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Horizon Blue Cross Blue Shield of New Jersey is an independent licensee of the Blue Cross Blue Shield Association. The Blue Cross® and Blue Shield® names and symbols are registered marks of the Blue Cross Blue Shield Association. The Horizon® name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey. © 2024 Horizon Blue Cross Blue Shield of New Jersey. Three Penn Plaza East, Newark, New Jersey 07105.                                         ECN0011541B (0524)

HorizonBlue.com

Information based on Horizon BCBSNJ insured markets (2023 data).

Approximately 90 percent of your health plan premium goes directly to pay for medical care such as doctor visits, hospital stays, prescription drugs and outpatient services. The remaining money is used to pay for things like taxes, government fees, administrative costs and broker commissions, and establish Horizon’s reserves. Horizon reserves are used to protect our members and ensure that there are sufficient funds to pay claims in the event of a natural disaster or public health emergency.

HORIZON Reserves

0.7¢

BROKER 
COMMISSIONS

PREMIUM TAX, ACA FEES AND OTHER TAXES

ADMINSTRATIVE 
SERVICES

6.3¢

INPATIENT COSTS

18¢

PRESCRIPTION DRUGS

21¢

OUTPATIENT COSTS

22¢

PHYSICIAN SERVICES

27¢

Nearly 90¢ of Every Horizon Premium Dollar Goes Directly to Pay for Medical Care

Source: commonwealthfund.org

51% of working-age Americans struggle to afford their health care and about one in three (32%) are saddled with medical debt.

Rising Costs Threaten Access to Care

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