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State of New Jersey - (Horizon BCBS)
ATTENTION: We recognize that with the constantly changing COVID-19 situation around the world, this is an unprecedented time for everyone. We are here to support you and your family. For your safety, health, and well-being, we invite you to use our Virtual Care Center. It is easy to make appointments, send secure messages, and conduct video visits with our providers. For more information go here: https://www.paladinahealth.com/clients/state-new-jersey-horizon-bcbs/VirtualCare
The State of New Jersey welcomes you to Paladina Health!
Services are available to active employees and dependents covered under the SHBP/SEHBP NJ DIRECT plans, SHBP OMNIA plans and Non-Medicare eligible retirees.
Take a Tour of a Paladina Health Office.
Clients: Convenient Care-Small
Get access to your physician around the clock for urgent needs by phone. Plus, get same- or next-day appointments for urgent needs.
Clients: Save Money-Small
Get care with low or no co-pays. Plus, save money on things like specialists and urgent care visits with our broad scope of services.
Clients: Experienced Physicians-Small
Get direct access to an experienced physician—your physician—whose goal is to help you be the healthiest you can be.
Client Splash Page: Benefits
Get These Benefits & More
With Paladina Health, you can:
- Partner with an experienced primary care physician who delivers a broad scope of care, including primary and preventive care, chronic disease management, urgent care, and coordination with specialists and hospitals.
- Access your physician 24/7 via phone for urgent needs, or email or visit your physician at a convenient location.
- Save money. Most services are free, with no co-pays or co-insurance.
Client Splash Page: Dependents
Learn About Your Benefit
Imagine the doctor’s office, the way it used to be… where doctors knew their patients and their families, and took great care of them all.
With your Paladina Health benefit, you get a modern approach to the way healthcare used to be. Watch this short video to learn how Paladina Health works differently for our patients.
Q: What is Paladina Health?
Paladina Health provides primary care services where employees and their families can get the health and wellness services they need from an experienced doctor at no out-of-pocket cost. Paladina Health providers are dedicated to serving an employer’s population, are highly accessible at convenient hours and office locations and are committed to delivering great care and service. These providers offer a personal level of service and are available around the clock via phone for urgent health matters.
Q: How are you different from an urgent care clinic?
As a primary care doctors office, we minimize the long wait times you may experience at a walk-in clinic. Scheduling your appointment for same- or next-day urgent needs allows you to be seen at your scheduled appointment time instead of waiting behind the people in front of you.
Q: Who is eligible for Paladina Health?
As an active member of the State Health Benefits Program (SHBP) or School Employees’ Health Benefits Program (SEHBP), you and your eligible family members may use Paladina Health services without signing up. Employees retain the same access to their insurance-contracted providers through Horizon and the same benefits as offered in their current SHBP or SEHBP health plan.
Q: Why is the SHBP/SEHBP offering these services?
The SHBP/SEHBP are offering these services as an alternative to high-cost healthcare in the community. By using Paladina Health clinics, you will receive high-quality primary care with no co-pays, focused on helping you be healthier and lowering what you pay out-of-pocket for healthcare.
Q: Does choosing the Paladina Health option increase my healthcare costs?
No, all services are provided at no out-of-pocket costs and you do not have co-pays. There is also no charge for phone, email or other between appointment interactions with your doctor. Paladina Health services cover a wide array of the most common tests and procedures.
Q: What is different about Paladina Health compared to my current primary care provider?
Paladina Health provides primary care services for you and your family but is not just another primary care provider. Our doctors have 70 percent fewer patients than a typical primary care doctor, allowing them to spend more time with you when you need it, start appointments on time and provide you with appointment availability in the timeframe that meets the urgency of your health issue. And, by using Paladina Health, you get access to your doctor via phone 24/7 for urgent needs. You’ll also get help and assistance in navigating the healthcare system when you need specialist services or care that cannot be provided at the Paladina Health office.
Q: How experienced are Paladina Health doctors?
Paladina Health doctors are dedicated, board-certified or board-eligible, usually with a minimum of eight to ten years of experience as a practicing doctor. Our physicians can spend the time that is needed to hear your full health story and work with you to find effective solutions to your needs.
Q: I already have a long-standing PCP, why would I change?
Paladina Health is an additional option to your current PCP. Try us out. You may find that, due to the limited number of patients managed by Paladina Health doctors, you will experience a meaningful relationship, excellent care, and easier access. Rather than going directly to a specialist to receive care, you may take advantage of the convenient access to your Paladina Health doctor, and you may even avoid a visit with a specialist. Call today to schedule a comprehensive patient evaluation and see for yourself.
Q: What if I have a pediatrician for my children I already like?
Most Paladina Health doctors are fully trained in pediatrics and can be another option for your children’s healthcare. Typically, it takes less time to get an appointment at the Paladina Health doctor’s office than it does in a pediatrician’s office. Also, your Paladina Health doctor is available 24/7 via phone for urgent needs, including nights and weekends.
Q: What happens if I am experiencing an urgent health issue after hours or I am away from home?
For urgent after hours needs, simply call the office scheduling number, which will allow you to have your call directly and securely routed to your doctor. Because you have already established a relationship with your care team, your doctor can respond to your concerns more completely and accurately, no matter where you are or when you call. He or she is directly available to you for urgent situations 24 hours a day, every day of the week, including holidays.
Q: Why should I schedule an appointment if I’m not sick currently? Why not wait until I am sick?
You will want your doctor to know you, your medical history and your health concerns long before you get sick. By scheduling a comprehensive health and wellness appointment, your Paladina Health physician will know you in advance of your sickness and may even catch a health issue that can be treated early, preventing something from becoming an urgent situation. In the case you do have an urgent need after hours, you’ll receive your doctor’s phone number.
Q: Which prescriptions are available at Paladina Health clinics?
A limited number of prescriptions are available at your Paladina Health clinic, saving you a trip to the pharmacy. These include: Famotidine, Albuterol Sulfate, Diflucan, Fluconazole, Flagyl, Metronidazole, Flexeril, Cyclobenzaprine HCL, Garamycin/Gentamicin Sulfate, Imitrex/Sumatriptan, Keflex/Cephalexin, Phenergan/Promethazine HCL, Prednisone/Prednisone, Septra DS, Sulfamethoxazole, Trimethoprim, Zithromax/Azithromycin, Zofran/Ondansetron, and Zovirax/Acyclovir.
Q: What if I have more questions?
Visit paladinahealth.com/newjerseyinfo, call one of your three Paladina locations, or contact Paladina Health Member Services at 1-866-808-6005.
Q: Can I visit any Paladina Health location? Am I only allowed to see my selected doctor?
Your selected Paladina Health doctor will be your primary point of contact and the medical professional overseeing your care. You may make an appointment at any of our Paladina Health doctor’s offices that are open to the public and choose to see another provider as needed. This is especially convenient if you are traveling or have a dependent living out of town or state. You may also email or call your doctor with your questions, or for consultation. In this situation, contact your Paladina Health doctor first and they, or another clinic team member, will advise on the best option for you.