Investor Relations / Horizon BCBSNJ

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A Culture of Excellence

About Us

Health Care Affordability

The diversity of our employee population is reflective of the rich diversity of our great state of New Jersey. It’s part of who we are as a company and represents the strength and vibrancy of our culture. Our range of backgrounds, education, experiences, abilities and perspectives have helped our employees improve the health care experience for our members and the communities we serve. Throughout our long and proud history of serving the people of New Jersey, one thing is evident—our employees truly care about our communities and our members.

For over 90 years, Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ) has served generations of New Jersey families and businesses. We are committed to providing financial protection and peace of mind through affordable health plans, products and services. Horizon is the company trusted by the majority of New Jersey’s residents.

For the Community, From the Community

Dedicated to Service Excellence

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Mission

We empower our members to achieve their best health.

Vision

We are New Jersey’s health solutions leader driving innovations that improve health care quality, affordability and member experience in the markets we serve.

Commitment to New Jersey

Financial Strength

S&P Financial Strength Rating: A Outlook: Negative Horizon Mutual Holdings: BBB

Fitch Financial Strength Rating: A- Outlook: Stable Horizon Mutual Holdings: BBB

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. © 2025 Horizon Blue Cross Blue Shield of New Jersey. Three Penn Plaza East, Newark, New Jersey 07105. ECN0023446 (0225)

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Horizon offers fully insured products to large groups, small groups, and individuals. Horizon also offers administrative services only (ASO) products to national accounts, large groups and small groups. Horizon participates in a variety of government-sponsored businesses, both as a direct federal contractor of programs such as Medicare Advantage, Medicaid, and the Federal Employee Program (FEP), and as a state contractor for various non-federal governmental plans including New Jersey’s State Health Benefits Program (SHBP) and the School Employees’ Health Benefits Program (SEHBP). Health benefits are provided under contracts with subscribers for services received from hospitals and other health care professionals.

Horizon is the state’s largest health care plan, insuring approximately 3.7 million members as of December 31, 2023.

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A Culture of Excellence

At Horizon, we believe our behaviors and actions should reflect our values, core competencies and leadership attributes both as individuals and with each other to enable greater success.

Leadership Diversity, Equity, & Inclusion Results Teamwork Innovation Integrity Urgency

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Health Care Affordability

Investors

To request access to Horizon’s financial materials, please request access here. Please note that access is limited to registered investors only. Proof of ownership will be required to obtain access. For questions or more information, please contact us here.

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Health Care Affordability

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Horizon Health News features health-related information and advice, along with updates on how we're making our members’ health care experiences more connected, coordinated and convenient. From helping them understand their coverage and important industry trends, to putting the power to find and talk with a doctor in the palm of their hands, we highlight what we’re doing to help improve our members’ health and wellness for mind and body.

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Health Care Affordability

Rising Costs Threaten Access to Care 51% of working-age Americans struggle to afford their health care and about one in three (32%) are saddled with medical debt. Among those who report difficulty affording monthly bills, about 74% are more likely to worry about affording health care over other routine expenses like food, gas or utilities.

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Encouraging Coordinated Care

Addressing Rising Pharmacy Costs

Member Education

Negotiating/Renegotiating Provider/Hospital Contracts

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Understand the importance of having a primary doctor. Explore your additional site-of-care options. Take advantage of what our patient-centered programs have to offer. Achieve better health by using your behavioral health coverage. Enroll in case management/chronic care programs, if appropriate. Get wellness discounts that can help you stay active, while saving money at popular retailers and companies nationwide. Overcome any Diversity, Equity and Inclusion barriers you face through efforts and outreach to help bring health care to underserved communities.

We want you to get the most out of your health care coverage, and have a number of important initiatives and programs designed to help you:

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Addressing Rising Pharmacy Costs

Encouraging Coordinated Care

Addressing Rising Pharmacy Costs

Member Education

Negotiating/Renegotiating Provider/Hospital Contracts

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We are currently engaged with 18 health systems that include onsite pharmacists to drive outcomes and strategy. This collaboration resulted in more than 1,000 pharmacy gaps closed in 2023, which yielded $3.1 million in annual savings that can eventually be passed on to members in the form of lower premiums.

Encourage the use of generic drugs – Research shows that using generic drugs can save consumers between 30 to 80 percent over brand name drugs.1 Find lower-cost options that are just as effective – Rx Savings Solutions is a vendor that identifies eligible members, and provides lower-cost prescription drug options for them (from January 2022 to May 2024, this saved members more than $5.5 million). Increase convenience of access to care – Make it possible for members to get certain injectable medicines at their doctor’s office or in their home at a lower cost. Offer home delivery of medicines – For many members, home delivery offers 90-day supplies of medicines at one copay, delivered to their homes at no additional cost. Support Medicine Adherence – Provide outreach to help to make sure medicines are taken correctly. These strategies include providing special pill boxes, reminder packaging and nurse coaching.

We manage more than $5 billion in annual drug spend for 3.3 million members. We’re constantly looking for ways to manage pharmacy-related costs through programs that:

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Member Education

Encouraging Coordinated Care

Addressing Rising Pharmacy Costs

Member Education

Negotiating/Renegotiating Provider/Hospital Contracts

Plan options that best meet your needs Understanding your OOP costs Knowing your care options (telemedicine, urgent care, retail health centers, at-home care, etc.) Minimizing unnecessary medical care Our cost transparency tools (e.g., Treatment Cost Estimator) Our care management programs

We offer programs and resources to help you get the information you need to access quality care while managing your out-of-pocket costs. Visit our Education Center to learn more about:

Negotiating/Renegotiating Provider/Hospital Contracts

Encouraging Coordinated Care

Addressing Rising Pharmacy Costs

Member Education

Negotiating/Renegotiating Provider/Hospital Contracts

Reimbursing doctors and hospitals based on the results they deliver for our members. We do this by incentivizing them to deliver better care (these efforts saved our members nearly $250 million in 2022).

Encouraging our network providers to deliver quality, appropriate care. We're eliminating wasteful care that doesn’t deliver good results, controlling administrative costs and working to keep price increases down.

Continuing to expand the state’s largest networks. With 8,500 more doctors, specialists and other health care professionals in our networks — a 13.5% increase from 2022 — Horizon members now have more than 72,000 options for in-network care.

We expect to face difficult decisions when it comes to hospital and doctor reimbursement rates, but will continue to negotiate contracts that include rates that protect you from unreasonable cost increases. We’re committed to making sure that cost is not a barrier to you getting the care you need by:

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What Horizon is Doing

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Sources: commonwealthfund.org, KFF.org

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