The Project
Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ) is a not-for-profit health care company that provides high-quality and cost-effective healthcare delivery systems, insurance, and related products/services to public and private markets. There are no shareholders. It is New Jersey’s largest and oldest health insurance company. They offer managed care and traditional indemnity plans for individuals and employers, plus a variety of medical, dental, vision, and prescription insurance products and services.
The User Experience
The Horizon Member Services Portal is a cutting-edge, secure online platform designed to revolutionize how plan members manage their healthcare. This comprehensive digital tool empowers users to take control of their health journey by providing a centralized hub for tracking healthcare provider visits, reviewing test results, managing billing, overseeing prescriptions, and much more. The portal also facilitates direct communication with healthcare providers, ensuring seamless and efficient patient-doctor interactions.
Key Features & Benefits
The primary objective of this user-centric experience is to offer plan members an intuitive, user-friendly interface that provides a holistic view of their medical history. This includes detailed information on recent doctor visits, discharge summaries, allergies, medications, immunizations, and laboratory results. The portal’s key features and their benefits include:
- Pay bills online
- Find Doctors, Pharmacies & Specialists
- Communicate with healthcare providers
- Schedule appointments
- Receive test results
- Request prescription refills
- Check benefits & coverage
- Fill out forms
- Receive billing statements
By centralizing health information and providing tools for active engagement, the portal empowers plan members to take greater control of their health information and care. It promotes proactive health management, facilitates informed decision-making, and enhances the overall quality of care by improving communication between patients and healthcare providers.
Moreover, the portal serves as a valuable resource between doctor visits, offering educational materials, health tracking tools, and personalized health recommendations based on the user’s medical history and profile. This continuous support encourages users to stay engaged with their health management, potentially leading to better health outcomes and increased satisfaction with their healthcare experience.
Digital Health Tools
The Horizon Member Patient Portal offers patients the convenience of 24/7 access to their personal health information from any internet-connected device. This accessibility ensures that customers can manage their healthcare needs anytime, from anywhere in the world. Some useful tools & features include:
Manage Your Account
Track your out-of-pocket costs for health care services. Out-of-pocket costs include deductibles, coinsurance, and copayments for covered services plus all costs for services that aren’t covered.
Pay Your Premiums
To check on the status of an invoice or make a payment online, visit the “Payment Center” section of your Member Portal. For any remaining questions about the status of your invoice, use our “Email Us” or “Chat” tools and select Premium Billing.
(EOB) Explanation of Benefits
An EOB, or Explanation of Benefits, gives you an overview of what was billed, how much your insurance covered, and how much you may owe. Whenever you visit a doctor, other health care professional, laboratory or hospital, an EOB is generated.
If your healthcare provider belongs to Horizon’s network, Horizon will submit the claim for you. However, if you visit an out-of-network provider, you may need to submit a claim yourself.
An EOB is not a bill – it explains which medical care and services are covered by your insurance.
ID Cards
View, print and request additional member ID cards online. You can even text or email your digital ID card right to your doctors and hospitals.
Member Email
Once signed in, click “Email Us” to send us your question about your medical coverage, or for technical support with the member portal or Horizon Blue App.
Chat Tools
Sign in to chat with a Member Services Representative about your medical coverage, or for technical support with the member portal or Horizon Blue App.
We Build The Future.
Ready To Transform Your Digital Presence?
Please get in touch with us today and let’s talk about how we can work together to bring your vision to life.
