Horizon BCBS PPO Insurance for Behavioral Health Services

Horizon BCBS PPO insurance offers a wide range of behavioral health services to its members.

These services include inpatient and outpatient treatment for mental health and substance abuse issues. Members can receive care from a network of licensed therapists, psychiatrists, and addiction specialists.

Horizon BCBS PPO members can access behavioral health services through a variety of channels, including primary care physician referrals, online therapy platforms, and in-person sessions at a network provider's office.

As a Horizon BCBSNJ member, it's essential to understand your benefits and requirements. You'll enjoy a greater level of coverage when using BlueCard PPO network providers.

Your in-and-out-of-network benefits vary depending on your group medical benefits. Members should check with their employer or contact the Horizon BCBSNJ service line for additional information about their benefits.

With Horizon BCBSNJ, you can enjoy easy service with no hassles. Members don't have to file claim forms or deal with a lot of paperwork, as BlueCard PPO providers take care of all the paperwork for them.

Horizon BCBSNJ offers toll-free customer service, available Monday through Friday, with specific hours depending on the day: 8 a.m. to 6 p.m. on Monday, Tuesday, Wednesday, and Friday, and 9 a.m. to 6 p.m. on Thursday, all Eastern Time.

With BlueCard PPO, members don't need to select a Primary Care Physician. This means you can access any network doctor or hospital at any time without having to choose a primary care provider.

You can visit any specialist you need without a referral. This is convenient because you can get the care you need when you need it, without having to go through a primary care physician first.

All you need to do is find a doctor or hospital in the network, and you'll enjoy the in-network level of benefits. This includes coverage for services like lab tests, surgeries, and hospital stays.

If you need to see a specialist outside of the network, you can still get coverage, but it will be at the out-of-network level. This means you'll pay a bit more, but you'll still be covered.

Horizon BCBSNJ handles all the paperwork for you, so you won't have to deal with claim forms or other administrative tasks.

Jersey Special Programs are a great way to stay healthy and save money on your health insurance. Horizon Blue Cross Blue Shield of New Jersey offers several special programs to help you achieve your health goals.

Gym reimbursement is one of the most popular programs, allowing you to get reimbursed for your gym membership fees. This can be a great motivator to exercise regularly and improve your overall health.

Prevention and Wellness is another program that focuses on preventing illnesses and managing chronic conditions. By taking proactive steps, you can reduce your risk of developing serious health problems.

Horizon Blue Cross Blue Shield of New Jersey also offers Utilization Management to help you make informed decisions about your healthcare. This program provides guidance on the most effective treatments and services to ensure you receive the best care possible.

Disease Management Solutions is designed to help you manage chronic conditions, such as diabetes and heart disease. By working with a team of healthcare professionals, you can learn how to manage your condition and improve your overall health.

Personal Health/Care Management is a program that helps you navigate the healthcare system and make informed decisions about your care. This can be especially helpful if you have a complex medical condition or are caring for a loved one.

Advanced Illness Services is a program that provides support and guidance for individuals with serious illnesses. This can include help with end-of-life care and navigating the healthcare system.

Here are some of the special programs offered by Horizon Blue Cross Blue Shield of New Jersey:

Horizon BCBSNJ offers mental health benefits for all members, including coverage for care management services for those with substance use disorder and other mental health needs.

Almost 50% of individuals living with substance use disorder also have other mental health disorders, such as anxiety, depression, and/or post-traumatic stress disorder (PTSD).

Horizon BCBSNJ members who use this benefit are assigned a Care Manager who will coordinate their care, help them build relationships, and assist them with anything they may need to support their recovery.

The Affordable Care Act (ACA) lists treatment for substance use disorders as an essential health benefit and mandates coverage for most substance use disorders treatments.

Horizon BCBSNJ plans vary in terms of monthly premiums, deductibles, and the amount of coverage provided for medical treatment, so out-of-pocket expenses and coverage for rehab will vary depending on several factors.

Horizon BCBSNJ also offers comprehensive behavioral health support and can help connect you with care and treatment programs for substance use disorders, but some behavioral health services may require prior authorization.

Addiction treatment is a personalized process that takes into account the unique situation of each individual. Medical detox is one type of treatment that uses prescription medications to help patients withdraw from drugs and alcohol safely and comfortably.

There are several types of addiction treatment, and Horizon BCBSNJ may cover some or all of the costs. Inpatient rehab is a residential program where patients live at the treatment facility and receive 24/7 care and support from trained staff.

Outpatient treatment allows patients to live at home while attending treatment at a facility during the day. This can be a good option for those who need to balance work, family, or other responsibilities with their treatment.

Intensive outpatient programs (IOPs) are more time-intensive than traditional outpatient programs, with patients attending treatment several days a week for 3-4 hours each day. Partial hospitalization programs (PHPs) are similar in structure to inpatient programs but allow patients to live at home while attending treatment 5 days a week for 4-6 hours each day.

Aftercare treatment programs provide ongoing support to those who have completed another program, helping to prevent relapse and support ongoing recovery.

Here are the core types of addiction treatment that Horizon BCBSNJ may cover:

If you're looking for rehab centers that accept Horizon Blue Cross Blue Shield of New Jersey, you're in luck. American Addiction Centers has several facilities that are part of their network.

AdCare Rhode Island is one of these facilities, located in Rhode Island and providing high-quality, evidence-based addiction treatment in a supportive environment.

Desert Hope Treatment Center is another option, located in sunny Las Vegas and offering a high level of care and individualized treatment plans to help address addiction and co-occurring mental health disorders.

Greenhouse Treatment Center, located in Dallas, Texas, provides a wide variety of addiction treatment services and individualized treatment plans for people with addiction and co-occurring mental health disorders.

Laguna Treatment Center, located in Orange County, California, provides high-quality addiction treatment and care in a supportive environment with staff available around the clock.

Oxford Treatment Center, located in Etta, Mississippi, provides high-quality drug and alcohol addiction treatment in a serene environment.

River Oaks Treatment Center, located in Riverview, Florida, has advanced accreditations and professional staff who provide the highest level of care.

Here are some of the rehab centers that accept Horizon BCBSNJ insurance: