2018 Horizon Medicare Blue Value (HMO) H3154-13-0 in NJ from Horizon Blue Cross Blue Shield of New Jersey | HealthPocket

Horizon Medicare Blue Value (HMO)

Medicare Advantage Plan for New Jersey

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderHorizon Blue Cross Blue Shield of New Jersey
Plan IDH3154-13-0
CMS Rating1
Plan TypeHMO
Annual Deductible$0.00

What To Know About This Plan

  • This is a health coverage only plan with no drug coverage

Plan Details

Costs and Other Important Information

Plan Year:2018
Prescription Drugs Covered?Yes
Health Plan Deductible$0
Monthly Drug Plan Premium$0
Monthly Health Plan Premium$49

Coverage Area for Horizon Medicare Blue Value (HMO)

StateNew Jersey
CountyOcean

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Colorectal cancer screening
Annual flu vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Adult BMI assessment

Managing Chronic Conditions

Special needs plan care management
Not Rated
Care for older adults – medication review
Not Rated
Care for older adults – functional status assessment
Not Rated
Care for older adults – Pain screening
Not Rated
Osteoporosis management in women who had a fracture
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Controlling blood pressure
Rheumatoid arthritis management
Reducing the risk of falling
Plan all-cause readmissions

Member Experience with Health Plan

Getting needed care
Getting appointments and care quickly
Customer service
Overall rating of health care quality
Overall rating of plan
Care Coordination

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Members choosing to leave the health plan
Beneficiary access and performance problems
Health plan quality improvement

Health Plan Customer Service

Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability - Medical

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - Drugs
Appeals auto-forward
Appeals upheld

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Members choosing to leave the drug plan
Beneficiary access and performance problems
Drug plan quality improvement

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

MPF Price Accuracy
High risk medication
Part D medication adherence for diabetes
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Medication Therapy Management program completion rate

Physician Finder

Physicians that accept Horizon Medicare Blue Value (HMO) for New Jersey

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Waxman, Frayda
295 Dewey Ave
Lakewood, NJ 08701
Foot Health Centers, P.a.
525 Highway 70
Lakewood, NJ 08701
Kohn, Tzivia
920 E County Line Rd Ste 101
Lakewood, NJ 08701
Wadler, Tzipporah
140 Regent Dr
Lakewood, NJ 08701
Liebster, Sarah
143 Saint Nicholas Ave
Lakewood, NJ 08701
Wachs, Myril
220 S Lake Dr
Lakewood, NJ 08701
Jutcovich, Yehudis
1414 Towers St
Lakewood, NJ 08701
Greenebaum, Chava
119 Flintlock Dr
Lakewood, NJ 08701
Segal, Amyela
46 Saint Nicholas Ave
Lakewood, NJ 08701
Katz, Leba
1476 Towers St
Lakewood, NJ 08701
Friedman, Frayda
1242 Coronado St
Lakewood, NJ 08701
Frankel, Esther
27 Windermere St
Lakewood, NJ 08701
Czermak, Aviva
930 E County Line Rd Ste 4
Lakewood, NJ 08701
Kaplan, Rena
1 Raven Ln
Lakewood, NJ 08701
Dick, Miriam
231 Woehr Ave
Lakewood, NJ 08701
Fishman, Brocha
44 Charming Way
Lakewood, NJ 08701
Fried, Chaya
3 Coles Way
Lakewood, NJ 08701
Perlow, Tirtza
28 Capital Ln
Lakewood, NJ 08701
Oratz, Hadassah
685 River Ave
Lakewood, NJ 08701
Gutman, Esther
88 N Crest Pl
Lakewood, NJ 08701
Krakowski, Sarah
1074 Times Square Blvd
Lakewood, NJ 08701
Akerman, Miriam
103 Governors Rd
Lakewood, NJ 08701
Chaitovsky, Miriam
5 Grant Ave
Lakewood, NJ 08701
Rosenman, Ahuva
15 Grassmere St
Lakewood, NJ 08701
Metchik, Channie
1 Katie Ct
Lakewood, NJ 08701
Details
Frayda Waxman
Phone Number
(732) 370-7885
Office Locations
295 Dewey Ave
Lakewood, NJ 08701
295 Dewey Ave Lakewood NJ, 08701

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