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Navigating NJ Direct Providers: A Comprehensive Guide for 2026

"The term "NJ Direct" refers specifically to the health insurance plans administered by Horizon Blue Cross Blue Shield of New Jersey for State Health Benefits Program (SHBP) and School Employees’ Health Benefits Program (SEHBP) members. This article focuses on the identification, network requirements, and operational navigation for providers participating in these specific plan designs for the 2026 plan year. Understanding the NJ Direct Network Architecture The NJ Direct series functions as a Preferred Provider Organization (PPO) network. Unlike traditional Health Maintenance Organization (HMO) plans, NJ Direct plans do not require members to..."

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