Omnia plans use a Tiered network structure, and all “Omnia” providers fall into Tier 1, with all other participating providers falling into Tier 2. So if you have HMO, Advantage, POS or EPO, your list of participating providers should be exactly the same as someone with Omnia. If you are enrolled in an Omnia policy, the hospitals and providers are IDENTICAL to the Horizon Managed care network. The Horizon Omnia network and plans continue to create a lot of confusion in NJ even after being released four years ago.
Some of the goals that were established in creating the Omnia Health Alliance were lowering re-admissions to the hospital, infections and other costly issues that can arise through a normal course of care. They hand selected the Omnia Tier 1 providers based on metrics such as quality of care, overall cost, and other factors they felt were important.
Horizon Blue Cross released these plans with their major goal of providing lower priced plans for consumers while encouraging quality of care from their participating providers. *The bottom line is that these are great plans to save money on premiums, and out-of-pocket costs at your providers. I won’t go over the criticisms of the plan, but I will cover what policyholders and business owners need to know before enrolling in one of the Horizon BCBS Omnia plans. The new plan release created a lot of press, both good and bad. Horizon Blue Cross released the Omnia plan designs on January 1, 2016.
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