No-cost flu shots are available to Horizon BCBSNJ members with medical benefits who are enrolled in a fully insured1 plan or a self-insured2plan. 

1 Fully insured members will see the following statement on the back of their member ID card: Insured by Horizon Blue Cross Blue Shield of NJ.

2 Self-insured members will see the following statement on the back of their member ID card: Horizon BCBSNJ provides administrative services only and does not assume and financial risk for claims.

MinuteClinic® is a registered mark of CVS Caremark Corporation.

Yes, with the Horizon Blue app, you get 24/7 access to your plan information, care and support from your smartphone or other mobile device. 

To get the app, text GetApp to 422-272 or visit the App Store^® or Google Play^TM. There is no cost to download the Horizon Blue app, but rates from your wireless carrier may apply. 

To sign in to the app, enter the username and password that you used to register for HorizonBlue.com and click Sign In. Biometric sign in (fingerprint or facial recognition) is also available on the Horizon Blue app.

With the Horizon Blue app, you can:

• Display, download, print and share your member ID card.
• Quickly connect with health care professionals.
• Check your notifications.
• View your claims to see how much your health plan paid and any amount you may owe.
• Find doctors and hospitals, and even schedule appointments.
• Check if a specific treatment or service is covered.
• Track your deductible, if applicable, and maximum out-of-pocket costs.
• Email or Chat with a Member Services Representative to get answers to your questions.
• If you are an Individual, Medicare Supplement or Medicare Advantage member who purchased insurance for yourself or your family directly through Horizon BCBSNJ or through the NJ State Based Exchange (SBE), you can pay your premium bill online and set up Auto Pay.

1. Click Benefits & Coverage.
2. Click Benefits Overview.
3. Click the Coordination of Benefits tab. Note: If you are using a mobile device such as a smartphone, tablet or notebook, you will instead need to scroll down to the bottom of the screen to view Coordination of Benefits and select Yes or No.

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.

Addresses cannot be updated on our member website.

If you purchased your insurance through the Exchange (federal Marketplace): All address change requests must be processed through your account at HealthCare.gov or by calling the Exchange call center at 1-800-318-2596. If you use TTY services, please call: 1-855-889-4325.

If you purchased coverage through the NJ State Based Exchange (SBE): Go to Get Covered New Jersey or call 1-800-224-1234.

For members with coverage through an employer: You may need to work directly with your employer’s benefits administrator or human resources department to update your mailing address. If you are uncertain if this applies to you, you can sign in to your account and contact us through our Email Us or Chat tools. We will let you know if you need to contact employer directly, or if we can process the change. Please ensure that your employer’s benefits administrator or human resources department is made aware of the updates you make with Horizon BCBSNJ.

For all other members (except Medigap): To request that we change the address we have on file for you, please submit the following information:

• Name
• Horizon BCBSNJ ID number
• New address
• Specify whether this is a residence, temporary or billing address change

• Sign in to your account and click Email Us. Under Category, choose Enrollment.
• Fax your information to 1-973-274-4413. Remember to include your Horizon BCBSNJ member ID number.
• For Individual Consumers who do not have coverage through the Exchange: In addition to the options above, you can also change your address by checking the box titled Report Address Change and completing the information on your invoice when sending your premium payment by mail.

• Name
• Horizon BCBSNJ ID number
• New address
• Specify whether this is a residence, temporary or billing address change

• Sign in to your account and click Email Us. Under Category, choose Enrollment.
• Call our toll-free number at 1-888-276-4299. Remember to include your Horizon BCBSNJ member ID number.
• Send a written request to:
  
Horizon BCBSNJ


PO Box 10138
Newark, NJ 07101

An itemized bill includes: 

• Patient name
• Member ID number
• Date of service
• Diagnosis code(s)
• Procedure code(s)
• Place of service
• Total charge
• For Medicare claims, please ensure that a Medicare Explanation of Benefits (EOB) is included.

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 provider.

I am enrolled in a commercial individual or group plan (including the OMNIA^SM Health Plan, Horizon HMO, Horizon POS, Horizon PPO, Horizon Direct Access plans or other). Which claim form do I use?

Please complete the Horizon Health Insurance Claim Form (ID: 7190).

I am enrolled in the New Jersey State Health Benefits Program (SHBP) or School Employees’ Health Benefits Program (SEHBP). Which claim form do I use?

Please complete the NJ DIRECT Medical Claim Form (ID: 2642).

For more information, visit state.nj.us/treasury/pensions/member-guidebooks.shtml.

I am enrolled in Horizon Blue Medicare Advantage or a Medicare Supplement plan. Which claim form do I use?
You can find the appropriate claim form here:

1. Visit HorizonBlue.com/Medicare.
2. Select Member Quick Links.
3. Scroll down to Medicare Advantage Plans and select Additional Plan Documents.
4. You may need to scroll down to click Claim and Additional Forms.

I have dental, vision or other non-medical coverage with Horizon BCBSNJ. Which form do I use?
Visit HorizonBlue.com/members/forms/search-by-form-type for additional forms and mailing address information.

1. Click ID Cards. You will see a copy of your member ID card.¹
2. Click Print.

At the doctor or dentist and forgot your ID card? View or download a printable copy on your smartphone with the Horizon Blue app. Just click ID Cards.

To download the Horizon Blue app, 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 rates from your wireless carrier may apply.

Also, when you visit participating doctors, other health care professionals and facilities, they can look up your eligibility and member ID card from our online provider tools.

¹ Dependents will see their ID card with the subscriber’s name and with the following note: This ID Card is the same for all members.

An EOB, or Explanation of Benefits, is a statement from Horizon BCBSNJ that gives you information about how an insurance claim from a doctor or hospital was paid on your behalf. It shows the costs associated with your care, but is not a bill.

View this sample EOB for an overview of the information included in an EOB and what it means. Or, you can watch this video to learn more.

When you register for the secure member web portal, you have easy, secure and fast access to digital EOB statements. EOB statements will not be mailed. Instead, you’ll get an email and/or text—depending on your preference—when an EOB is available. Learn more about digital EOBs here.

To view, download or print your EOB, sign in to the secure member web portal or Horizon Blue app. Then:

1. Click Claims.
2. Locate the appropriate claim, and then click the claim number hyperlink.
3. Click View Explanation of Benefits.

If you need a paper copy of a specific EOB, contact Member Services with the date of service and doctor’s or hospital’s name.To go back to receiving all EOBs in the mail, if you are the subscriber*, sign in and go to Profiles & Settings. Then go to Paperless Settings and uncheck the Go Paperless box.

*The Paperless Settings feature is only available to the subscriber on the account. You can check to see if you are the subscriber by going to Benefits & Coverage, then Benefits Overview. Next, look under “Members.” If you are the subscriber, “Subscriber” will be listed under your name.