Horizon Blue Cross Blue Shield mental health care in Eatontown, NJ
Yes — Positive Reset Eatontown is in-network with Horizon BCBS commercial plans, including OMNIA and most employer-sponsored plans.
Most new patients are seen within 7-14 days. Call (732) 724-1234 with your member ID, or use the lookup card.
What Horizon Blue Cross Blue Shield covers at our clinic
Typical out-of-pocket: $0–$40. No prior-auth required for outpatient mental-health services.
- Therapy (individual + couples + family)
- Psychiatric evaluation
- Medication management
- TMS (Transcranial Magnetic Stimulation)
- Telehealth (statewide NJ)
- Group therapy
About Horizon Blue Cross Blue Shield
Commercial Horizon BCBS at Positive Reset
We accept Horizon Blue Cross Blue Shield commercial plans for outpatient mental health, including OMNIA tier-1 and tier-2 plans, employer-sponsored PPO and HMO products, and Horizon marketplace plans. Note: Horizon NJ Health (the Medicaid MCO) is a separate product — see our dedicated page for that plan.
We verify your tier (OMNIA tier-1 plans get the lowest copay), benefits, and deductible before your first visit.
Authoritative coverage detail: Horizon Blue Cross Blue Shield member benefits (opens in new tab).
Do you accept Horizon Blue Cross Blue Shield?
Yes. We accept Horizon BCBS commercial plans, including OMNIA and most employer plans. Horizon NJ Health (the Medicaid MCO) is a separate product — also accepted, but billed differently. If you have Horizon through your employer, that's commercial; if you have Horizon NJ Health through NJ FamilyCare, that's Medicaid.What is the No Surprises Act and how does it apply?
The No Surprises Act (CMS) protects you from getting an unexpected bill for in-network care. At Positive Reset Eatontown, we verify your insurance benefits before your first visit and tell you exactly what you'll pay — no surprise bills. If you're a self-pay patient, you'll receive a Good Faith Estimate before treatment begins. See our [No Surprise Billing](/insurance/no-surprise-billing/) page for the full policy.How do I verify my insurance before booking?
Call us at (732) 724-1234. Have your insurance card ready — we'll need the member ID, group number (if any), and the plan name on the front of the card. We verify benefits in 5–10 minutes for most plans, or within 24 hours for plans that require a callback to the insurer.Do I need a referral from my primary care doctor?
For most plans, no. Commercial plans like Aetna, Cigna, Horizon BCBS, Oxford, and UnitedHealthcare typically don't require a referral for outpatient mental health. Some Medicare Advantage plans do. NJ FamilyCare doesn't require a referral for outpatient therapy or psychiatry. We tell you up front if your specific plan needs one.What if my insurance changes between visits?
Tell us as soon as possible. We re-verify benefits when an insurance plan changes — call (732) 724-1234 with the new card. Coverage of mental health care often continues without interruption, but the copay or coverage level may shift, and we want you to know what to expect for the next visit. ---How much will therapy cost me?
If you're insured and we're in-network, you typically pay only your plan's copay or coinsurance — usually $0 to $40 per visit. NJ FamilyCare members pay $0. Self-pay rates start at $125 for medication management and $150 for individual therapy. We tell you the exact cost before your first visit, per the No Surprises Act.
Last data update: 2026-05-01. Plan details change frequently — call us if a benefit specific on this page disagrees with your current plan handbook.
Verify your Horizon Blue Cross Blue Shield coverage in 60 seconds.
Have your member ID handy. We confirm in-network status, copay, and any prior-auth before your first visit.