Horizon Blue Cross Blue Shield of New Jersey

OMNIA Silver Value

Prescription Drug Information

Inpatient Coverage

Emergency and Urgent Care

Links

Plan Overview

Medical Deductible	Individual: $2,500 Family: $5,000 Per Person: $2,500
Prescription Drug Deductible	Individual: Included in Medical Family: Included in Medical Per Person: Included in Medical
Medical Out-of-Pocket Maximum	Individual: $8,700 Family: $17,400 Per Person: $8,700
Drug Out-of-Pocket Maximum	Individual: Included in Medical Family: Included in Medical Per Person: Included in Medical

Office Visit

Primary Doctor	Standard: $45 Copay
Specialist	Standard: 50% Coinsurance after deductible

Prescription Drug Information

Preferred Brand Drugs	Standard: 50% Coinsurance after deductible
Non Preferred Brand Drugs	Standard: 50% Coinsurance after deductible
Generic Drugs	Standard: 50% Coinsurance after deductible
Specialty Drugs	Standard: 50% Coinsurance after deductible

Inpatient Coverage

Hospital Services	Standard: 50% Coinsurance after deductible
Inpatient Services	Standard: 50% Coinsurance after deductible

Emergency and Urgent Care

Emergency Room

Standard: $100 Copay with deductible<br>50% Coinsurance after deductible

Related Articles

You may be interested in these relevant articles from across the HealthMarkets.com network.

5 Ways Your Home Can Increase Your Fall Risk (and How to Make It Safer)

Falling down might sound like a minor mishap, but for older adults (age 65…Read More

Read More

Burial Insurance: What You Need to Know

Burial insurance is usually a type of life insurance policy intended to cover costs…Read More

Read More

8 Reasons to Go In for An Eye Exam

Here’s an eye-opening statistic: Nearly 9 out of 10 people consider sight to be…Read More

Read More