Benefits-at-a-Glance
Warren Hills Regional School District



For a quick overview of your plan benefits, see below. If you need more detail about your plans, refer to the Plan Booklets page for help.

2020/2021 Medical and Prescription Plan Benefits Comparison

Horizon BCBSNJ Medical
Benefits-at-a-Glance / Summaries of Benefits and Coverage (SBC):

OMNIA Plan: Benefits-at-a-Glance / SBC
HRA (Health Reimbursement Account) Plan: Benefits-at-a-Glance / SBC
Direct Access $20 Plan: Benefits-at-a-Glance / SBC

Horizon BCBSNJ Prescription:
$15 Generic/$30 Brand-Name Plan: Benefits-at-a-Glance

Delta Dental:
Dental Plan: Benefits-at-a-Glance


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 benefits; members must visit a provider in the Davis Vision network 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.