdown menu to select the category that best describes your question: Claims, Enrollment, Benefits, Premium Billing, Find a Doctor/Hospital or Technical Support.
   
5. Click Next.
   
6. Provide additional (optional) information in the text box that appears, or continue to the next step. If you provide additional information, it may help the Member Services Representative to answer your question faster.
   
7. Click Start Chat. You will then be connected to a Member Services Representative.

• Microsoft^® Internet Explorer^® versions 9, 10, 11 or later
• Mozilla^® Firefox^®, most recent stable version
• Google Chrome^™, most recent stable version. If you are using Google Chrome and are not able to respond, please click in the white field to the left of the "Send" button. Then, type your response. Click “Send” after you have completed your response.
• Apple^® Safari^® versions 5.x, 6.x and 7.x on Mac OS X

If you are still having difficulty using Chat on your current browser, please try using a different compatible browser listed above.

1. Sign in to Member Online Services. (Or register first.)
2. Select My Messages at the top of the home page.
3. Click on New Message to open the screen that will allow you to begin typing a new message.
4. Under the Select Category dropdown menu, select the category that best describes your question.
5. Click Send.

1. Click Claims.
2. Once you have found the claim you are looking for in the list of Recent Claims, click View EOB to see the details of your claim contained in the Explanation of Benefits (EOB).
3. If the EOB is unavailable, click Claim Details to view details.

1. Click My Accounts.
2. Then click Out of Pocket Expenses.

1. Click Get Care.
   
2. Then click Change Doctor.
   
3. Choose the doctor you want to change, select the reason for the change from the dropdown menu, and enter an effective date for this change. Click Continue.

1. Select My Messages at the top right of the screen.
   
2. Click Send Us a Message to open the screen that will allow you to begin typing a new message.
   
3. Complete the following fields in the My Messages screen, then click Send:

• Select Category: Use the drop-down menu to select “Provider Directory.”
  
• Subject: Type “Change My Doctor.”
  
• Your Message: Type your message. Please include the following information:
• Your PCP’s name and complete address.
• The future effective date that you would like to begin seeing your new PCP.
• The reason that you would like to change your PCP.
• The PCP location code, if available. You can obtain the PCP location code by asking your doctor, or when you search for a doctor using the Doctor & Hospital Finder, simply click View Profile and view the information below “Doctor Details,” under “Location Code.”

1. Click Claims.
2. Once you have found the claim you are looking for in the list of Recent Claims, click View EOB to see the details of your claim contained in the Explanation of Benefits (EOB).
3. If the EOB is unavailable, click Claim Details to view details.

1. Click My Coverage.
2. Then click Update Additional Insurance.

1. Select the type of health care professional you’re looking for from the What are you looking for? dropdown menu.
2. Select the name of your OMNIA Health Plan from the Choose a Plan to Start dropdown menu.
3. You can refine your search by using the filter boxes.
4. View your results and look for providers listed as OMNIA Tier 1.

• A doctor’s or other health care professional’s tier designation may be different depending on their location and group affiliation. Be sure to check the health care professional’s tier status for each office location. Some health care professionals may be part of more than one group practice.

1. Click My Accounts.
2. Click Premium Payments.
3. If you have more than one Horizon BCBSNJ plan, you need to select the correct Account Number from the dropdown menu.
   Note: It is very important that you use the drop-down menu to ensure that the correct account number is selected, even if an account number already appears. If multiple account numbers are available and you do not select the correct one, information may reflect past billing periods, and the Pay Bill button will not appear.
4. In the Current Bill section, click Pay Bill. You will be redirected to a secure third-party site to make an online payment.

An email alert will be sent to you once a payment has been made, indicating the date and amount of the payment. Please allow three to five business days for the payment to post to your account.

Once signed in to Member Online Services, you can also sign up for automatic bill pay. When you have automatic bill pay, your premium payment is deducted from your checking account or billed to your credit card or pinless debit card on the same date each month.

Phone
To make a payment 24 hours a day, seven days a week, using our automated phone system, call 1-888-778-2005 and select “Make a Payment.”

You can also speak with one of our Member Services Representatives at 1-800-355-BLUE (2583), Monday through Wednesday and Friday from 8 a.m. to 6 p.m. and Thursday, from 9 a.m. to 6 p.m. to make a premium payment. If you purchased your plan directly through Horizon BCBSNJ (not through the Health Insurance Marketplace), you will be charged an additional $25 fee when using this payment option.

Medicare Advantage members can call 1-800-365-2223, Monday through Friday, from 8 a.m. to 8 p.m., to speak with a Member Services Representative.

Medigap members can call 1-888-276-4299, Monday through Friday, from 8 a.m. to 5 p.m., to speak with a Member Services Representative.

Mail
You may also mail your payment to the address on your invoice. Please be sure to include your nine-digit account number, premium payment and Horizon BCBSNJ statement to avoid delays in posting payments.

Medigap members: Your account number is the second set of numbers at the top of your invoice.

Individual consumers –
Horizon Blue Cross Blue Shield of New Jersey
PO Box 10192
Newark, NJ 07101-3120
 
Members who purchased through the Health Insurance Marketplace –
Horizon Blue Cross Blue Shield of New Jersey
PO Box 10193
Newark, NJ 07101-3117
 
Medicare Advantage members –
Horizon Healthcare of New Jersey, Inc.
PO Box 10192
Newark, NJ 07101-3120
 
Medigap members –
Horizon Blue Cross Blue Shield of New Jersey
PO Box 10197
Newark, NJ 07101-311

MoneyGram
You can also make a premium payment at one of MoneyGram’s convenient locations. Horizon BCBSNJ’s MoneyGram code is 11967. Find a MoneyGram location near you.

1. Click My Coverage.
2. Then click Plan Summary.

1. Click My Coverage.
2. Then click What’s Covered.
3. Then from the dropdown menu marked Service Type Category select the category and sub-category of the benefit, service or supply that you would like to view coverage information for.
4. Then, check the chart(s) to see if the benefit, service or supply is covered. You will also see if you are required to get prior authorization for a particular service and your coinsurance and deductible information, if applicable. You may need to scroll down to view all the information you need.

1. Birth
2. Adoption
3. Marriage
4. Divorce
5. Death
6. Moving outside the state of New Jersey. Please note that Individual Consumers who move outside of New Jersey will not be able to keep their coverage with Horizon BCBSNJ.