Healthcare Ombudsperson Program

A Negotiated Benefit Through Our CWA-State of NJ Contract

The Healthcare Ombudsperson Program is a joint venture between CWA and the State of New Jersey to provide education and counseling to employees, to resolve employee issues effectively and efficiently, and to work collaboratively to create better healthcare outcomes.

 

If you have a healthcare question or assistance with your benefits, please reach out to your branch president or other representative, and they will get you in contact with the CWA Local 1031 Healthcare Ombudsperson.

IMPORTANT INFORMATION FOR PATIENTS OF SOUTH JERSEY RADIOLOGY & LARCHMONT

Unfortunately, Horizon Blue Cross & Blue Shield of New Jersey was not able to come to terms with South Jersey Radiology/Larchmont to remain in-network providers. This was a dispute between Horizon & the provider, and applies to all Horizon Blue Cross & Blue Shield customers in all plans, not just employees under the State Health Benefits Program, including plans provided by private employers or purchased by individuals in the healthcare marketplace.

Patients of South Jersey Radiology or Larchmont should sign in to www.horizonblue.com or the Horizon mobile app and use the doctor finder to locate in-network radiologists in their area.

Here is a partial list of some of the in-network providers that are near South Jersey Radiology & Larchmont facilities.

SPECIAL OPEN ENROLLMENT FOR NJ STATE HEALTH BENEFITS – APRIL 2024

2024 Plan Information

Rutgers & University Hospital Employee Information

  • RU & UH employees have access to certain legacy plans
    • Additional plan information is available here
Active Employees Medical Plan Information

NJ State Workers in CWA have access to several medical plans. The most commonly selected “CWA Unity PPO” plan (sometimes called NJDirect 2019/NJDirect 2019 PPO on state documentation).

2024 Plan Information 

Division of Pensions and Benefits

Our health plans are administered by the NJ Division of Pensions & Benefits, to go directly to their website use the links below.

Benefitsolver

All changes to your health insurance benefits are done through the Benefitsolver website.

 

Select programs for CWA members enrolled in the NJ State Health Benefits Programs (NJ SHBP)

NJ WELL – Earn $350

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.

myChoice Find A Provider

A fast, easy, and smart way to find and book healthcare. Formerly known as Amino Health.

  • Log in through the MyNewJersey Portal and click the “Benefits Solver” link
  • Use the “My Choice Find a Provider” Link on the right hand side of the screen

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!

Horizon bFit

Earn a $20 monthly reward for going to the gym or getting your steps in. Available to members and their dependents.

Horizon Blue365 Deals

Blue365 is a free health and wellness discount program offered to you as a member of the Blue Cross and Blue Shield System. We offer year-round discounts on gym memberships, fitness gear, healthy eating options and more.

Hinge Health

Conquer back or joint pain with this in-home, app-based exercise program. Available to members and their dependents.

Other Horizon Health Programs

Everside Health

New Jersey SHBP and SEHBP members and covered family members have access to a Direct Primary Care doctor’s office with Everside Health (formerly Paladina Health and R-Health) with no co-pays, no out of pocket costs, and no changes to your health benefits. Everside Health doctors provide comprehensive, personalized primary care (both in person and virtually) with a full range of services including preventive care, urgent and sick care, health and wellness coaching, chronic disease management, care coordination, and much more. Other benefits include:

  • Same- and next-day sick and urgent appointments
  • 24/7 virtual care access with the Everside Everywhere™ mobile app for online scheduling, prescription refills, online messaging, and virtual appointments
  • Little to no wait to see your Everside Health doctor
  • Onsite labs, medications, and immunizations at no additional cost

Everside Health offers many convenient locations including:

  • Cherry Hill
  • Clifton
  • Ewing
  • Hamilton
  • Jersey City
  • New Brunswick
  • Tom’s River
  • Voorhees
  • West Orange
  • Willingboro

The Direct Primary Care program is available to employees, non-Medicare retirees, and dependents covered under the following SHBP/SEHBP plans:

  • Horizon NJ DIRECT plans
  • Horizon SHBP OMNIA plan
  • Horizon CWA Unity DIRECT plans
  • NJ Educators Health Plan

For questions or to get started call 866-808-6005 or visit www.eversidehealth.com/newjersey.