![]() ![]() Yet, they still couldn't tell me what was on the bill that their website was having an error displaying? I have had nothing but problems with this company. When I went to ask what the "adjustment" was on the one bill that their website conveniently had errors in loading, I was told by their call center "We can't tell you what's on the bill." They went through all of the verification questions to ensure I wasn't just some random person. We finally got that straightened out, then they back-charged a new employee addition by two months even though they never sent her a card or any indication that her coverage had been started. Their answer? "We only communicate through the mail" even though they actually confirmed on the phone that they had the wrong address on file, AND that they had the correct address on the application! Okay, so they won't communicate except through the mail, but they can't reach us by mail. Well, we worked out immediate payment to keep the account current, and when I found out that they had the wrong address, I brought it to their attention. So, I know this is not the FIRST time that Horizon has stomped on its members, including - on me! Horizon is a greatly experienced, huge, well-oiled, insurance machine. So, if you are shopping for a good health insurance plan, I unfortunately, no longer recommend Horizon Blue Cross Blue Shield of New Jersey! I would like to think that I am the only customer this company is dumping on. And I ain't seen one, sensible Horizon resolution statement about bills being paid. Those same health providers who Horizon paid when I had Horizon NJ Health, now mail ME some of their bills! And when I call Horizon, their agents say they'll research my unpaid bills, and will get back to me in 30 days. But I manage to talk to Horizon agents who give doctors and me, daily runarounds, while not doing their job of renewing my ** prescription.Īnd my grogginess and no **, are not my only problems with Horizon, my ex-friend! My filthy rich, former friend, isn't paying all of my doctors and behavioral therapists. Horizon decided it wouldn't do crap for ME, as Horizon let my ** run out, instead of swiftly renewing it last month! I am so groggy now. It should be perfect for me, since Horizon sales agents and literature, say it conveniently provides my Medicare and Medicaid benefits, in one plan, with no out-of-pocket costs for me! But, nah. ![]() You will receive notice when necessary. For sales/marketing complaints, contact Clover Health at 1-88 (TTY 711) or 1-800-MEDICARE (if possible, please be able to provide the agent or broker's name).I turned again to Horizon, which offers its Horizon NJ Total Care HMO D-SNP. The formulary, pharmacy network, and/or provider network may change at any time. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year. Plan performance Medicare Star Ratings are assessed each year and may change from one year to the next. Limitations, copayments, and restrictions may apply. Call 1-88 (TTY 711) for more information. This information is not a complete description of benefits. Call 1-88 (TTY 711).ĪTENCIÓN: Si usted habla español, tenemos servicios de asistencia lingüística disponibles para usted sin costo alguno. ĪTTENTION: If you speak English, language assistance services, free of charge, are available to you. Medicare beneficiaries may also enroll in Clover Health through the CMS Medicare Online Enrollment Center located at. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. For plans that provide drug coverage, the formulary may change during the year. Out-of-network/non-contracted providers are under no obligation to treat Clover members, except in emergency situations. You must continue to pay your Medicare Part B premium. ![]() Enrollment in Clover Health depends on contract renewal. *We are open from 8 am–8 pm local time, 7 days a week. From April 1st through September 30th, alternate technologies (for example, voicemail) will be used on the weekends and holidays.Ĭlover Health is a Preferred Provider Organization (PPO) and a Health Maintenance Organization (HMO) with a Medicare contract. ![]()
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