New out-of-state national account groups effective January 1, 2012
Horizon Blue Cross Blue Shield.
Beginning January 1, 2012, physicians,other health care professionals and facilities that participate in the Horizon Managed Care Network may see patients, who are New Jersey residents, enrolled in several new out-of-state national account groups. All members of these national account groups are enrolled in open access plans.
Special features of these national account group plans include:
• The option to select a Primary Care Physician (PCP).
• No referral receipts.
• Fee-for-service reimbursement for eligible services at the Horizon Managed Care Network allowance.
To maximize their benefits, members in these open access plans must use physicians, other health care professionals or facilities that participate in the Horizon Managed Care Network.Out-of-network benefits apply to members who use other physicians, health care professionals or facilities, including physicians or health care professionals who participate only in our Horizon PPO Network.