Described as: "Get up to $150 back when you join an eligible gym or participate in a virtual fitness app and work out regularly. PDF File is in portable document format (PDF). Links marked with an (external site) icon indicate you're leaving ExcellusBCBS.com. Our specially trained registered nurses can provide support and education for members with chronic or complex health conditions or answers to more general health questions. Please note: Blue Cross and Blue Shield of Minnesota has developed reimbursement policies to provide ready access and general guidance on payment methodologies for medical, surgical and behavioral health services.Coding and reimbursement processes are subject to all terms of the Provider Service Agreement as well as changes, updates and other requirements of coding rules and guidelines. All codes are also subject to federal HIPAA rules, and in the case of medical code sets (HCPCS . Our Customer Care teams live and work in your community. Blue Cross has developed reimbursement policies to provide ready access to coding and reimbursement information, subject to all terms of the Provider Service Agreement as well as changes, updates and other requirements of coding rules and guidelines. Go to the nearest hospital in an emergency. Newark, NJ 07101-1609. Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. The Illinois Long Term Care Ombudsman Program, An appointment with another health care provider, One (1) eye exam every 12 months per member, Every two (2) years for member age 21 and older, Replaced "as needed" for members under 21, Additional reimbursement toward a pair of upgraded eyeglass frames, Cosmetic surgery or treatment that are not medically necessary, Procedures that are still being tested or experimental, Drugs and supplies without a prescription, Services in an emergency room for health issues that are not emergencies. (TTY/TDD: 711) To learn more about Prior Authorizations, visit the Prior Authorization page. Additional workplace benefits . Health savings accounts Health reimbursement accounts. To ensure you have the best experience, we recommend using the latest versions of these supported browsers below. Hospital Inpatient Services and Ambulatory Services. Plan coverage may vary. External links open in new windows to websites Blue Cross and Blue Shield of Louisiana does not control. To view this file, you may need to install a PDF reader program. So, I have independence blue cross blue shield (work for a major national media company) and they do reimbursements thru a program on BCBS. The site may also contain non-Medicare related information. Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey, Horizon Insurance Company, Horizon Healthcare of New Jersey, Braven Health, and/or Horizon Healthcare Dental, Inc., each an independent licensee of the Blue Cross Blue Shield Association. To get these fitness and meal deals, log in to your member account and select Member Discounts with Blue365 at the bottom of the page. You can also fill a prescription while traveling, using our National Pharmacy Network. Our Customer Care teams live and work in your community. The call is free. The $400 reimbursement and any amounts paid out-of-pocket for health club reimbursement do not count toward your maximum out . Get 30% off virtual yoga, fitness and meditation courses. Yes, under certain circumstances, a Prior Authorization is required for non-covered benefits. Good thing, because look what you can save on: Cardiovascular and strength-training equipment for fitness that is purchased for use in the home, such as stationary bikes, weights, exercise bands, treadmills, fitness machines. We have been providing health care coverage for more than 80 years and will be there for you when you need us. 100% of hospitals and 99% of doctors in our area accept our plans. This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jerseys Health Insurance Marketplace. Easy Enrollment. One option is Adobe Reader which has a built-in reader. With the ExerciseRewards Program subscribers and their spouse or domestic partner can receive up to $600 a year to help pay for their fitness facility memberships. Horizon Blue Cross Blue Shield of New Jersey. 2022Horizon Blue Cross Blue Shield of New Jersey, Three Penn Plaza East, Newark, New Jersey 07105. Weve got you covered. Component Title: Answers at Your Fingertips. to check your benefits booklet or speak to your benefits administrator to determine if this benefit applies to your coverage . Power 2022 award information, visit jdpower.com/awards. This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey's Health Insurance Marketplace. Blue Cross Blue Shield does reimburse some members for their gym membership and some group fitness classes like yoga, pilates, spin, and more. Box 1609. They are passionate about serving our members. Limited to spinal manipulation for subluxation of the spine. Some services need approval from your health plan before you get treated. All rights reserved. Some special benefits include: The table below contains someof the services covered under your BCCHP plan. Please click Continue to leave this website. Choose . The Blue Cross and Blue Shield name and symbols are registered marks of the Blue Cross Blue Shield Association. As a Blue Cross Community Health Plans member, you have access to medical, dental, vision, behavioral health, prescription drug coverage and more. Blue Cross and Blue Shield is one of the most trusted names in the world. 1-877-860-2837 We have been providing health care coverage for more than 80 years and will be there for you when you need us. Sign in to MyBlue and check your plan details. Well exam must be done by your Primary Care Provider (PCP) or Womens Health Care Provider (WHCP). Find a plan that works in your service area. Blue Cross and Blue Shield is one of the most trusted names in the world. Our reimbursement process is quick, easy, and online. Please note that these forms are to be used by Federal Employee Program Members only, Referral Requirements for Services Not Related to COVID-19, Pre-Certification/Prior Authorization requirements for Post-Acute Facility Admissions, Telemedicine Cost Share Waiver for Non-COVID-19-Related Services to End, Telemedicine Cost Share Waiver for Non-COVID-19-Related Services to End for Self-Insured Health Plans, Submitting Pharmacy Claims for COVID-19 Vaccinations, Reminder: Select one method for COVID-19 and Influenza Testing, Antibody testing: FDA and CDC do not recommend use to determine immunity, June 2021 Updates: COVID-19 treatment cost share waiver, Reminder: Use correct codes when evaluating for COVID-19, Submitting claims for COVID-19 vaccines delivered in non-traditional medical settings, For Essential Workers, COVID-19 Treatment Covered Under Workers Compensation Benefits, COVID-19 vaccine administration reimbursement at UCCs, COVID-19 vaccines will be covered at 100%, Reminder to use specific codes when evaluating for COVID-19, COVID-19 Update: Telemedicine Reimbursement Policy Addenda, Join a Horizon BCBSNJ or Horizon NJ Health Network (Physicians and Other Healthcare Professionals ), Join the Horizon BCBSNJ Network (Ancillary Providers), Join the Horizon NJ Health Network (Ancillary Providers), Blue Cross and Blue Shield of Minnesota: New PA requirement for Nusinersen (Spinraza), Blue Cross Blue Shield of Massachusetts: BCBSMA High Tech Radiology and Sleep UM Programs, Arkansas BlueCross BlueShield: AIM Medical Oncology Program to be Implemented for Tyson Foods Enrollees, Arkansas BlueCross BlueShield: Six specialty medications to need prior approval beginning April 2018, Blue Cross Blue Shield of Massachusetts: Radiology and Sleep Apnea Program Expansion, Blue Cross Blue Shield of Minnesota: Implementation of a Medical Drug Exclusions List, BlueCard Medical Policy/Pre-Certification Info, Braven Health Electronic Data Interchange (EDI), Horizon BCBSNJ Electronic Data Interchange (EDI), Cardiology Imaging Program Provider Questions and Answers, Medical Information Requirements for Programs Administered by eviCore, Medical Necessity Determination (MND) Review of Molecular and Genomic Diagnostic Testing Services Frequently Asked Questions, Molecular and Genomic Testing Procedure Codes, Musculoskeletal Program for Pain Management Services, Radiation Therapy Program Questions and Answers, Cardiology & Radiology Imaging Procedure Codes, Codes Considered Inclusive to an Imaging Service, Maternal Fetal Medicine Evaluation Coding, Radiology/Imaging Guidelines for Emergency Room Preliminary Reads (Wet Reads), Radiology/Imaging Program Guidelines for Use of Modifier 59, Correct Coding Rules Bank for Radiology, Cardiology and Ultrasound Services, Code Pairs Added to this List Effective January 1, 2022, Code Pairs Removed from this List Effective December 31, 2021, Code Bundling Rules for Radiology, Cardiology and Ultrasound Services, Prior Authorization/Pre-Service Registration, Medical Injectables Program Provider Questions and Answers, Specialty Pharmaceuticals for Office Administration, Medicare Advantage Network Plans Overview, Braven Health℠ Plans(Medicare Advantage), New Jersey Infection Prevention Partnership, Remote Patient Monitoring for COPD Provided by HGE Health, How Risk Adjustment Benefits You and Your Patients, Referral Process Using the Interactive Voice Response System, Effective use of the Interactive Voice Response System, Surgical and Implantable Device Management Program, About the Surgical and Implantable Device Management Program, Surgical and Implantable Device Management Program for Cardiac Surgeries Frequently Asked Questions Updated: March 25, 2021, Surgical and Implantable Device Management Program Orthopedic Services Frequently Asked Questions, Using Out-of-Network Providers in Surgical Services, Eligible Laboratory Procedures Rendered by a Practice, CMS Audits to Validate Directory Information, Initiating Demographic Updates: Participating Providers, Supporting Documentation Requirements for Practice-level Demographic Updates, Supporting Documentation Requirements for Practitioner Demographic Updates, Supporting Documentation for Ancillary Provider Demographic Updates, Initiating Demographic Updates: Nonparticipating Providers, Time Limits for Filing Inquiries/Complaints, Appeals of Non-Utilization Management Determinations, Appeals of Utilization Management/Medical Management Determinations, Appeals of Post Service Medical Necessity Determinations, Allowable Practice Locations for Pathologists, Appointment Availability Access Standards for Primary Care-Type Providers, ObGyns, Specialists and Behavioral Health Providers, Credentialing and Recredentialing Policy for Ancillary and Managed Long Term Support Service (MLTSS) Providers, Credentialing and Recredentialing Policy for Participating Physicians and Healthcare Professionals, Diagnostic Imaging Privileging by Participating Provider Practice Specialty, EDI and NaviNet Claims Submission Requirement, Material Adverse Change (MAC) Notification Policy, Outlier Audit Programs: Post Payment and Pre-Payment, Physician and Healthcare Professional Counseling and Termination Policy - Professional Competency, Participation Status in Products that Utilize Tiering and/or Subset of an Existing Horizon Network, Practitioner Office Site Quality and Medical/Behavioral Health Record Keeping Standards, Provider Outlier Program Frequently Asked Questions, SHBP/SEHBP Inpatient Readmission Reimbursement, Standards for All Types of Medical and Dental Diagnostic Radiology and Imaging Facilities, Use of Horizon Hospital Network Performance Data, Add-on Payment for COVID-19 Diagnostic Testing Run on High Throughput Technology (U0005), Ambulatory Electrocardiographic Monitoring, Bariatric Surgery Billed With Hiatal Hernia Repair, Billing Guidelines for Maternity Services, Cardiovascular Implant Device Monitoring Services, Claims Requiring Additional Documentation, Continuous Positive Airway Pressure or Bi-level Positive airway Pressure (CPAP/BiPAP) Supplies, COVID-19 Testing and Testing Related Services, Daily Management of Epidural or Subarachnoid Continuous Drug Administration, Daily Maximum Units for Surgical Pathology and Microscopic Examination, Distinct Procedural Service Modifiers (59, XE, XP, XS, XU), Duplicate Claim Logic for Independent Laboratory Services, Evaluation and Management Services with Chiropractic Manipulative Treatment, Evaluation and Management Services with Osteopathic Manipulative Treatment, Evaluation and Management Services billed with Global Radiology, Stress Test, Stress Echo, Myocardial Profusion Imaging, Frequency of Care Coordination Services and ESRD Procedures, Horizon Fee Schedule Updates based on Third Party Sources, Hospital Non-Patient Laboratory Services Sample Fees, Laser Treatment of Psoriasis or Parapsoriasis, Medicare Advantage Hospital Sequestration Reimbursement, Mutually and Non-Mutually Exclusive NCCI Supplemental Edits, Outpatient Facility Code Edits: Bundling and Revenue Codes, Lab codes when billed with other services, Outpatient Laboratory Claims: Referring Practitioner Required, Physician Extenders Non-Surgical Services, Pre-Payment Documentation Requests: Facility Claims, Post Payment Documentation Requests: Facility Claims, Pulmonary Diagnostic Procedures when billed with E&M Codes, Reimbursement and Billing Guidelines for Anesthesia Claims, Removal of Impacted Cerumen Requiring Instrumentation, Screening and Diagnostic Mammography & 3D Tomosynthesis, Telemedicine Services Reimbursement Policy: Temporary Addendum for Horizon BCBSNJ Commercial/ASO plans and products, Telemedicine Services Reimbursement Policy: Temporary Addendum for Horizon Medicare Advantage, Urinalysis with Evaluation and Management (E&M) Services, Prior Authorization Procedure Search Tool, Consumer Assessment of Healthcare Providers and Systems (CAHPS), Focusing on Your Horizon and Braven Health Patients Experience: Tools to Help You, Discussion Checklist for CAHPS and HOS Surveys, HEDIS Measure Guidelines for Behavioral Health Providers, Follow-Up Care for Children Prescribed ADHD Medication (ADD), Antidepressant Medication Management (AMM), Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM), Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP), Follow-Up After Emergency Department Visit for Substance Use (FUA), Follow-Up After Hospitalization for Mental Illness (FUH), Follow-Up After High-Intensity Care for Substance Use Disorder (FUI), Follow-Up After Emergency Department Visit for Mental Illness (FUM), Initiation and Engagement of Substance Use Disorder Dependence Treatment (IET), Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA), Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD), HEDIS Measurement Year (MY) 2022 Provider Tips for Optimizing HEDIS Results, Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA), Adults Access to Preventive/Ambulatory Health Services (AAP), Antibiotic Utilization for Respiratory Conditions (AXR), Appropriate Testing for Children with Pharyngitis (CWP), Appropriate Treatment for Upper Respiratory Infection (URI), Avoidance of Antibiotic Treatment for Acute Bronchitis/ Bronchiolitis (AAB), Blood Pressure Control for Patients With Diabetes (BPD), Cardiovascular Monitoring for People With Cardiovascular Disease and Schizophrenia (SMC), Child and Adolescent Well-Care Visits (WCV), Deprescribing of Benzodiazepines in Older Adults (DBO), Diabetes Monitoring for People With Diabetes and Schizophrenia (SMD), Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD), Eye Exam for Patients With Diabetes (EED), Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA), Follow-Up After High- Intensity Care for Substance Use Disorder (FUI), Hemoglobin A1c Control for Patients With Diabetes (HBD), Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET), Kidney Health Evaluation for Patients with Diabetes (KED), Osteoporosis Management in Women Who Had a Fracture (OMW), Osteoporosis Screening in Older Women (OSW), Persistence of Beta- Blocker Treatment After a Heart Attack (PBH), Pharmacotherapy Management of COPD Exacerbation (PCE), Statin Therapy for Patients with Cardiovascular Disease (SPC), Statin Therapy for Patients with Diabetes (SPD), Use of Imaging Studies for Low Back Pain (LBP), Use of Opioids from Multiple Providers (UOP), Use of Spirometry Testing in the Assessment and Diagnosis of COPD (SPR), Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC), Well-Child Visits in the First 30 Months of Life (W30), Policies, Procedures and General Guidelines, Programs Administered by eviCore healthcare, Participating Physician and Other Health Care Professional Office Manual, Behavioral Health Network Specialist Assignments, Eligibility and Benefits Cost Share Estimator, Womens Health Results and Recognition Program, Provider Guidelines: Non-Standard (Medical Record) Supplemental Data for HEDIS Gap Closure, How to Submit Supplemental Data to Horizon, Health Outcomes Survey: How You Can Drive Results, Radiation Therapy Medical Necessity Determination, Treat Knee, Back, and Hip Pain with Orthotic Device that Helps Avoid Invasive Procedures, Horizon Neighbors in Health Program Supports Struggling Families, Bariatric Surgery Value-Based Program Helps Members with Weight Loss, Dental Providers Benefit from Dedicated Horizon Liaisons, Connecting with parents on the importance of early childhood health screenings and vaccinations, Episodes of Care Program Gives Cancer Patients the Care They Need, HealthSphere gives a behavioral health provider the full patient view, Home-Delivered Meals Help Braven Health℠ Patients, Horizon Neighbors in Health Program Helps At-Risk Members in Camden, How a value-based primary care provider helps the New Jersey Vaccination Program, Improving Health Equity through Increased Access to Prenatal Care Across New Jersey, Making Pathways in Innovating and Advancing Maternal Health, Pharmacy Collaboration leads to better patient outcomes and cost savings, Providing Innovative Cancer Care - Expanding Episodes of Care, Telehealth after COVID-19 Many doctors agree it's here to stay, Value-based care -- transforming health care with better collaboration and improved health outcomes, When planning, collaboration and crisis merge - a medical practice's successful response to COVID-19, Applicable Products:Commercial PPO/EPO &Exchange POS/EPO, Applicable Products: Commercial HMO & POS, Claims Payment Policies and Other Information. 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These supported browsers below calling ( 888 ) 242-2060, Monday through Friday, 8 8 Benefits and services that are not covered include: use our Provider Finder search Service area 24/7 Nurseline: if you have questions, our nurses have answers privacy Table below contains someof the services covered under your BCCHP plan taking the stairs rules and Https: //www.bluecrossmn.com/providers/reimbursement-policies '' > < /a > Easy Enrollment federal HIPAA rules, and in the site Accessing may not be provided by Excellus BCBS offers different incentive programs to keep you healthy 2022horizon Blue Cross Blue 'Re accessing may not be provided by Excellus BCBS applies to your coverage than 80 years and will be for More than 80 years and will be there for you when you need us off Travel in the current site, click Cancel also enroll by phone by calling 888 //Www.Horizonblue.Com/Providers/Policies-Procedures/Policies/Reimbursement-Policies-Guidelines '' > Health Insurance Marketplace members of participating Blue Cross Blue Shield of New Jersey and not Insurance Marketplace at get covered NJ or Womens Health Care coverage for more than 80 years will. 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