Skip to main content
Hometown Pediatrics

Horizon BCBS Pediatrician Accepting New Patients.

Hometown Pediatrics is in-network with Horizon BCBS of New Jersey, including HMO, PPO, EPO, Direct Access, and OMNIA plans. 7 providers at our Wall and Freehold offices.

About Horizon BCBS of NJ

Horizon Blue Cross Blue Shield of New Jersey is the state's largest commercial health insurer, covering more than 3.7 million members. Horizon NJ Health (the Medicaid plan) operates as a subsidiary under the same parent organization. Horizon BCBS offers HMO, PPO, EPO, Direct Access, and OMNIA plan types through employers, the individual market, and the GetCoveredNJ marketplace. Members get access to the Horizon Blue app and the BlueCard national provider network for coverage across all 50 states.

Who is eligible?

Horizon BCBS is a commercial insurance plan available through employers, the NJ individual market, and GetCoveredNJ (the state's ACA marketplace). Unlike Medicaid, there are no income limits — eligibility depends on your employer's offerings or your marketplace enrollment.

Whats covered

  • Well-child visits and annual physicals
  • Immunizations and vaccines
  • Sick visits (copay varies by plan)
  • BlueCard coverage across all 50 states
  • Lab work and diagnostic testing
  • Vision and hearing screenings
  • Mental health and behavioral services
  • OMNIA Tier 1 providers for lower out-of-pocket costs
  • HorizonbFit gym rewards — earn up to $240/year
  • Horizon Blue app with digital ID card and cost estimator

Accepted plans

Horizon NJ Health

Horizon BCBS of NJ

Aetna Better Health

NJ FamilyCare (Medicaid)

Blue Cross Blue Shield

United

Cigna*

Oxford**

Aetna

Affordable Health Network

Amerihealth

Benefit Concepts

CCN

CHA

CHN

Choice Care

Family Choice Health Alliance

First Health

Intergroup Services

Magnacare

Medichoice

Metlife

Multiplan / PHCS

One Health Plan

Oscar (only QualCare network)

Qualcare

US Family Health

* Excluding CignaLocal

** Excluding Metro NY and Garden State Network

Don't see your plan? Call (732) 280-6455 — we can check your coverage or discuss self-pay rates.

Common questions

How do I verify that Hometown Pediatrics is in my Horizon BCBS network?
Search for us on Horizon's Doctor Finder at horizonblue.com/doctorfinder. Look up Watchung Pediatrics and select your specific plan type. You can also call Horizon member services at 1-800-355-2583.
What's the difference between Horizon BCBS and Horizon NJ Health?
Horizon BCBS is a commercial insurance plan you get through your employer or the marketplace. Horizon NJ Health is the Medicaid managed care plan for NJ FamilyCare members. We accept both.
What is an OMNIA plan?
OMNIA is a Horizon BCBS plan type with a tiered network. Tier 1 providers (like major NJ health systems) have lower copays and deductibles. Tier 2 providers are still in-network but at higher cost. No referrals are needed. Check your tier at horizonblue.com/doctorfinder.
Does Horizon BCBS cover my child when traveling out of state?
Yes. Through the BlueCard program, your child has in-network access to over 715,000 doctors and 6,000 hospitals across all 50 states. No claim forms needed — claims process automatically through Horizon. Find providers at provider.bcbs.com.
Is Horizon BCBS available on the NJ marketplace?
Yes. Horizon BCBS sells OMNIA, Advantage EPO, and Direct Access plans on GetCoveredNJ, the state's ACA marketplace. NJ residents may qualify for both federal subsidies and state-funded NJ Health Plan Savings to reduce monthly premiums.

Our locations

Wall, NJ

3350 State Route 138, Suite 126, Building 2
Wall, NJ 07719

(732) 280-6455

Freehold, NJ

495 Iron Bridge Rd, Suite 1
Freehold, NJ 07728

(732) 577-0047