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The State Health Benefit Program (SHBP) has awarded another administrator for the SHBP medical plan that members use at Rutgers. Effective July 1, 2024, both Horizon and Aetna will be providers of medical plans. In April 2024, there will be a special open enrollment for the period between 7/1/24-12/31/24. If members make no choice, they will remain in their current Horizon plan.
Some things to consider for you and your family:
Both Horizon and Aetna have extensive networks that include every hospital in NJ and most out-of-state hospitals. However, there are providers who may be in one network and not the other. The best way to determine whether your preferred provider is in network for Horizon or Aetna is to check with the provider.
Both Horizon and Aetna will offer the exact same plan designs. There is no difference in copays, deductibles or out of network payments.
For the period between 7/1/24-12/31/24, the premiums will be the same for the same plans offered by Aetna and Horizon.
The regular open enrollment for Jan. 1, 2025 is scheduled for Oct. 2024.
What are some changes?
Members who are enrolled in the current tiered network offered by Horizon, the Omnia plan, should pay attention to the Tier 1 providers offered by Aetna. While Horizon’s Tier 1 providers are restricted to New Jersey, Aetna will offer Tier 1 providers nationwide including both New York and Philadelphia. Tiered networks contributions are based on percentage of salary and are often less expensive than the PPO options.
2024 Special Open Enrollment Webinars
Learn about the medical plan options available effective July 1, 2024 in informative one-hour webinars.
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