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Must I use a physician or hospital in the NJ DIRECT network or BlueCard® PPO network?

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Must I use a physician or hospital in the NJ DIRECT network or BlueCard® PPO network?

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No; you may use your out-of-network benefits, which offer care from any eligible physician or hospital outside the NJ DIRECT or BlueCard® PPO network in exchange for higher out-of-pocket costs. Out-of-network benefits require a deductible and coinsurance (and may be subject to balance billing), while members using in-network benefits will only be responsible for a copayment, for most services.

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