2025 BCBS of NJ Horizon Braven DSNP Certification Exam

Braven Health is a joint venture between Horizon, Hackensack Meridian Health and RWJBarnabas Health.

The Horizon NJ TotalCare (HMO D-SNP) Pharmacy benefit includes mail order home delivery services through
ESI Home Delivery.

A Dual Special Needs Plan (D-SNP) serves individuals who are eligible for either Medicare or Medicaid.

All TotalCare members receive a Care Manager.

As NI continues to process Medicaid renewals, you can support your Horizon NJ TotalCare (HMO D-SNP) clients by encouraging them to contact their local Social Security Office.

For 2025, EXTRA Benefits purse structure, along with OTC, grocery and utilities categories and allowances remain the same.

The Medicaid Wrap benefit has been eliminated for 2025.

During the deeming period, a member would continue to access their Pharmacy benefits.

Unwinding refers to the rolling back of coverage for home COVID tests following the end of the Covid-19 Public
Health Emergency.

Agents are to explicitly inform prospective enrollees that their Medicaid coverage will be provided through the
FIDE SNP [Horizon NJ TotalCare (HMO D-SNP] upon the effective date of their enrollment.