Horizon BCBS Omnia Silver Insurance Benefits and Coverage

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With Horizon BCBS Omnia Silver, you can enjoy comprehensive coverage for your medical needs. This plan has a low deductible of $1,500 for individuals and $3,000 for families, which means you'll pay less out-of-pocket for doctor visits and hospital stays.

The plan covers a wide range of services, including primary care visits, specialist visits, lab tests, and hospital stays. You'll also have access to preventive care services, such as annual physicals and cancer screenings, with no out-of-pocket costs.

This plan also offers a generous prescription drug coverage, with a $10 copay for generic medications and a $30 copay for brand-name medications. You'll also have access to a network of pharmacies and mail-order prescription services.

With Horizon BCBS Omnia Silver, you'll have peace of mind knowing you're protected against unexpected medical expenses.

Horizon BCBS Omnia Silver Overview

Horizon BCBS Omnia Silver plans were released on January 1, 2016, with the goal of providing lower priced plans for consumers while encouraging quality of care from participating providers.

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These plans use a Tiered network structure, with all "Omnia" providers falling into Tier 1, and all other participating providers falling into Tier 2.

Tier 1 providers have lower out-of-pocket costs for consumers compared to Tier 2 providers. The Omnia plans aim to lower re-admissions to the hospital, infections, and other costly issues through quality of care.

The Omnia network is identical to the Horizon Managed care network, so if you have an HMO, Advantage, POS, or EPO, your list of participating providers should be the same as someone with an Omnia plan.

Each Tier has different benefits, with Tier 1 being lower out-of-pocket costs for consumers than Tier 2.

Intriguing read: Horizon Bcbs Omnia

Frequently Asked Questions

Is Horizon Omnia the same as Blue Cross Blue Shield?

Horizon OMNIA is a specific health plan offered by Horizon Blue Cross Blue Shield of New Jersey, not a direct equivalent to Blue Cross Blue Shield. It's a unique plan with its own network and benefits, designed to provide cost savings for members who use in-network OMNIA doctors and hospitals.

What is the deductible for Omnia Silver Plan?

For OMNIA Tier 1 providers, the deductible is $2,500 for individuals and $5,000 for families. For Tier 2 providers, the deductible is $2,500 for individuals and $5,000 for families.

What type of plan is Omnia Silver?

The OMNIA Silver Value Plan is a non-HSA Silver plan with a mid-level premium and out-of-pocket costs. It offers a balance of affordability and coverage, with potential subsidies available to further reduce costs.

What is Omnia BCBS?

Omnia BCBS is a two-tiered health plan offered by Horizon Blue Cross Blue Shield of New Jersey, providing lower costs for in-network care with designated Tier 1 doctors and hospitals

Matthew McKenzie

Lead Writer

Matthew McKenzie is a seasoned writer with a passion for finance and technology. He has honed his skills in crafting engaging content that educates and informs readers on various topics related to the stock market. Matthew's expertise lies in breaking down complex concepts into easily digestible information, making him a sought-after writer in the finance niche.

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