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Get detailed information on Services Provided by each HMO


Amerigroup
Horizon NJ Health
AmeriChoice
HealthNet
University Health Plans

family

Choosing an HMO

HMO SERVICES PROVIDED

Health Net
To visit HealthNet, click here
Where Medical Care is Provided:
(Where you go to get health care)
 Private doctor's 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 Customer Services, call (800) 555-2604 to choose a 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)
 You can use any OB/GYN in the plan's provider network. Plan members do not need a referral to see an OB/GYN.
Seeing a Dentist:
(What to do to see a dentist)
 You may go to any dentist in the network. You do not need to choose a primary care dentist. 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)
 Exams, selected frames and lenses available through network provider. No referral is needed for exam 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 your personal doctor.
Other Benefits:
(Other things the HMO offers)		 Bilingual staff & health education available. Disease management, immunization & wellness programs, smoking cessation & comprehensive prenatal program.
Pharmacy:
(What pharmacies can be used)		 You can use any pharmacy showing the “API” symbol. Call 1-888-551-6331 to locate the pharmacy nearest you.
Member Services:
(Customer helpline number)		 1-800-555-2604 Bilingual Customer Services 24 hours, 7 days a week.
TTY 1-800-690-8164.
TDD 1-888-747-2424
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