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.

Individual, Medigap and Medicare Advantage (excluding SHBP Medicare Advantage) members who purchased insurance for themselves or their families directly through Horizon BCBSNJ or through the Exchange (federal Marketplace) can easily set up automatic monthly payments deducted from their checking account or pinless debit card or to be charged to their credit card when signed in.

1. If you have never submitted a payment through the Payment Center, you must first go to My Accounts, click Payment Center, and then click Make a Payment.
2. Then, to enroll in auto pay, return to the Payment Center and click Enroll in Auto Pay.

A confirmation message will appear on screen showing you have successfully enrolled.

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. Get a quote or enroll online by visiting HorizonBlue.com/shop. From here, you can also access the Health Plan Guide for Individual and Family Health Insurance Coverage. Scroll to the bottom of the page, and under Health Plans Guide, click View the Guide. Go to HorizonBlue.com/shop/renew to renew your existing coverage.
2. Visit one of our retail locations.
3. Speak to a qualified licensed Sales Representative at 1-888-765-7786.
4. Visit the Health Insurance Marketplace at HealthCare.gov or call 1-800-318-2596.

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 My Accounts.
2. Then click Out of Pocket Expenses.
3. Select the Benefit Period and click Export to see which claims applied to the deductible. Note: This feature is unavailable when accessing the mobile website from your phone. You can access this feature from your computer.

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.

Please keep in mind that the deductible information displayed is based on finalized claims as of the date that information is viewed. Claims that are processed or adjusted after you view the information may change the amount of the deductible that has been satisfied.

A deductible is an out-of-pocket expense a member must pay before the program provides any benefits for such charges. The term does not include coinsurance, copayments and non-covered charges. For example, if a member has a health plan with a $200 deductible, the member must meet that deductible before his/her health plan begins to provide benefits for the covered services and supplies.

In addition to collecting your copayment amounts, participating practices may make arrangements with you at the time services are provided for you to pay the amount that will be applied toward your deductible.

1. Click Profile & Settings.
2. Click Primary Care Physician. Note: This option will not be available to all members. 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, many members can Email Us or Chat with Us.
3. Update your settings by clicking Select Doctor.

To submit a claim, download the appropriate claim form from HorizonBlue.com/forms.

Complete the 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 and need to submit a pharmacy claim, please include the actual prescription receipt. A cash register receipt is not eligible for reimbursement. Please be sure that the following information is legible on the prescription claim form:

1. Patient’s name
2. Rx number
3. Date filled
4. 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:

1. Click Claims.
2. Then click Recent Claims, to view details.

1. Click Profile & Settings.
2. Then click Add Additional Insurance to update information.

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.

Individual, Medigap and Medicare Advantage members (excluding SHBP Medicare Advantage members) can make a one-time premium payment online via checking account, pinless debit card or credit card once signed in. Then:

1. Click My Accounts.
2. Click Payment Center.
Click Make a Payment.

You will get an email confirmation once a payment is made, indicating the date and amount of the payment. Please allow three to five business days for the payment to post to your account.

You can also enroll in auto pay. When you have auto 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 so you never miss a payment. Just click Enroll in Auto Pay in the Payment Center to get started.

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.”

Individual consumers 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. 

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. Use the appropriate address below to mail your payment.

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

Members who purchased directly through Horizon BCBSNJ and not through the Exchange – 

Horizon Blue Cross Blue Shield of New Jersey

PO Box 10192

Newark, NJ 07101-3147

Members who purchased through the Exchange –

Horizon Blue Cross Blue Shield of New Jersey

PO Box 70225 

Philadelphia, PA 19176-0225

Medicare Advantage (excluding SHBP Medicare Advantage) members –

Horizon Healthcare of New Jersey, Inc.

PO Box 10197

Newark, NJ 07101-3147

Medigap members –

Horizon Blue Cross Blue Shield of New Jersey

PO Box 10197

Newark, NJ 07101-3147

MoneyGram

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

1. Click Profile & Settings at the top of the screen.
2. Then choose Paperless Settings to set your preferences. *Note: Some members may not be able to choose to receive documents electronically. These members will not see the Paperless Settings option.

After you set your preferences, we will let you know when a new document is available for you to view by sending an email to the address we have on file.

You can change your preferences at any time by following the steps above.