![]() ![]() You’ll be responsible for the total cost of any of the out-of-network services you receive (except in the case of an emergency). You also get the strength and stability that comes with our years of experience serving our members. As an OMNIA Health Plan member, you get the peace of mind that comes with New Jersey’s largest and most trusted health insurer. Remember: Services provided by doctors, hospitals and other health care professionals that do not participate in OMNIA Health Plans are not covered. Welcome to your OMNIA Health plan you’ve made a great choice. You can identify OMNIA Tier 1 doctors, specialists and hospitals by looking for the blue icon pictured here.Īll other doctors, specialists and hospitals will be listed as Tier 2, with this gray icon. You’ll pay less when you select and see OMNIA Tier 1 doctors, specialists and hospitals. Members can locate in-network OMNIA doctors and hospitals using our Doctor & Hospital Finder. Choosing an OMNIA Tier 1-designated PCP can also be helpful in lowering your out-of-pocket cost sharing. However, choosing an OMNIA Tier 1-designated PCP means you will have a doctor who takes overall responsibility for your care while directing the team of health professionals involved in your overall care. Your OMNIA Health Plan does not require you to select a Primary Care Physician (PCP) or get a referral for specialty care. Preventive services, screenings and immunizations that are fully covered when you receive them from your doctor or another in-network doctor.Wellness services and preventive care based on national guidelines, including wellness support and resources.A doctor who takes overall responsibility for your care while directing the team of health professionals involved in your overall care. ![]() When you select an OMNIA Tier 1-designated doctor as your doctor, you can expect: The doctors and practices that participate in OMNIA Health Plans have committed themselves to increasing patient satisfaction and achieving quality health outcomes. Patient-centered care is an approach that helps you get the quality health care you deserve while keeping costs under control, too. While your OMNIA Health Plan encourages you to get care from OMNIA Tier 1-designated doctors, hospitals and other health care professionals, your plan covers all medically necessary care and services provided or arranged by doctors and other health care professionals in the Horizon Managed Care Network, and all hospitals in the Horizon Hospital Network. The ultimate goal? Helping to ensure you get and stay healthy, while keeping costs under control, too. As an OMNIA℠ Health Plan member, when you use OMNIA Tier 1-designated doctors, hospitals and other health care professionals, you’ll get the benefit of patient-centered care - an innovative approach to health care delivery that is providing more organized, personalized and coordinated care, made possible by the secure sharing of information and experiences among the doctors, other health care professionals and hospitals that treat you. ![]()
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