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Horizon Casualty Services (HCS) manages the workers' compensation program for the State of New Jersey. This page describes how the program works. Please read this information carefully and call us at 1-800-985-7777 if you have any questions. We're here to help you.
How the program works
If you suffer a job-related illness or injury, your supervisor or HCS will refer you to an authorized doctor for treatment. HCS works with your doctor to plan your timely and safe return to work. If your injury requires emergency care, you will be sent or taken to a hospital for treatment.
Ill or Injured on the job? Here’s what to do:
Follow these easy steps if you are injured or become ill as a result of work you perform on your job:
Report your injury or illness to your supervisor immediately. Your supervisor or HCS will refer you to an authorized doctor.
Your supervisor notifies the State of New Jersey, Division of Risk Management, of your injury or illness.
Visit your authorized treating doctor who will examine you, treat your condition and coordinate your medical care, including referring you to a specialist, if needed.
Your HCS workers’ compensation case manager is your personal service representative. Call your case manager at 1-800-985-7777 with any questions or concerns. Your case manager remains in close contact with you and your doctor.
The Division of Risk Management will be in contact with your supervisor to ensure that you can return to work promptly and safely.
You can obtain the medication prescribed by your authorized doctor at any New Jersey pharmacy that participates in the HCS pharmacy network.
When you use HCS-authorized participating pharmacies, doctors, and other health care professionals and services for treatment of your work-related injury or illness, you will have no out-of-pocket costs. The HCS program ensures that you receive the medical care you need to recover as fully as possible.
However, if you seek medical care from medical professionals, or use pharmacy plans who do not participate in the HCS network, or receive medical or prescription services not authorized by HCS, you may be responsible for the full cost of the services received or you may be responsible to reimburse the State of New Jersey for the cost of non-authorized, out-of-network treatment, and for prescription medications that were not authorized or obtained at participating pharmacies.
Your rights and responsibilities
You have a right to voice complaints and receive information about the medical professionals who treat you. You are responsible for using medical services authorized by HCS and for filling any prescriptions related to your work-related injury at participating pharmacies with your HCS identification card. You are responsible for providing appropriate information needed to treat your injury or illness. Please follow the instructions of your medical professional regarding the treatment plan established for you.
Stop fraud and abuse
Fraud and abuse contribute to the escalating cost of workers’ compensation benefits. You play an important role in helping control fraud and abuse within the workers’ compensation system. If you suspect any fraud or abuse occurring in connection with your workers’ compensation benefits, please call your HCS case manager.
In case of emergency
In case of a medical emergency, call 911 and go to the nearest Emergency Room. Report your injury to your supervisor as soon as possible within 24 hours.
Your satisfaction matters to us
HCS wants you to be satisfied with the medical care you receive. Please call us with your feedback and opinions. We will make every effort to resolve any concerns you may have.
Call HCS at 1-800-985-7777 or call the State of New Jersey Division of Risk Management at 1-609-292-3475.
This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not the Health Insurance Marketplace website. This website does not display all Qualified Health Plans available through the Health Insurance Marketplace website. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare.gov.
Some pages of our website may include links to others that we do not own, control or influence. We refer to external websites that we think might be useful to you, but we are not liable for their content or privacy practices. Information contained in those websites is not endorsed by Horizon BCBSNJ.
Services and products may be provided through Horizon Blue Cross Blue Shield of New Jersey, Horizon Healthcare of New Jersey, Inc., Horizon Healthcare Dental, Inc., Horizon Casualty Services, Inc., or Horizon NJ Health*, a product of Horizon HMO, each of which is an independent licensee of the Blue Cross and Blue Shield Association.