Mental health care for Horizon NJ Health members
Yes — Positive Reset Eatontown is in-network with Horizon NJ Health, a NJ FamilyCare Medicaid MCO. Members typically pay $0 out-of-pocket for therapy, psychiatry, and medication management.
Most new patients are seen within 7-14 days. Call (732) 724-1234 with your member ID, or use the lookup card.
What Horizon NJ Health covers at our clinic
Typical out-of-pocket: $0. Some services require prior authorization — see below.
- Therapy (individual + couples + family)
- Psychiatric evaluation
- Medication management
- TMS (Transcranial Magnetic Stimulation)
- Telehealth (statewide NJ)
- Group therapy
What requires prior auth — and what we handle
Horizon NJ Health requires prior authorization for TMS and for some psychiatric medications. We handle the paperwork for you and submit before your first visit.
About Horizon NJ Health
Horizon NJ Health behavioral-health coverage
Horizon NJ Health is the largest NJ FamilyCare managed care organization, covering more than 800,000 members statewide. Behavioral-health services are administered directly by Horizon NJ Health — there is no separate behavioral-health partner to call. We verify your specific plan benefits, copay (almost always $0), and any prior-authorization requirements before your first appointment.
If you need to confirm your enrollment or member ID, the number is on the back of your NJ FamilyCare card. For Horizon NJ Health member services, call 1-800-682-9090.
Authoritative coverage detail: Horizon NJ Health member benefits (opens in new tab).
Do you accept NJ FamilyCare (Medicaid)?
Yes. We accept all five NJ FamilyCare managed care organizations: Horizon NJ Health, Aetna Better Health of New Jersey, UnitedHealthcare Community Plan of New Jersey, Wellpoint, and FidelisCare. NJ FamilyCare members pay $0 out-of-pocket for therapy, psychiatry, and medication management at our clinic. You'll need your member ID card for your first visit; we verify your eligibility before you arrive.Which Medicaid MCOs are accepted at Positive Reset Eatontown?
All five MCOs that participate in NJ FamilyCare: Horizon NJ Health, Aetna Better Health of New Jersey, UnitedHealthcare Community Plan of New Jersey, Wellpoint (formerly Amerigroup), and FidelisCare New Jersey. If you're not sure which MCO you're enrolled with, the name is printed on the back of your NJ FamilyCare card, or you can call NJ FamilyCare member services at 1-800-701-0710.What does NJ FamilyCare cover for mental health?
NJ FamilyCare covers individual therapy, family therapy, group therapy, psychiatric evaluations, medication management, partial hospitalization, and crisis services. Coverage of telehealth, inpatient care, and substance use treatment varies by MCO and plan tier. Specific session limits and prior-authorization requirements differ by MCO — see the [NJ FamilyCare benefits handbook](https://www.njfamilycare.org) or ask us at intake.Is there a copay for therapy if I have Medicaid?
No. NJ FamilyCare members pay $0 out-of-pocket for therapy and psychiatry visits at Positive Reset Eatontown. There's no copay, no coinsurance, and no deductible for in-network mental health care.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.How long until I can be seen?
Most new patients are seen within 7–14 days of their first call. Telehealth visits often have shorter wait times than in-person. If you're in crisis, call us — we triage same-week appointments for active safety concerns where appropriate, or refer you to crisis resources if our outpatient setting isn't the right level of care.
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 NJ Health coverage in 60 seconds.
Have your member ID handy. We confirm in-network status, copay, and any prior-auth before your first visit.