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Get detailed information on Services Provided by each HMO


 Amerigroup
Horizon NJ Health
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Choosing an HMO

HMO SERVICES PROVIDED

 AMERIGROUP
To visit AMERIGROUP Corporation, click here
Where Medical Care is Provided:
(Where you go to get health care)
 Private doctor's offices, health centers, hospital based centers, or Federally Qualified Health Centers.
Choosing a Doctor:
(What are the choices for a personal doctor)
 Choose a doctor from the plan's network. If you have not talked to Member Services, call to choose a personal doctor right away.
Referral Process:
(What to do to see a specialist)
 Your personal doctor will give you a written referral to see a specialist when needed.
Obstetrician/Gynecologist Services:
(What to do to see an OB/GYN)
 No referral is needed to see an OB/GYN in the AMERIGROUP network for annual well woman exams, pregnancy or family planning.
Seeing a Dentist:
(What to do to see a dentist)
 Choose a dentist from the network. No referral is needed.
For Plan D, coverage is limited to preventive services for children under 12.
Eye Care and Glasses:
(What eye care services are provided)
 No referral is necessary for eye exam. Selected frames and lenses are covered in full: once per year through 18 years and younger. A $100 allowance is given
towards contact lenses: once per year through 18 years and younger.
For Plan D, one pair of eyeglasses or contacts covered in a 24 month period or as medically necessary. Eye exams, including one routine eye exam per year.
Emergency Care:
(Who you should call first and where you should go in case of an emergency. When are emergency room visits covered)
 If possible, contact your personal doctor when an emergency occurs. If life threatening, go to the nearest emergency room. Follow-up care must be provided by the child's personal doctor.
Other Benefits:
(Other things the HMO offers)		 Certain over-the-counter drugs and vitamins, when prescribed by a doctor. Nurse-On-Call 24 hours to answer questions.
Pharmacy:
(What pharmacies can be used)		 You may use any pharmacy in the Amerigroup network showing the “PCS” symbol. Please contact Member Services at 1-800-600-4441 to locate the pharmacy nearest you.
Member Services:
(Customer helpline number)		 1-800-600-4441. Multi-lingual Member Services.
TTY/TDD 1-800-852-7899
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