2022 Overview: Individual And Family Insurance Coverage
2022OVERVIEWIndividual and FamilyInsurance CoverageWhy HorizonHealth Plan BenefitsMedical PlansOMNIASM Health PlansAdvantage EPO Health PlansValue Access Health PlansDental PlansVision PlansAdditional CoveragePersonal Accident InsuranceInternational Medical CoveragePet InsuranceEnrollment Made EasyQuick Resource GuideOctober 4, 2021
» Why HorizonAt Horizon, we’re guiding members toachieve their best health.Health Plan BenefitsMedical PlansOMNIASM Health PlansAdvantage EPO Health PlansWith nearly 90 years of helping New Jersey residents get themost out of their health care coverage, Horizon is a leader inproviding access to quality health care plans. Plus, we providetools and support that make navigating health care easier –freeing you to enjoy all that life has to offer.Value Access Health PlansDental PlansVision PlansAdditional CoveragePersonal Accident InsuranceAccess toNew Jersey’sleading doctors,hospitals andhealth centersAffordable planswith choices thatmeet your needsInnovative extraslike educationresources andhealthy livingdiscountsOur experts help connect youto the care you need and canlet you know if you qualify forfinancial assistance.Call 1-800-224-1234Visit HorizonBlue.comOctober 4, 2021Why Horizon 2022 OVERVIEW INDIVIDUAL & FAMILY INSURANCE COVERAGEInternational Medical CoveragePet InsuranceEnrollment Made EasyQuick Resource Guide
Why HorizonConnect to virtual care and supportanytime, from anywhere.» Health Plan BenefitsMedical PlansOMNIASM Health PlansAdvantage EPO Health PlansValue Access Health PlansYou can talk to a nurse for free with our Nurse Chatfeature – or connect with a U.S. board-certified licenseddoctor via video or chat.1 Simply visit HorizonBlue.comor download the Horizon Blue app to get started.Dental PlansWe’ve got tools that makegetting care more convenient.We’re putting 24/7 care and support at your fingertips:International Medical Coverage Video chat with doctorsPet Insurance Get help with appointment schedulingEnrollment Made Easy Get quick claim status updates Locate in-network doctors Set up auto bill pay*Quick Resource GuideIntroducing Free Virtual EventsKeep your mind and body active with ourfree virtual events, including:Text GetApp to 422-272 for your free Horizon Blue download.* Exercise classes Cooking demosNeed help registering for our Horizon Blue app or our secure member website? Call the eService Help Desk at1-888-777-5075 weekdays from 7 a.m. to 6 p.m. Eastern Time. Wellness webinars – and more!*There is no charge to download the Horizon Blue app, but rates from your wireless provider may apply.1. Some state and plan restrictions may apply.October 4, 2021Health Plan Benefits Additional CoveragePersonal Accident Insurance Chat with a nurse about symptoms View and print member ID CardsVision Plans2022 OVERVIEW INDIVIDUAL & FAMILY INSURANCE COVERAGE
Why HorizonWe can help you achieve your best health.» Health Plan BenefitsMedical PlansWell Care and Preventative CareBehavioral Health & Substance Use DisorderServices such as an annual physical and gynecologicalexam, well-baby/child medical care and immunizationsare covered when using an in-network doctor.Care for behavioral health conditions or alcohol/substance use disorder is offered through our extensivenetwork of participating health care professionals whoprovide a full range of counseling services.Wellness Includes: My Health Manager powered by WebMD (Members may be eligible to earn a 50 Visa prepaid gift card) Healthy Living Discounts with Blue365 Online health education PRECIOUS ADDITIONS program for parents-to-be HorizonbFitSM gym reimbursement**Included with OMNIA Health PlansCase ManagementOur Care Managers help manage complex health caresituations by simplifying navigation, coordinating careand providing a better understanding of policies andprocedures.Chronic Care ProgramsThese programs can help you take control of yourhealth by providing support to manage the day-to-daychallenges of living with chronic conditions, such asasthma or diabetes.October 4, 2021Health Plan Benefits Prescription Drug CoveragePrescription drug coverage is an integrated part ofour health plans, helping you recover from an illness,manage a condition and stay in good health.PillPackWith PillPack by Amazon Pharmacy, you can get yourmedicines delivered to your home in user-friendlypresorted packaging at no additional cost to youAway From Home CareThis program is available to members who have HorizonHMO, Horizon EPO and OMNIA Health Plans – includingstudents living away from home, long-term travelers andfamilies living apart.**These members are not eligible if they are enrolled in a BlueCard and/or HSA compatible plan. This programgives eligible members access to participating doctors, facilities and other health care professionals throughout thecountry.2022 OVERVIEW INDIVIDUAL & FAMILY INSURANCE COVERAGEOMNIASM Health PlansAdvantage EPO Health PlansValue Access Health PlansDental PlansVision PlansAdditional CoveragePersonal Accident InsuranceInternational Medical CoveragePet InsuranceEnrollment Made EasyQuick Resource Guide
Even if you didn’t previously qualify forassistance, you may qualify now.Why Horizon» Health Plan BenefitsMedical PlansOMNIASM Health PlansFederal and New Jersey subsidiesAdvantage EPO Health PlansValue Access Health PlansThe federal government offers Advanced Premium Tax Credits (APTCs),which are tax credits that can help lower health insurance premiums. Inaddition, the federal government recently passed a COVID-19 relief billcalled the American Rescue Plan Act of 2021 to ensure that no familyspends more than 8.5% of their income on health insurance premiums.Dental PlansVision PlansThe State of New Jersey is also providing financial help to lower healthinsurance costs. This includes a state subsidy called New Jersey HealthPlan Savings (NJHPS).*Additional CoveragePersonal Accident InsuranceInternational Medical CoverageWho qualifies?Current and new Marketplace enrollees whose annual householdincomes fall between 150 and 600 percent of the Federal Poverty Levelwill receive NJHPS to lower their premiums, in addition to APTCs.Generally, individuals with a yearly income up to 76,560 or under 157,200 for a family of four may qualify for both the NJHPS and APTCsubsidies.Nine out of 10 residents whoenrolled in a NJ Marketplaceplan are eligible for financialhelp.* Learn moreTo see how much financial assistance you could receivethrough NJHPS and APTC, get an estimated quote atHorizonBlue.com/calculator.*Unlike federal APTC, NJHPS is not a tax credit and consumers do not have to reconcile the new NJHPS on their taxesSource: Get Covered New Jersey and the NJDOBI (9/21)October 4, 2021Health Plan Benefits 2022 OVERVIEW INDIVIDUAL & FAMILY INSURANCE COVERAGEPet InsuranceEnrollment Made EasyQuick Resource Guide
Horizon OMNIA SM Health Plans2022 BENEFITSOMNIA BronzeOMNIA Silver ValueOMNIA Silver HSA1Tier 1Tier 2Tier 1Tier 2Tier 1Tier 2Out-of-Network CoverageNoNoNoNoNoNoIndividual Deductible 3,000 3,000 2,500 2,500 1,800* 2,500*Family Deductible 6,000 6,000 5,000 5,000 3,600 5,000Individual Maximum Out-of-Pocket 8,700 8,700 8,700 8,700 6,550 6,550Family Maximum Out-of-Pocket 17,400 17,400 17,400 17,400 13,100 13,100PCP Office Visits & ConsultationsDed then 50 copayDed then 50% coin 45 copayDed then 50% coinDed then 15 copayDed then 30 copaySpecialist Visits & ConsultationsDed then 75 copayDed then 50% coinDed then 50% coinDed then 50% coinDed then 30 copayDed then 50 copayVirtual PCP/Specialist VisitDed then 15 copayDed then 50% coin 15 copayDed then 50% coinDed then 5 copayDed then 15 copayLab/Radiology FreestandingNo chargeNo chargeNo chargeNo chargeDedDedLab Office VisitNo chargeNo chargeNo chargeNo chargeDedDedRadiology Office VisitDed then 50 PCP copayor ded then 75 specialistcopayDed then 50% coin 45 PCP copay or dedthen 50% specialist coinDed then 50% coinDed then 15 PCP copayor ded then 30 specialistcopayDed then 30 PCP copayor ded then 50 specialistcopayLab/Radiology OutpatientDed then 50% coinDed then 50% coinDed then 50% coinDed then 50% coinDed then 25 copayDed then 50% coinDental PlansGeneric Drugs 25 copay (retail) 50 copay (mail order) 25 copay (retail) 50 copay (mail order)Ded then 50% coinDed then 50% coinDed then 50% coin2Ded then 50% coin2Vision PlansPreferred Brand DrugsDed then 50% coinDed then 50% coinDed then 50% coinDed then 50% coinDed then 50% coin2Ded then 50% coin2Non-Preferred Brand Drugs &Specialty DrugsDed then 50% coinDed then 50% coinDed then 50% coinDed then 50% coinDed then 50% coin2Ded then 50% coin2Both Hospital & Physician/SurgeonDed then 50% coinDed then 50% coinDed then 50% coinDed then 50% coinDed then 30% coinDed then 50% coinPersonal Accident InsuranceBoth Ambulatory Surgical Hospital& Physician/SurgeonDed then 50% coinn/aDed then 50% coinn/aDed then 30% coinn/aInternational Medical CoverageER Hospital 100 copay & ded then50% coin 100 copay & ded then50% coin 100 copay & ded then50% coin 100 copay & ded then50% coinDed then 100 copay &30% coinDed then 100 copay &30% coinER ProfessionalDed then 50% coinDed then 50% coinDed then 50% coinDed then 50% coinDed then 30% coinDed then 30% coinMedical TransportationDed then no chargen/aDed then 50% coinn/aDed then 30% coinn/aUrgent Care CenterDed then 75 copayDed then 50% coinDed then 50% coinDed then 50% coinDed then 60 copayDed then 75 copayOutpatient Hospital & PhysicianDed then 50% coinDed then 50% coinDed then 50% coinDed then 50% coinDed then 30% coinDed then 50% coinInpatient HospitalDed then 500 per daycopayDed then 50% coinDed then 50% coinDed then 50% coinDed then 30% coinDed then 50% coinPhysician/SurgeonDed then no chargeDed then 50% coinDed then 50% coinDed then 50% coinDed then 30% coinDed then 50% coinGENERAL PROVISIONSWhy HorizonHealth Plan BenefitsHEALTH CARE SERVICESDIAGNOSTIC TESTING AND IMAGINGPHARMACY SERVICESOUTPATIENT SURGERY SERVICESHOSPITAL SERVICESBEHAVIORAL HEALTH/SUBSTANCE USE DISORDEROfficeDed then 50 copayDed then 50% coinDed then 50% coinDed then 50% coinDed then 15 copayDed then 30 copayOutpatientDed then 50% coinDed then 50% coinDed then 50% coinDed then 50% coinDed then 30% coinDed then 50% coinInpatientDed then 500 per daycopayDed then 50% coinDed then 50% coinDed then 50% coinDed then 30% coinDed then 50% coinDed then 500 per daycopayDed then 50% coinDed then 50% coinDed then 50% coinDed then 30% coinDed then 50% coinMATERNITY SERVICESAbbreviations: “ded” refers to deductible, “coin” refers to coinsurance, “copay” refers to copayment.*Members receiving cost-sharing reduction subsidies may not be eligible for an HSA under this plan as some variations of this plan do not meet the IRS requirements ofa High-Deductible Health Plan.1. Away From Home Care Program not available for HSA eligible or BlueCard plans. Out-of-state benefits available through BlueCard.2. 150 max per script for a 1-30 day supplyOctober 4, 2021OMNIASM Health PlansAdvantage EPO Health PlansValue Access Health PlansAdditional CoveragePet InsuranceEMERGENCY/URGENT MEDICAL SERVICESDelivery & All Inpatient Services»Medical PlansMedical Plans // OMNIA Health PlansThis document is for informational purposes only and does not constitute a binding agreement. Please note that rates are subject to change. Contact Horizon forthe most current rates. The information provided by this document is not intended to replace or modify the terms, conditions, limitations and exclusions containedwithin health, dental or vision benefit plans issued or administered by Horizon. In the event of a conflict between the information contained in this document andyour plan documents, your plan documents shall control.2022 OVERVIEW INDIVIDUAL & FAMILY INSURANCE COVERAGEEnrollment Made EasyQuick Resource Guide
Horizon OMNIA SM Health Plans continued2022 BENEFITSOMNIA SilverOMNIA Gold with BlueCard1Tier 1Tier 2Tier 1Tier 2Out-of-Network CoverageNoNoNoNoIndividual Deductible 1,550 2,500 950 2,500Family Deductible 3,100 5,000 1,900 5,000Individual Maximum Out-of-Pocket 8,000 8,150 4,500 6,350Family Maximum Out-of-Pocket 16,000 16,300 9,000 12,700PCP Office Visits & Consultations 30 copayDed then 50% coin 10 copayDed then 30 copaySpecialist Visits & Consultations 50 copayDed then 50% coin 25 copayDed then 50 copayVirtual PCP/Specialist Visit 15 copayDed then 50% coin 5 copayDed then 15 copayLab/Radiology FreestandingNo chargeNo chargeNo chargeNo chargeLab Office VisitNo chargeNo chargeNo chargeNo chargeRadiology Office Visit 30 PCP copay or 50 specialist copayDed then 50% coin 10 PCP copay or 25 specialist copayDed then 30 PCPcopay or ded then 50 specialist copayLab/Radiology OutpatientDed then 75 copayDed then 50% coin 20 copayDed then 30% coinGeneric Drugs 15 copay (retail) 30 copay (mail order) 15 copay (retail) 30 copay (mail order)Preferred Brand DrugsDed then 50% coinDed then 50% coinNon-Preferred Brand Drugs &Specialty DrugsDed then 50% coinDed then 50% coin 20 copay (retail) 40 copay (mail order) 50 copay (retail) 100 copay (mail order) 75 copay (retail) 150 copay (mail order) 20 copay (retail) 40 copay (mail order) 50 copay (retail) 100 copay (mail order) 75 copay (retail) 150 copay (mail order)Both Hospital & Physician/SurgeonDed then 250 copayDed then 50% coinDed then 250 copayDed then 30% coinInternational Medical CoverageBoth Ambulatory Surgical Hospital& Physician/SurgeonDed then 250 copayn/aDed then 250 copayDed then 30% coinPet InsuranceER Hospital 100 copay & ded 100 copay & ded 100 copay & ded 100 copay & dedER ProfessionalDedDedDedDedMedical TransportationDed then no chargen/aDed then no chargeDed then 30% coinUrgent Care Center 75 copayDed then 50% coin 50 copayDed then 75 copayOutpatient Hospital & PhysicianDed then 50 copayDed then 50% coinDed then 20 copayDed then 30% coinInpatient HospitalDed then 500 per daycopayDed then 50% coinDed then 500 per daycopayDed then 30% coinPhysician/SurgeonDedDed then 50% coinDedDed then 30% coinGENERAL PROVISIONSWhy HorizonHealth Plan BenefitsHEALTH CARE SERVICESDIAGNOSTIC TESTING AND IMAGINGPHARMACY SERVICESOMNIA Health PlansAffordable coverage and thecare you need. Choose frommore than 54,000 doctors andspecialists and 87 hospitals in106 convenient locations**Based on physician data as of 8/15/21 and is subject to change.Ded then 50% coin 10 copayDed then 30 copayDed then 50% coin 10 copayDed then 30% coinInpatientDed then 500 per daycopayDed then 50% coinDed then 500 per daycopayDed then 30% coinDed then 50 per daycopayDed then 50% coinDed then 500 per daycopayDed then 30% coinMATERNITY SERVICESDelivery & All Inpatient ServicesOctober 4, 2021Medical Plans // OMNIA Health PlansDental PlansVision PlansQuick Resource GuideBEHAVIORAL HEALTH/SUBSTANCE USE DISORDERDed then 30 copayValue Access Health PlansEnrollment Made EasyHOSPITAL SERVICES 30 copayAdvantage EPO Health PlansPersonal Accident InsuranceEMERGENCY/URGENT MEDICAL SERVICESOutpatientOMNIASM Health PlansAdditional CoverageOUTPATIENT SURGERY SERVICESOffice»Medical PlansAbbreviations: “ded” refers to deductible, “coin” refers to coinsurance, “copay” refers to copayment.1. Away From Home Care Program not available for HSA eligible or BlueCard plans. Out-of-statebenefits available through BlueCard.This document is for informational purposes only and does not constitute a binding agreement.Please note that rates are subject to change. Contact Horizon for the most current rates. Theinformation provided by this document is not intended to replace or modify the terms, conditions,limitations and exclusions contained within health, dental or vision benefit plans issued oradministered by Horizon. In the event of a conflict between the information contained in thisdocument and your plan documents, your plan documents shall control.2022 OVERVIEW INDIVIDUAL & FAMILY INSURANCE COVERAGE
Horizon Advantage EPO Health Plans2022 BENEFITSAdvantage Essentials1Advantage Bronze1Advantage Silver1GENERAL PROVISIONSOut-of-Network CoverageNoNoNoIndividual Deductible 8,700 3,000 2,500Family Deductible 17,400 6,000 5,000Individual Maximum Out-of-Pocket 8,700 8,700 8,100Family Maximum Out-of-Pocket 17,400 17,400 16,200PCP Office Visits & Consultations 0 copay for threevisits then dedDed then 30 copay 30 copaySpecialist Visits & ConsultationsDed then no chargeDed then 50% coin 50 copayVirtual PCP/Specialist VisitDed then no chargeDed then 15 copay 15 copayLab/Radiology FreestandingNo chargeNo chargeNo chargeLab Office VisitNo chargeNo chargeNo chargeRadiology Office VisitNo chargeNo chargeNo chargeLab/Radiology OutpatientDed then no chargeDed then 50% coinDed then 75 copayGeneric DrugsDed then no charge 25 copay (retail) 50 copay (mail order) 15 copay (retail) 30 copay (mail order)Preferred Brand DrugsDed then no chargeDed then 50% coin250% coin3Non-Preferred Brand Drugs &Specialty DrugsDed then no chargeDed then 50% coin250% coin3Both Hospital & Physician/SurgeonDed then no chargeDed then 50% coinDed then 50% coinBoth Ambulatory Surgical Hospital& Physician/SurgeonDed then no chargeDed then 50% coinDed then 50% coinDed then no charge 100 copay & dedthen 50% coin 100 copay & dedthen 50% coinER ProfessionalDed then no chargeDed then 50% coinDed then 50% coinMedical TransportationDed then no chargeDed then 50% coinDed then 50% coinUrgent Care CenterDed then no chargeDed then 50% coin 75 copayOutpatient Hospital & PhysicianDed then no chargeDed then 50% coinDed then 50% coinInpatient HospitalDed then no chargeDed then 50% coinDed then 50% coinPhysician/SurgeonDed then no chargeDed then 50% coinDed then 50% coinHEALTH CARE SERVICESDIAGNOSTIC TESTING AND IMAGINGWhy HorizonHealth Plan BenefitsAdvantage EPO Health PlansAccess to our Managed CareNetwork, with no Primary CareProvider or referrals required.Personal Accident InsuranceInternational Medical CoveragePet InsuranceEnrollment Made EasyQuick Resource GuideHOSPITAL SERVICESDed then no chargeDed then 50% coin 30 copayOutpatientDed then no chargeDed then 50% coinDed then 50% coinInpatientDed then no chargeDed then 50% coinDed then 50% coinDed then no chargeDed then 50% coinDed then 50% coinMATERNITY SERVICESDelivery & All Inpatient ServicesOctober 4, 2021Medical Plans // Advantage EPO Health PlansValue Access Health PlansAdditional CoverageEMERGENCY/URGENT MEDICAL SERVICESOfficeAdvantage EPO Health PlansVision PlansOUTPATIENT SURGERY SERVICESBEHAVIORAL HEALTH/SUBSTANCE USE DISORDER»OMNIASM Health PlansDental PlansPHARMACY SERVICESER HospitalMedical PlansAbbreviations: “ded” refers to deductible, “coin” refers to coinsurance, “copay” refers to copayment.1. Horizon Advantage Plans - selecting a PCP for each person is not required. However, a specialist copayment will apply if you do notselect a PCP or visit your selected PCP.2. 250 max per script for a 1-30 day supply.3. 150 max per script for a 1-30 day supply.This document is for informational purposes only and does not constitute a binding agreement. Please note that rates are subject tochange. Contact Horizon for the most current rates. The information provided by this document is not intended to replace or modify theterms, conditions, limitations and exclusions contained within health, dental or vision benefit plans issued or administered by Horizon.In the event of a conflict between the information contained in this document and your plan documents, your plan documents shallcontrol.2022 OVERVIEW INDIVIDUAL & FAMILY INSURANCE COVERAGE
Horizon Value AccessSM Health Plans2022 BENEFITSValue Access Bronze1Value Access Silver1GENERAL PROVISIONSOut-of-Network CoverageNoNoIndividual Deductible 3,000 2,500Family Deductible 6,000 5,000Individual Maximum Out-of-Pocket 8,700 8,700Family Maximum Out-of-Pocket 17,400 17,400PCP Office Visits & ConsultationsDed then 50% coin 45 copaySpecialist Visits & ConsultationsDed then 50% coinDed then 50% coinVirtual PCP/Specialist VisitDed then 50% coin 15 copayLab/Radiology FreestandingNo chargeNo chargeLab Office VisitNo chargeNo chargeRadiology Office VisitNo chargeNo chargeLab/Radiology OutpatientDed then 50% coinDed then 50% coinGeneric Drugs 25 copay (retail) 50 copay (mail order) 25 copay (retail) 50 copay (mail order)Preferred Brand DrugsDed then 50% coinDed then 50% coinNon-Preferred Brand Drugs &Specialty DrugsDed then 50% coinDed then 50% coinBoth Hospital & Physician/SurgeonDed then 50% coinDed then 50% coinInternational Medical CoverageBoth Ambulatory Surgical Hospital& Physician/SurgeonDed then 50% coinDed then 50% coinPet InsuranceER Hospital 100 copay & ded then 50% coin 100 copay & ded then 50% coinER ProfessionalDed then 50% coinDed then 50% coinMedical TransportationDed then 50% coinDed then 50% coinUrgent Care CenterDed then 50% coinDed then 50% coinOutpatient Hospital & PhysicianDed then 50% coinDed then 50% coinInpatient HospitalDed then 50% coinDed then 50% coinPhysician/SurgeonDed then 50% coinDed then 50% coinHEALTH CARE SERVICESDIAGNOSTIC TESTING AND IMAGINGPHARMACY SERVICESWhy HorizonHealth Plan BenefitsHorizon Value Access Health PlansIntroducing a new plan with accessto local doctors you know andtrust from Atlantic Health System,Hunterdon Healthcare and otherselect providers in Hunterdon,Morris, Sussex and Warren counties.»Advantage EPO Health PlansValue Access Health PlansDental PlansVision PlansPersonal Accident InsuranceEMERGENCY/URGENT MEDICAL SERVICESEnrollment Made EasyQuick Resource GuideHOSPITAL SERVICESBEHAVIORAL HEALTH/SUBSTANCE USE DISORDEROfficeDed then 50% coinDed then 50% coinOutpatientDed then 50% coinDed then 50% coinInpatientDed then 50% coinDed then 50% coinDed then 50% coinDed then 50% coinMATERNITY SERVICESOctober 4, 2021OMNIASM Health PlansAdditional CoverageOUTPATIENT SURGERY SERVICESDelivery & All Inpatient ServicesMedical PlansMedical Plans // Value Access Health PlansAbbreviations: “ded” refers to deductible, “coin” refers to coinsurance, “copay” refers to copayment.1. Value Access Plans - selecting a PCP for each person is required. If you do not visit the PCP you select youwill be responsible for the full cost of the visit.This document is for informational purposes only and does not constitute a binding agreement. Please notethat rates are subject to change. Contact Horizon for the most current rates. The information provided by thisdocument is not intended to replace or modify the terms, conditions, limitations and exclusions containedwithin health, dental or vision benefit plans issued or administered by Horizon. In the event of a conflictbetween the information contained in this document and your plan documents, your plan documents shallcontrol.2022 OVERVIEW INDIVIDUAL & FAMILY INSURANCE COVERAGE
Why HorizonHorizon Dental PlansHealth Plan BenefitsWe have affordable dental plans for you and your family.Adding a dental plan to your medical coverage makes great sense, because keeping your medical and dental recordstogether gives doctors and other health professionals better insight to treat you. With these plans, you have access tocleanings and oral exams, X-rays and savings for services such as crowns, fillings, root canals and more.The Horizon Young Grins Plan emphasizes prevention and early intervention throughroutine oral screenings, evaluations and cosmetic orthodontia, all to help keep thoseyoung grins healthy and looking their best.Horizon also offers these individual and family dental options:Horizon Family Grins andHorizon FamilyGrins PlusThe Horizon Family Grins Plan offers the same quality pediatric coverage as HorizonYoung Grins, along with dental coverage for parents or guardians. Horizon FamilyGrins Plus adds out-of-network1 coverage for members over age 19. Each plan offerscoverage for cosmetic orthodontia as well.Horizon Healthy Smilesand Horizon HealthySmiles PlusThe Horizon Healthy Smiles Plans offer comprehensive coverage. No out-of-networkbenefits are included. Healthy Smiles Plus provides access to the most expansiveHorizon dental network available.Horizon IndividualThe Horizon Individual Plan provides 100% coverage for preventive, diagnostic andmost basic services with no deductible, copayments or maximums. Coverage for majorservices is available at a specified coinsurance amount. Your selected primary caredentist will coordinate all your dental care, including referrals to specialists if necessary.Horizon CenturionThe Horizon Centurion Plan provides on average a 30% discount on all services with nodeductible or maximums, no referrals or claim forms, no exclusions and no waiting.1. Out-of-network doctors and other health care professionals can bill you for the difference between the charges Horizon has agreed to pay and the actual charge for the service.October 4, 2021Dental PlansOMNIASM Health PlansAdvantage EPO Health PlansValue Access Health Plans» Dental PlansCovering a child under age 19?Horizon Young GrinsMedical Plans2022 OVERVIEW INDIVIDUAL & FAMILY INSURANCE COVERAGEVision PlansAdditional CoveragePersonal Accident InsuranceInternational Medical CoveragePet InsuranceEnrollment Made EasyQuick Resource Guide
Dental Plan Guide2022 Plan DetailsHorizon Young GrinsHorizon Family GrinsHorizon Family Grins PlusCoverage forUnder Age 19Under Age 19Age 19 and OverUnder Age 19Age 19 and Over INN1Age 19 and Over OON2ACA CompliantYesYesYesYesYesYesBenefit Waiting Periods ApplyNoNoNoNoNoNoParticipating Office Locations13,000 in NJ / 376,000nationwide13,000 in NJ / 376,000nationwide10,000 in NJ, NY, DE andPA13,000 in NJ / 376,000nationwide8,000 in NJ / 329,000nationwiden/aAnnual MaximumNoneNoneNoneNone 1,500 1,500Deductible 25/ 100/ 2003 25/ 100/ 2003None 25/ 100/ 2003 50/ 150 50/ 150BENEFIT PERIOD MAXIMUM OUT-OF-POCKET (BASIC, MAJOR & MEDICALLY NECESSARY ORTHODONTIA) 375 375n/a 375n/an/aFamily 750 750n/a 750n/an/aProphylaxis – Cleaning3 times/year100% after deductible3 times/year100% after deductible3 times/year100%3 times/year100% after deductible3 times/year100%3 times/year100%Sealant100% after deductible100% after deductibleNot covered100% after deductibleNot coveredNot coveredFluoride100% after deductible100% after deductibleNot covered100% after deductibleNot coveredNot coveredOral Exam100% after deductible100% after deductible100%100% after deductible100%100%X-Rays100% after deductible100% after deductible100%100% after deductible100%100%Preventive/Diagnostic (Class I)Basic (Class II) and Major (Class III)Medical PlansAdvantage EPO Health PlansValue Access Health Plans» Dental PlansVision PlansAdditional CoveragePersonal Accident InsuranceRestorativeAmalgam Fillings80% after deductible80% after deductibleDiscount80% after deductible80% after deductible80% after deductibleComposite Fillings80% after deductible80% after deductibleDiscount80% after deductible80% after deductible80% after deductibleCrowns/Inlays/Onlays50% after deductible50% after deductibleDiscount50% after deductible50% after deductible50% after deductible80% after deductible80% after deductibleDiscount80% after deductible80% after deductible80% after deductiblePeriodontal Scaling & Root Planing80% after deductible80% after deductibleDiscount80% after deductible80% after deductible80% after deductiblePeriodontal Maintenance80% after deductible80% after deductibleDiscount80% after deductible80% after deductible80% after deductibleBridges50% after deductible50% after deductibleDiscount50% after deductible50% after deductible50% after deductibleDentures50% after deductible50% after deductibleDiscount50% after deductible50% after deductible50% after deductible80% after deductible80% after deductibleDiscount80% after deductible80% after deductible80% after deductibleOrthodontic Medical NecessityCovered 50%Covered 50%Not coveredCovered 50%Not coveredNot coveredCosmetic OrthodontiaCovered 50%Covered 50%Not coveredCovered 50%Not coveredNot coveredOrthodontic Lifetime Maximum (Cosmetic) 2,000 2,000Not covered 2,000Not coveredNot coveredEndodonticsPeriodonticsProsthodonticsOral SurgeryNonsurgical & Surgical Extraction of TeethHealth Plan BenefitsOMNIASM Health PlansIndividualRoot CanalsWhy HorizonOrthodontics1. In-network. 2. Out-of-network doctors and other health care professionals can bill you for the difference between the charges Horizon has agreed to pay and the actual charge for the service.3. 25/ 100/ 200 - 25 per person applies to Preventive/Diagnostic (Class I). 100 individual/ 200 family applies to Basic (Class II) and Major (Class III) services.October 4, 2021Dental Plans2022 OVERVIEW INDIVIDUAL & FAMILY INSURANCE COVERAGEInternational Medical CoveragePet InsuranceEnrollment Made EasyQuick Resource Guide
Dental Plan Guide2022 Plan DetailsHorizon Healthy SmilesHorizon Healthy Smiles PlusHorizon CenturionHorizon IndividualCoverage forChildren and AdultsChildren and AdultsChildren and AdultsChildren and AdultsACA CompliantNoNoNoNoBenefit Waiting Periods ApplyYesYesNoNoParticipating Office Locations8,000 in NJ / 329,000 nationwide13,000 in NJ / 376,000 nationwide10,000 in NJ, NY, DE and PA2,000 in NJAnnual Maximum 1,000 1,000NoneNoneDeductible 50/ 150 50/ 150Preventive/Diagnostic (Class I)Option 1Option 2Option 1Option 2Prophylaxis – Cleaning1 every 6 months 100%1 every 6 months 80%1 every 6 months 100%1 every 6 months 80%1 every 6 monthsDiscount1 every 6 months 100%Advantage EPO Health 80%100%80%Discount100%Value Access Health PlansOral Discount100%11Why HorizonHealth Plan BenefitsMedical PlansOMNIASM Health PlansBasic (Class II) and Major (Class III)» Dental PlansVision PlansRestorativeAmalgam Fillings80% after deductible50% after deductible80% after deductible50% after deductibleDiscount100%Composite Fillings80% after deductible50% after deductible80% after deductible50% after deductibleDiscount100%Crowns/Inlays/Onlays50% after deductible50% after deductible50% after deductible50% after deductible
SM Health Plans Advantage EPO Health Plans Value Access Health Plans Dental Plans Vision Plans Additional Coverage Personal Accident Insurance International Medical Coverage Pet Insurance Enrollment Made Easy Quick Resource Guide At Horizon, we're guiding members to achieve their best health. Call 1-800-224-1234 Visit HorizonBlue.com Why .
Feb 19, 2022 · Miami-Dade County Daily Covid-19 Hospital Report Category 02/05/2022 02/06/2022 02/07/2022 02/08/2022 02/09/2022 02/10/2022 02/11/2022 02/12/2022 02/13/2022 02/14/2022 02/15/2022 02/16/2022 02/17/2022 02/18/2022 Beds Acute Care Beds Beds that may be converted to Acute Care Beds IC
National Bank of the Republic of North Macedonia Statistics Department Skopje, 31 January 2023 Press Release Significant developments in interest rates of banks and savings houses1: . 12.2021 1.2022 2.2022 3.2022 4.2022 5.2022 6.2022 7.2022 8.2022 9.2022 10.2022 11.2022 12.2022 in % on annual level
Kaiser Gold 80 HMO 500/30 2020 Kaiser Silver 70 HMO 1650/55 2020 500 individual / 1,000 family 1,650 individual / 3,300 family 350 individual / 700 family (Brand/ Deductible: Individual / Family N / A 7,000 individual / 14,000 family 7,800 individual / 15,600 family Office Visits 30
Catan Family 3 4 4 Checkers Family 2 2 2 Cherry Picking Family 2 6 3 Cinco Linko Family 2 4 4 . Lost Cities Family 2 2 2 Love Letter Family 2 4 4 Machi Koro Family 2 4 4 Magic Maze Family 1 8 4 4. . Top Gun Strategy Game Family 2 4 2 Tri-Ominos Family 2 6 3,4 Trivial Pursuit: Family Edition Family 2 36 4
Swansea Epic Trail 10K 2022 Participants EventName RaceNumber Firstname Lastname Swansea Epic Trail 10K 2022 1 Waleed Abalkhil Swansea Epic Trail 10K 2022 2 Christopher Adams Swansea Epic Trail 10K 2022 3 Emily Adams Swansea Epic Trail 10K 2022 4 Rhys Adams Swansea Epic Trail 10K 2022 5 suzanne Adams Swansea Epic Trail 10K 2022 6 Thomas Addison Swansea Epic Trail 10K 2022 7 Scott Addison-Evans
C21 Intro PC Applications. 3 06/13/2022. 07/23/2022 CCCONLINE. STAFF 11127. CIS 1035. C11 Complete Word Processing. 3 05/31/2022. 08/06/2022 CCCONLINE. STAFF 11030. CIS 1045. C21 Intro to Desktop Database. 3 06/13/2022. 07/23/2022 CCCONLINE. STAFF 11031. CIS 1055. C21 Complete Spreadsheets. 3 06/13/2022. 07/23/2022 CCCONLINE. STAFF 11208. CIS .
A. Family Office Detailed Background Data B. Family Office Investment Objectives and Asset Management C. Family Office Risk and Return Measurements D. Family Office Governance E. Family Office Documentation F. Family Office Processes G. Family Office Communications H. Family Office Human Resources Practices I. Family Office Education and .
Story – Talk of the Block Family SV, “Kim and the Kids,” pg 9-10 Volunteer’s family pictures (if possible) Family worksheet (see below) Activity Ideas: Family tree: T introduces family by talking about own family and drawing a very simplified family tree on the board using the family vocabulary words (see above). Feel free to bring
