Current Horizon Plans
Jackson School District
Our District medical, prescription, and dental plans are offered through Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ).
Below are overviews and summaries for the plans available to eligible employees. Please refer to these materials for details about your plan choices.
Medical/Prescription Plan Comparison
NJEHP Simplified Medical/Prescription Benefits Overview
Horizon BCBSNJ Medical:
Direct Access 35 Plan Booklet
OMNIA Plan Booklet
NJEHP Medical Plan Summary
Managed Choice POS II $35 & Savings Plus DocFind Search Instructions
NJEHP Chapter 44 Calculator
NJEHP Contribution Schedule
Horizon BCBSNJ Prescription:
Direct Access Plan: $30 Brand-Name / $15 Generic Drug Summary
NJEHP Prescription Drug Plan Summary
Check below regarding coverage of prescription drugs:
Horizon BCBSNJ Classic Drug Guide (October 2020)
Horizon BCBSNJ Classic Drug Guide Updates (October 2020)
Prior Authorization/Medical Necessity Determination List (September 2020)
Horizon BCBSNJ Dental:
Dental Option Plan Booklet
Horizon BCBSNJ Vision:
Refer to your medical booklet at the Plan Booklets page. If you are enrolled in the Horizon OMNIA plan, note the below about the Pediatric Vision benefit:
- Davis Vision administers the Pediatric Vision benefit on behalf of Horizon BCBSNJ.
- This is an in-network-only benefit; members must visit a Davis Vision provider to have services covered.
- Dependents up to age 19 are eligible for the benefit.
- Benefits renew every 12 months.
- A routine eye exam, including dilation, is available with $0 copay.
- The Davis Vision collection of frames is included with this benefit.
- If a member obtains frames elsewhere, there is a maximum allowance of $150 for frames or contacts.
- The benefit includes clear plastic, single-vision, lined bifocal, trifocal, or lenticular lenses.
- Present your Horizon BCBSNJ medical ID card to the provider, who will call Davis Vision to confirm eligibility.
- Go to www.davisvision.com/members and insert Client Code 3164 to access the Member Portal.
- Search for in-network providers, find benefits and forms, and more at the Member Portal.
Questions about how your plans work? Check out these overviews from Horizon BCBSNJ:
Horizon BCBSNJ Direct Access Overview
What You Need to Know About OMNIA Flyer
Horizon Dental Option Plan Q&A Flyer
**Note: these summaries and overviews highlight only the major features of your benefits and are not a contract. In the event of a discrepancy between summaries or overviews and the actual group contract, the contract language prevails**
Our District medical, prescription, and dental plans are offered through Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ). Below are overviews and summaries for the plans available to eligible employees. Please refer to these materials for details about your plan choices.
Medical/Prescription Plan Comparison
NJEHP Simplified Medical/Prescription Benefits Overview
Horizon BCBSNJ Medical:
Direct Access 35 Plan Booklet
OMNIA Plan Booklet
NJEHP Medical Plan Summary
Managed Choice POS II $35 & Savings Plus DocFind Search Instructions
NJEHP Chapter 44 Calculator
NJEHP Contribution Schedule
Horizon BCBSNJ Prescription:
Direct Access Plan: $30 Brand-Name / $15 Generic Drug Summary
NJEHP Prescription Drug Plan Summary
Check below regarding coverage of prescription drugs:
Horizon BCBSNJ Classic Drug Guide (October 2020)
Horizon BCBSNJ Classic Drug Guide Updates (October 2020)
Prior Authorization/Medical Necessity Determination List (September 2020)
Horizon BCBSNJ Dental:
Dental Option Plan Booklet
Horizon BCBSNJ Vision:
Refer to your medical booklet at the Plan Booklets page. If you are enrolled in the Horizon OMNIA plan, note the below about the Pediatric Vision benefit:
- Davis Vision administers the Pediatric Vision benefit on behalf of Horizon BCBSNJ.
- This is an in-network-only benefit; members must visit a Davis Vision provider to have services covered.
- Dependents up to age 19 are eligible for the benefit.
- Benefits renew every 12 months.
- A routine eye exam, including dilation, is available with $0 copay.
- The Davis Vision collection of frames is included with this benefit.
- If a member obtains frames elsewhere, there is a maximum allowance of $150 for frames or contacts.
- The benefit includes clear plastic, single-vision, lined bifocal, trifocal, or lenticular lenses.
- Present your Horizon BCBSNJ medical ID card to the provider, who will call Davis Vision to confirm eligibility.
- Go to www.davisvision.com/members and insert Client Code 3164 to access the Member Portal.
- Search for in-network providers, find benefits and forms, and more at the Member Portal.
Questions about how your plans work? Check out these overviews from Horizon BCBSNJ:
Horizon BCBSNJ Direct Access Overview
What You Need to Know About OMNIA Flyer
Horizon Dental Option Plan Q&A Flyer
**Note: these summaries and overviews highlight only the major features of your benefits and are not a contract. In the event of a discrepancy between summaries or overviews and the actual group contract, the contract language prevails**