Special Needs Plan (Medicare Advantage) · HMO D-SNP · Plan ID H8298-001
Horizon NJ TotalCare (HMO D-SNP)
Offered by Horizon Blue Cross Blue Shield of New Jersey (Horizon Mutual Holdings, Inc) · available in 21 counties in NJ
Only for people who have both Medicare and Medicaid.
Monthly premium$36.30health + drug coverage
Yearly out-of-pocket max$9,850in network
Drug deductible$700Defined Standard
Star Rating★★★★ 4 out of 52027 CMS rating
Extra benefits listed in the CMS file
| Over-the-counter items | $305 per month allowance |
|---|---|
| Fitness | Fitness benefit (gym membership or program) |
| Meals | Meal benefit (usually after a hospital stay or for a qualifying condition) |
Allowances and limits come from the plan's filing with CMS and are simplified here. Some benefits are only for members with certain chronic conditions. The plan's Evidence of Coverage is the final word.
Check the details that matter most
- Is my doctor in the network? (plan's provider directory)
- Are my prescriptions covered? (plan's drug list)
- Is my pharmacy in the network?
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- See this plan on Medicare.gov, where you can add your prescriptions and compare estimated yearly costs.
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