Healthcare Ombudsperson Program

  Healthcare Ombudsperson Program  

Mission

The Healthcare Ombudsperson Program, a joint venture between the State of New Jersey and the Communications Workers of America, will have a positive impact on all parties by building trust relationships between the parties, providing education and counseling to employees, resolving employee issues effectively and efficiently, and working collaboratively to create better healthcare outcomes. 

Should you have any healthcare-related questions about your benefits, please contact Peggy Johns, CWA Local 1040 Ombudsperson, Office of the Healthcare Ombudsperson,  at 609-538-8899, extension 27, or through email at [email protected]

State Benefits Plans

        Medical Plans                                                                               Prescription Drug Plan       

                                                                                  

 

Plan Design Comparison Chart                                                         Prescription Drug Plans Guidebook         Summary Of Benefits and Coverage                                                 OPTUM Rx Drug List                                 Horizon Premium Contribution Calculator                                       (844) 368-8740                                                                           

Members Services

Horizon SHBP/SEHBP

(800) 414 SHBP

 

Dental Plans                                                                               Benefitsolver                                                                                                                  

Dental Plans for Active Employees                                                Guidelines to access Benefitsolver   

                                                                                                            SHBP Health Benefits Registration                                                                                                                                   

My New Jersey Log in                                                                                                                                                                                              

Wellness Programs and Resources

 

Direct Primary Care


Membership to Direct Primary Care Doctor’s Office Included in NJ SHBP Benefits at no additional cost.

The New Jersey State Health Benefits Program (SHBP) and School Employees’ Health Benefits Program (SEHBP) offer employees and their covered dependents the opportunity to join a Direct Primary Care doctor’s office at no additional cost. Simply choose a Direct Primary Care doctor from Everside Health, R-Health, or Sanitas Medical Centers and get unlimited access to personalized care with no copays, when and where it’s convenient for you.      

** Not available with HMO or HIgh Deducible plans. Medicare retirees are also not eligible.**

List of Direct Primary Care Offices

                                                                                                                                                                        

                                      

Everside Health Enrollment                                   Book an appointment       

(866) 808-6005                                                             (866) 645-5997                                                                                                                                                                                                                      

NJWELL  

NJWELL-Earn $350.00 Your well-being matters.  NJ Well provides inclusive and holistic experiences to meet members’ needs through activities and educational programming to support healthy lifestyles. Obtain 800 points and earn a reward.

Obtain 800 Points to earn a Reward.      

Questions & Answers          

Horizon Health Assessment 

AMINO HEALTH – A FAST, EASY, AND SMART WAY TO FIND A BOOK HEALTHCARE                                 

Amino Health for CWA Members                                              

Amino Registration

 

Horizon health guides- You’ll get the most from your benefits because your horizon Health Guide knows your benefits inside and out-and they want to get to know you too!                                                                  Learn more about Horizon Health Guides

 

Horizon bFIT – Earn a  $20.00 monthly reward (SHBP/SEHBP Members can now use HorizonbFit to make regular exercise affordable, convenient, and more rewarding!

For more information 

Click Here

Hinge Health- Conquer back or joint pain     

Enroll in Hinge Health

Other Horizon Health Programs                      

Other Horizon Health Programs

 

Healthcare in Retirement                                  

Click Here

 For more information contact:

Peggy Johns

Healthcare Ombudsperson, CWA Local 1040

Office of the Healthcare Ombudsperson

Center for Occupational Employment Information

New Jersey Department of Labor and Workforce Development

[email protected]

Phone: (609) 538-8899, extension 27.