1. Nutley Board of Education
October 6, 2017

2. Nutley Board of Education offers 2 medical plan options
Nutley Board of Education Plan Options
Nutley Board of Education offers 2 medical plan options
Direct Access $10
Omnia $5/$10

3. Medical Plan Comparison
Direct $10
OMNIA $5/$10
NJ Network
Horizon Managed Care
Tier 1: OMNIA
Tier 2: Horizon Managed Care
National Network
BlueCard
Primary Care Copay
$10
Tier 1: $5
Tier 2: $10
Specialist Copay
Annual Physical/Well Visits
No Copay 3 3

4. Medical Plan Comparison
Direct $10
OMNIA $5/$10
Hospital Network
Horizon Managed Care
Tier 1: OMNIA
Tier 2: Horizon Managed Care
Inpatient Coverage
100% In-Network
30% after deductible
Out of Network
Tier 1: 100% In-Network
Tier 2: 100% after $150 copay
Inpatient Copay
None
Tier 1: None
Tier 2: $150 copay
ER Copay
$50
$25
Appropriate emergency care at the ER is considered in-network regardless of network status

5. Medical Plan Comparison
Direct $10
OMNIA $5/$10
Annual Deductible
In-Network: $0
Out Net: $200 / $500
Tier 1: $0
Tier 2: $1,500 / $3,000
Out of Pocket Max
In: $400/$800
Out: $2,000/$5,000
Tier 1: $400/$800
Tier 2: $2,000/$4,000
Referral
Not required
Not Required
Lab Work (x-ray, blood, CT, PET, MRIs)
In: No Charge in office or LabCorp
Out: Ded & 30% Coinsurance
Tier 1: No Charge in office or LabCorp
Tier 2: No Charge in office or LabCorp
Outpatient Surgery
In: No Charge
Tier 1: No Charge
Tier 2: 100% after deductible 5 5

6. DA & Omnia: Key Features
Horizon Managed network in NJ, Same hospital & national Bluecard networks.
No PCP selection and no referrals required.
Lower copays and out of pocket costs compared to PPO.
Continues to provide members with Horizon’s full suite of
Resources including case management, chronic care
Management, wellness discounts and My Health Manager.

7. Bold. Better. Blue.
Thank you [Company Name], for having us come to speak to you about why Horizon BCBSNJ is the best choice for your health insurance needs.
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In our remaining time, I'd like to demonstrate why Horizon Blue Cross Blue Shield of New Jersey is the right company for all your needs.