Below is a general list of frequently asked questions. If you don't see your question listed below, please call NJ FamilyCare at 1-800-701-0710 (or TTY 1-800-701-0720 for hearing impaired) and speak to a Health Benefits Coordinator.
Yes. Adults with income over 133% of the Federal Poverty Level are ineligible for NJ FamilyCare but will be referred to the new Federal Health Insurance Marketplace. Visit www.healthcare.gov for other affordable health insurance programs.
For Pregnant Women: There is no change to eligibility. Pregnant women already enrolled in NJ FamilyCare should contact 1-800-941-4647 (TTY 711) and advise them. NJ FamilyCare wants to be sure they are receiving all of the benefits pregnancy entitles them to receive.
For Children: Eligibility for coverage remains up to 350% FPL.
Renewal is simply a way of checking to see if anything has changed in your family's situation. You may be sent a preprinted form to confirm your income status and household size or you may be sent a blank application to fill out. It is very important that you immediately respond to any written request so that your insurance coverage will not be lost or interrupted.
NJ FamilyCare is an affordable health insurance for children and certain low-income parents. The primary qualifications are simple: 1) they haven't had health insurance in the past 3 months (with a few exceptions) and 2) your family monthly income falls within the guidelines.
Yes, this is true. However, there are exceptions to this rule, such as if you lost your insurance because your place of work went out of business or you were laid off. Depending on income, other exceptions may apply for families privately paying for health insurance or for COBRA benefits. We strongly urge you to call 1-800-941-4647 and speak with a Health Benefits Coordinator to find out if any exceptions apply to you.
Yes. NJ FamilyCare is accepting applications for all adults with income under 133% of the Federal Poverty Level. Immigrants who are legal permanent residents of the US must have that status for at least five years in order to be eligible for NJ FamilyCare.
Children age 18 or under who are lawfully admitted for permanent residence can be eligible even if they have lived in this country less than five years. Immigrant parent/guardians who are legal permanent residents of the US must have had that status for at least five years in order to be eligible for the plan. Documentation of immigration status will be requested along with the application.
The NJ FamilyCare 800 number is linked with a translation service. Whatever your native language is, we will arrange to have a third person on the line who can speak your language. They will be there to interpret for you and the Health Benefits Coordinator. Don't be afraid! Call 1-800-941-4647 (or TTY 711 for hearing impaired)!
There are several ways you can apply:
- By mail — call 1-800-941-4647 (or TTY 711 for hearing impaired) and ask for an application. The application will be sent to your home. Complete the application; return all of the required information in the self addressed stamped envelope.
- By downloading the application from the NJ FamilyCare website.
- By completing the online application and submitting it electronically.
Yes, you can. Actually, if your income is low at this time, it would be a very good idea to apply at a County Welfare Agency. There is a possibility that you might be eligible for other programs, such as food stamps. The representatives at the County Welfare Agency will be able to help you.
It is very important that you send in your payment as soon as you know your monthly premium. You will receive notice of your premium by mail. New members cannot be enrolled until the full payment has been received. Once enrolled you will be billed monthly. It must be paid in full and on time in order to continue enrollment.
If you mailed an application or submitted an online application to the State Health Benefits Coordinator 4 weeks ago and have not heard anything, call 1-800-941-4647 (or TTY 711 for hearing impaired) and ask about the status of your application. Ask for your policy ID number for future reference. If your application was sent to your local County Welfare Agency, call them to inquire about the status and to get your case number.
You can call 1-800-941-4647 (or TTY 711 for hearing impaired) and request a status change. Your family's eligibility status will then be reevaluated based on current income, and could result in your paying a lower premium or no premium.
NJ FamilyCare covers low income pregnant women too! Apply online at www.NJFamilyCare.org or visit your County Welfare Agency. Pregnant women already enrolled in NJ FamilyCare should contact 1-800-941-4647 (TTY: 711) and advise them. NJ FamilyCare wants to be sure they are receiving all of the benefits that pregnancy entitles them to receive.