MEDICAL & PRESCRIPTION DRUGS

Elect a medical plan administered by Horizon Blue Cross Blue Shield of New Jersey

Champion is thrilled to be able to offer medical benefits to employees for the January 1, 2025 – December 31, 2025 plan year. Horizon Blue Cross Blue Shield of New Jersey will administer your Medical and Prescription Drug plan.

WHO IS ELIGIBLE?

Employees and their dependents (spouse and children) are eligible upon date of hire.

OMNIA Bronze Plan

The OMNIA Bronze Medical Plan allows enrolled member to receive care from in-network providers.

There is no separate deductible for pharmacy coverage.

The table below provides a brief overview of the OMNIA Bronze Plan. Please Click the button below for the full carrier benefit summary for specific coverage details

Click Here - OMNIA Bronze - Summary of Benefits and Coverage
In-Network
Network
OMNIA Network
Annual In-Network Deductible (Plan Year)
Individual / Family
$3,500 / $7,000
Annual In-Network Out of Pocket Maximum
Individual / Family
$9,200 / $18,400
Annual Out-of-Network Deductible
Individual / Family
N/A
Annual Out-of-Network Out of Pocket Maximum
Individual / Family
N/A
Coinsurance (What the plan pays)
50%
Office Visits
Wellness Visits (Preventive Care)
Covered 100%
Primary Care Visit
Tier 1: $50 copayment , Tier 2: 50% after deductible
Virtual Visit: $15 copayment
Specialist Visit
Tier 1: $100 copayment, Tier 2: 50% after deductible
Virtual Visit: $15 copayment
Urgent Care
Tier 1: $100 copayment, Tier 2: 50% after deductible
Hospital Services
Emergency Room
$100 waived if admitted, then 50% after deductible
Inpatient Services
Facility: 50% after deductible (pre-approval required) / Physician: 50% after deductible
Outpatient Services
50% after deductible
Prescription (Retail / Mail Order)
Generic
$25
Preferred Brand
50% after deductible
Non-Preferred Brand
50% after deductible

TO LEARN MORE ABOUT CHAMPION'S MEDICAL PLAN

For questions and additional information, please contact/visit Champion's Human Resources Department or the Graham Company Service Line. More information can also be found on the Horizon Blue Cross Blue Shield of New Jersey website.

Horizon BCBSNJ Website

HOW TO LOCATE A PROVIDER

Visit the Online Doctor & Hospital Finder at HorizonBlue.com/doctorfinder and:

  • Sign in to your Horizon account or continue as a guest.
  • Select the type of healthcare professional you are looking for.
  • Next, select OMNIA NJ from the Choose a Plan to Start dropdown menu.
  • Narrow your search by using one of the filters. You can filter by distance from your selected location, gender, language spoken and more
  • Use the Doctor Affiliation filter to get a list of all the participating healthcare professionals that are part of a group practice or enter the name of a hospital for all the doctors who can care for you at the facility.

Remember, your Medical Plan only covers providers that are in-network for your Horizon BCBSNJ health plan.

HORIZON MEMBER RESOURCES

Horizon Blue Cross Blue Shield of NJ offers an array of tools and services to help members maximize their benefits. Some examples of these tools/services are listed below:

  • 24/7 Nurse Line
  • My Health Manager
  • Identity Protection Services
  • Personal Health Assistant
  • Treatment Cost Estimator

Please click below to view the full list of tools and services offered by Horizon.

LIST OF TOOLS AND SERVICES

TELEMEDICINE

Access to healthcare is now even easier with Horizon CareOnline

When your primary doctor isn't available, Horizon CareOnline is available 24/7/365 for treatment of acute conditions.

Horizon CareOnline

When you need to see a doctor - anytime day or night - simply sign into HorizonBlue.com or through the Horizon Blue app. As a Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) member, you have 24/7 access to U.S. board-certified doctors via video and phone from the comfort of your home.

You and your dependents can avoid unnecessary visits to the Emergency Room and/or Urgent Care and long waits for doctor appointments by utilizing Horizon CareOnline.

CareOnline Video
More About CareOnline

The doctor will provide a diagnoses and advice for many common medical conditions such as:

  • Colds and flu
  • Fever
  • Skin irritations
  • Abdominal pain
  • Sinusitis

You can also see behavioral health specialists by appointment from 7 a.m. to 11 p.m., for conditions such as:

  • Anxiety
  • Attention deficit/hyperactivity disorder (ADHD)
  • Bipolar disorder
  • Depression

Employee Contributions

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