HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY MEDICARE PLAN DOCUMENT REQUEST
Evidence of Coverage, Formulary, Provider and Pharmacy Directory
Now, you have three simple ways to get information you need to take care of your health.
Call
1-800-365-2223
(TTY
711
)
Visit
http://HorizonBlue.com/Medicare
Request these documents for free using the simple request form below.
Fields marked with an asterisk (*) are required.
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Please send me the following item(s):
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2021 Horizon Medicare Blue (PPO)
2021 Horizon Medicare Blue Access Group (HMO-POS) (MA w/No Rx)
2021 Horizon Medicare Blue Access Group w/ Rx (HMO-POS) (MAPD)
2021 Horizon Medicare Blue Advantage (HMO)
2021 Horizon Medicare Blue Choice w/Rx (HMO)
2021 Horizon Medicare Blue Group (PPO) (MA PPO w/No Rx)
2021 Horizon Medicare Blue Group Rx (PDP)
2021 Horizon Medicare Blue Group w/ Rx (PPO) (MAPD PPO)
2021 Horizon Medicare Blue Rx Enhanced (PDP)
2021 Horizon Medicare Blue RX Saver (PDP)
2021 Horizon Medicare Blue Rx Standard (PDP)
2021 Horizon Medicare Blue Select (HMO-POS)
2021 Horizon Medicare Blue Value (HMO)
2021 Horizon Medicare Blue Value w/Rx (HMO)
2021 Horizon NJ TotalCare (HMO SNP)
Evidence of Coverage
Formulary
Provider Directory
Pharmacy Directory
Provider/Pharmacy Directory
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Spanish (Español): Para ayuda en español, llame al
1-800-365-2223
(TTY
711
) .
Chinese (中文):如需中文協助❜請致電
1-800-365-2223
(TTY
711
) °
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Last updated: 10/07/2019