Hospital Name County Tier 1 Tier 2
AtlantiCare Regional Medical Center Atlantic
✓
Shore Medical Center* Atlantic
✓
Englewood Hospital Bergen
✓
Hackensack UMC at Pascack Valley (Hackensack Meridian Health) Bergen
✓
Hackensack University Medical Center (Hackensack Meridian Health) Bergen
✓
Holy Name Hospital Bergen
✓
The Valley Hospital Bergen
✓
St. Luke’s Hospital - Quakertown Bucks
✓
Deborah Heart and Lung Center Burlington
✓
Lourdes Medical Center of Burlington County Burlington
✓
Virtua – Memorial Hospital of Burlington County Burlington
✓
Cooper Hospital University Medical Center Camden
✓
Kennedy Memorial Hospital Camden
✓
Our Lady of Lourdes Medical Center Camden
✓
Virtua - West Jersey Hospital System Camden
✓
Cape Regional Medical Center Cape May
✓
Inspira Medical Center – Vineland Cumberland
✓
This listing of OMNIA Health Plan Tier 1 and Tier 2 hospitals is complete as of October 2017. The list is subject to
change, so always verify hospital network participation status prior to making your selection. Check for the most
current information by:
• Using the online Doctor & Hospital Finder located on our website at HorizonBlue.com/doctornder
• Contacting the physician, health care professional or department directly
• Calling the Customer Service telephone number listed on your ID card
Select the OMNIA Health Plan Tier 1 or Tier 2 hospital that’s right for you to maximize your coverage benet.
HOSPITAL NETWORK FINDER
* Hospital will be TIER 2 effective 1/1/2018
HOSPITAL NETWORK FINDER
Hospital Name County Tier 1 Tier 2
Delaware County Memorial Hospital Delaware, PA
✓
Clara Maass Medical Center (RWJBarnabas Health) Essex
✓
East Orange General Hospital Essex
✓
Hackensack UMC at Mountainside (Hackensack Meridian Health) Essex
✓
Newark Beth Israel Medical Center (RWJBarnabas Health) Essex
✓
St. Barnabas Medical Center (RWJBarnabas Health) Essex
✓
St. Michael’s Medical Center Essex
✓
University Hospital Essex
✓
Inspira Medical Center – Woodbury Gloucester
✓
Bayonne Medical Center (CarePoint Health) Hudson
✓
Christ Hospital (CarePoint Health) Hudson
✓
Hackensack UMC Palisades (Hackensack Meridian Health) Hudson
✓
Hoboken University Medical Center (CarePoint Health) Hudson
✓
Jersey City Medical Center (RWJBarnabas Health) Hudson
✓
Meadowlands Hospital Medical Center Hudson
✓
Hunterdon Medical Center Hunterdon
✓
Capital Health System – Fuld** Mercer
✓
Capital Health System – Regional/Hopewell** Mercer
✓
Robert Wood Johnson – Hamilton (RWJBarnabas Health) Mercer
✓
St. Francis Medical Center Mercer
✓
JFK Medical Center Middlesex
✓
University Medical Center of Princeton at Plainsboro * Middlesex
✓
Raritan Bay Regional Medical Center (Hackensack Meridian Health) Middlesex
✓
Robert Wood Johnson - New Brunswick (RWJBarnabas Health) Middlesex
✓
** Hospital will be TIER 1 effective 1/1/2018
* Hospital will be TIER 2 effective 1/1/2018
HOSPITAL NETWORK FINDER
Hospital Name County Tier 1 Tier 2
St. Peter’s University Hospital Middlesex
✓
Bayshore Community Hospital (Hackensack Meridian Health) Monmouth
✓
CentraState Medical Center Monmouth
✓
Jersey Shore Medical Center (Hackensack Meridian Health) Monmouth
✓
Monmouth Medical Center (RWJBarnabas Health) Monmouth
✓
Riverview Medical Center (Hackensack Meridian Health) Monmouth
✓
St. Luke’s Hospital – Monroe
Monroe
✓
Chilton Medical Center (Atlantic Health System) Morris
✓
Morristown Medical Center (Atlantic Health System) Morris
✓
St. Clare’s Denville/Dover Morris
✓
AI duPont Hospital for Children New Castle
✓
St. Luke’s Hospital – Anderson Northhampton
✓
St. Luke’s Hospital – Bethlehem Northhampton
✓
Community Medical Center (RWJBarnabas Health) Ocean
✓
Monmouth Medical Center Southern Campus (RWJBarnabas Health) Ocean
✓
Ocean Medical Center (Hackensack Meridian Health) Ocean
✓
Southern Ocean Medical Center (Hackensack Meridian Health) Ocean
✓
St. Joseph’s Hospital and Medical Center Passaic
✓
St. Mary’s – Passaic Passaic
✓
Children’s Hospital of Philadelphia Philadelphia
✓
Crozer-Chester Medical Center Philadelphia
✓
Fox Chase Cancer Center Philadelphia
✓
Hahnemann University Hospital Philadelphia
✓
Hospital of the University of Pennsylvania (UPHS) Philadelphia
✓
Jeanes Hospital Philadelphia
✓
Pennsylvania Hospital (UPHS) Philadelphia
✓
HOSPITAL NETWORK FINDER
Hospital Name County Tier 1 Tier 2
Presbyterian Hospital (UPHS) Philadelphia
✓
Rothman Orthopaedic Specialty Hospital Philadelphia
✓
St. Christopher’s Hospital for Children Philadelphia
✓
Temple University Hospital Philadelphia
✓
Thomas Jefferson University and Methodist Division Philadelphia
✓
Inspira Medical Center – Elmer Salem
✓
Memorial Hospital of Salem County Salem
✓
Robert Wood Johnson – Somerset (RWJBarnabas Health) Somerset
✓
Newton Medical Center (Atlantic Health System) Sussex
✓
Overlook Medical Center (Atlantic Health System) Union
✓
Robert Wood Johnson – Rahway (RWJBarnabas Health) Union
✓
Trinitas Regional Medical Center Union
✓
Hackettstown Community Hospital (Atlantic Health System) Warren
✓
St. Luke’s – Warren Warren
✓
OMNIA Health Plan members enjoy lower premiums, lower deductibles, lower copayments and lower
out-of-pocket costs with OMNIA Tier 1 doctors, hospitals, and other health care professionals,
including the OMNIA Health Alliance. Members also have the exibility to visit any Tier 2 health care
professional in our broad Managed Care Network for a higher out-of-pocket cost.
OMNIA Health Plan members can receive obstetrics services at any hospital in Burlington and
Mercer counties at an OMNIA Tier 1 level of benets as a benet exception, even if the hospital is listed
as Tier 2.
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®
and Blue Shield
®
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The Horizon
®
name and symbols are registered marks and OMNIASM is a service mark of Horizon Blue Cross Blue Shield of New Jersey.
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Horizon Blue Cross Blue Shield of New Jersey complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color,
gender, national origin, age, disability, pregnancy, gender identity, sex, sexual orientation or health status in the administration of the plan, including
enrollment and benet determinations. Spanish (Español): Para ayuda en español, llame al 1-866-660-6528. Chinese (中文)：如需中文協助，請致電
1-866-660-6528.
C101_201709
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An Independent Licensee of the
Blue Cross and Blue Shield Association.
Notice of Nondiscrimination
and does not discriminate against nor does it exclude people or treat them differently on the basis
of race, color, gender, national origin, age, disability, pregnancy, gender identity, sex, sexual
orientation or health status in the administration of the plan, including enrollment and benefit
determinations.
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effectively with us, such as qualified sign language interpreters and information written in other
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Contacting Member Services
Please call Member Services at 1-800-355-BLUE (2583) (TTY/TDD 711) or the phone
number on the back of your member ID card, if you need the free aids and services noted
above and for all other Member Services issues, including:
• Claim, benefits or enrollment inquiries
• Lost/stolen ID cards
• Address changes
• Any other inquiry related to your benefits or health plan
Filing a Section 1557 Grievance
If you believe that Horizon BCBSNJ has failed to provide the free communication aids and
services or discriminated on the basis of race, color, gender, national origin, age or disability you
can file a discrimination complaint also known as a Section 1557 Grievance. Horizon BCBSNJ’s
Civil Rights Coordinator can be reached by calling the Member Services number on the back of
your member ID card or by writing to the following address:
Horizon BCBSNJ – Civil Rights Coordinator
PO Box 820
Newark, NJ 07101
You can also file a civil rights complaint with the U.S. Department of Health and Human
Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint
Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
Office for Civil Rights Headquarters
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019 or 1-800-537-7697 (TDD)
OCR Complaint forms are available at www.hhs.gov/ocr/office/file/index.html.
CMC0008602 (0916)
An Independent Licensee of the
Blue Cross and Blue Shield Association.
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Spanish (Español): Si necesita ayuda para comprender esta información de Horizon Blue Cross
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Gujarati ( ):
, ,
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Navajo (Diné):
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ArabicHorizon Blue Cross Blue Shield of New Jersey
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Urdu)(
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