Many members can send their health coverage questions to Horizon BCBSNJ through our secure Email Us tool.

Please Note: While many of our members with Horizon BCBSNJ health coverage can use Email Us, there are some members for whom we do not currently offer this feature. Please see the related FAQs for more information.

To use Email Us:

1. Sign in (or register first).
2. Click Email Us.
3. Select the category that best describes your question.
4. Click Send.

Yes. The Horizon Blue mobile app gives members 24/7 access to plan information, care and support on the go.

With Horizon Blue you can:

• Instantly access coverage details
• Quickly connect with health care professionals
• View a copy of your member ID card if you are at the doctor or dentist and don’t have your member ID card with yous
• Get answers to questions about benefits, claims and more by using our secure Email Us feature to connect with a Member Services Representative. (Please note: Some members may not have access to all support options.)

• Text GetApp to 422-272. You can also visit the App Store or Google Play and search for Horizon Blue. There is no charge to download the app, but standard messaging or data rates from your wireless provider may apply.

• If you have a Horizon Blue username and password for our member website, enter that same information into the app and click Sign In.
• If you do not have a Horizon Blue username and password for our member website, simply click Register and follow the steps on the screen to register. You will need your Horizon BCBSNJ member ID card to register.

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

You will be able to view the amount applied to your deductible, as well as your maximum out-of-pocket expenses, by plan member, for a selected benefit period for both in and out of network, as applicable.

The deductible information displayed is based on the claims that have been processed and finalized as of the date you are viewing the information.

1. Click Claims.
2. Then click Recent Claims, then View PDF 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 Profile & Settings in the upper-right corner.
2. Click Primary Care Physician. Note: This option will not be available to all members. Depending on your plan, you may be able to Email Us or Chat with Us if you are unsure if you are required to have a PCP on file, or would like to contact a Horizon BCBSNJ Member Services Representative to change your PCP.
3. Click Change Doctor.
4. You will be redirected to our Doctor & Hospital Finder, where you will be able to search by the Specialty of "All PCPs." Update your search criteria as needed, and click Search.
5. Once you have identified the doctor you would like to choose, click View Profile.
6. At the top of the screen, click Modify Selection to update your PCP.

1. Click Benefits & Coverage.
2. Click Benefits Overview.
3. Click the Additional Insurance tab.

Please provide the most up-to-date insurance information for all covered family members to help with the processing of your claims.

If your claim was denied because Coordination of Benefits (COB) information is requested, please call the Horizon BCBSNJ’s Member Services phone number on the back of your member ID card. Depending on your plan, you may also be able to sign in and send us an email or chat with a Member Services Representative.

Use our Doctor & Hospital Finder to find an in-network doctor, dentist, hospital, vision provider or other health care professional.

Many members can choose to access certain documents online instead of receiving them in the mail. Please note: You can pay your premium bill online. Currently there is no option to go paperless; you will still receive a statement in the mail.

To go paperless, sign in and follow the steps below:

1. Click Profile & Settings at the top of the screen.
2. Choose Paperless Settings to set your preferences. Note: If you do not see the Paperless Settings link, then this option is not currently available to you. We apologize for any inconvenience. 

After you set your preferences, we will let you know when a new document is available by sending an email notification to the address we have on file. You can also receive notifications via text messaging. To manage your notification settings, go to Profile & Settings and select Notification Preferences.

If you see an in-network doctor for care, you may not get a medical bill. However, you should expect one if you owe a copayment or coinsurance, get services that aren’t covered under your plan, or if you use an out-of-network doctor.

If you get a bill for services that should be covered by your Horizon BCBSNJ plan, complete the appropriate claim form, include an itemized bill and mail it to the address printed on the form. An itemized bill includes the Provider Tax Identification Number (TIN), patient name, member’s ID number, date of service, diagnosis code(s), procedure code(s), place of service and total charge.

If you have pharmacy benefits from Horizon BCBSNJ, submit a prescription claim form, along with the actual prescription receipt (not the cash register receipt). Please be sure that the following information is legible on the prescription claim form:

• Patient’s name
• Rx number
• Date filled
• Amount paid

It may take up to 30 days for Horizon BCBSNJ to process your claim. To check the status of your claim, sign in and:

• Click Claims.
• Then click Recent Claims, to view details.

It depends on how you got your coverage and when you are trying to make a change.

If you get your coverage through your employer, check with your benefits administrator or human resources department for information about your employer’s Open Enrollment Period. Normally, you can only make changes to your coverage outside of the open enrollment period when you have a qualifying life event.

You can change your coverage during the annual Open Enrollment Period, which usually begins in November. For coverage changes during the annual Open Enrollment Period, you do not need to provide proof of life event changes.

You can also change your coverage outside of the Open Enrollment Period, during a Special Enrollment Period, if you experience loss of coverage or certain qualifying life events. If you change coverage during the Special Enrollment Period, you are required to provide proof of the life event and the date it occurred.

If you bought your coverage through the Exchange (federal Marketplace), you must change your coverage online through your account at HealthCare.gov or by calling the Exchange Call Center at 1-800-318-2596.