Medicaid/NJ FamilyCare
What is Medicaid
Medicaid is a government program that provides health insurance to low-income individuals and families. In the state of New Jersey, Medicaid is administered by the Department of Human Services and provides health coverage to eligible residents who cannot afford to pay for their own medical care. Medicaid in New Jersey covers a wide range of services, including hospital stays, doctor visits, and prescription drugs, as well as other services such as dental care and mental health treatment. To be eligible for Medicaid in New Jersey, an individual must meet certain income and asset limits, as well as other criteria set by the state.
Who is Eligible
To be eligible for Medicaid in the state of New Jersey, an individual must meet certain financial and non-financial criteria. In general, an individual must have a low income and few assets to qualify for Medicaid. The specific income and asset limits vary depending on the individual's household size and other factors, but in general, an individual must have an income that is below 138% of the federal poverty level to be eligible for Medicaid in New Jersey. In addition to financial criteria, an individual must also be a resident of the state and a U.S. citizen or qualified non-citizen, and must not be eligible for Medicare or other health coverage. The state of New Jersey also has certain eligibility requirements for certain Medicaid programs, such as the NJ FamilyCare program, which provides health coverage to low-income children and their families.
Open Enrollment
Open enrollment for Medicaid in the state of New Jersey is year-round, which means that individuals can apply for Medicaid at any time. However, there may be certain limited enrollment periods during which individuals who are already enrolled in Medicaid can make changes to their coverage, such as switching to a different Medicaid plan or adding or dropping coverage for certain benefits. These limited enrollment periods are determined by the state of New Jersey and may vary depending on the type of Medicaid coverage an individual has. It's a good idea to speak with one of our representatives to all the information about your options and help you make any necessary changes to your coverage.
Income and Household Size
Children under 19 are eligible with higher incomes up to 355% of the Federal Poverty Level (FPL) ($8,210/month for a family of four). Parents still need to renew the coverage each year. Children can qualify regardless of their immigration status.
Adults age 19-64 with income up to 138% FPL ($1,563/month for a single person and $2,106/month for a couple). Immigrant adults must have Legal Permanent Resident status in the US for at least five years in order to be eligible for NJ FamilyCare. Some immigrant adults can be eligible if they are lawfully present, regardless of when they entered the US. Examples are refugees and asylees, and there are others. Immigrants age 19 and 20 who are lawfully present and have very low income ($509/month for a single person and $805/month for a family of 2) can also be eligible.
Pregnant people up to 205% FPL ($4,741/month for a family of four). Pregnant people who are lawfully admitted can be eligible even if they have lived in this country fewer than five years.
People over 65, blind or permanently disabled, including long term care click here.
