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Get detailed information on Services Provided by each HMO


Amerigroup
Horizon NJ Health
AmeriChoice
HealthNet
University Health Plans

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Choosing an HMO

HMO SERVICES PROVIDED

 Americhoice
To visit AmeriChoice, click here
Where Medical Care is Provided:
(Where you go to get health care)
 Private doctors offices, hospital based health 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 1-800-941-4647 to choose the child's personal doctor right away.
Referral Process:
(What to do to see a specialist)
 Your personal doctor will give you a referral to see a specialist when needed.
Obstetrician/Gynecologist Services:
(What to do to see an OB/GYN)
 A plan OB/GYN may be used at any time without a referral.
Seeing a Dentist:
(What to do to see a dentist)
 Choose a dentist from the AmeriChoice network and make an appointment; 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)
 One eye exam a year for members under 21 years. No referral is needed. $100 allowance for eyeglasses.
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)		 Special Preferred Member Club, special Community-based programs for pregnant Women and new moms, including Skilled Nursing Assessment, if desired. Specialized Case Management to treat HIV/AIDS, TB, Sickle Cell Disease, Asthma and other chronic conditions. Health Education Workshops. Nurse-On-Call 24 hours a Day to answer questions. Nutritional Program with SHARE NJ.
Pharmacy:
(What pharmacies can be used)		 You can use any pharmacy showing the “PAID” symbol.
Member Services:
(Customer helpline number)		 Multi-lingual Member Services Staff
1-800-941-4647 (English)
1-800-943-4647 (Espanol)
24 hours, every day
TDD 1-800-852-7897 24 hours, every day
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