New Jersey Medicaid: FamilyCare
NJ FamilyCare is a federally and state-funded health insurance program that helps eligible New Jersey residents afford coverage. Under the Affordable Care Act (ACA), the program includes both Medicaid and the Children’s Health Insurance Program (CHIP).
There are currently five health plans participating in the NJ FamilyCare program:
- Aetna Better Health
- Fidelis Care
- Horizon NJ Health
- UnitedHealthcare Community Plan
- Wellpoint
Each plan has its own network of doctors, dentists, and hospitals and is required to cover the same core benefits, including doctor visits, prescriptions, lab tests, and hospitalizations.
As of July 1, 2021, there are no monthly premiums for NJ FamilyCare. For higher income families above 150% of FPL, there is a sliding scale for co-payments for certain services. These typically range from $5 to $35 depending on the service and the family’s income level.
FAQ
Who is eligible for NJ Family Care?
As New Jersey is expanding Medicaid coverage, NJ FamilyCare is now available to eligible adults ages 19—64 with income up to 138% of the federal poverty level. Children under 19 may qualify at higher income levels, regardless of immigration status.
Dedicated programs exist for people who are aged (65+), blind, or disabled (ABD), as well as pregnant individuals and those needing long-term care.
What is the income limit for Family Care in NJ?
| NJ Family CareHousehold Size | 355% Child 0—18 | 205% Pregnant Women | 138% Adults 19—64 |
|---|---|---|---|
| 1 | $4,722 | $2,727 | $1,835 |
| 2 | $6,402 | $3,697 | $2,489 |
| 3 | $8,082 | $4,667 | $3,142 |
| 4 | $9,763 | $5,638 | $3,795 |
| 5 | $11,443 | $6,608 | $4,448 |
| 6 | $13,123 | $7,578 | $5,101 |
| 7 | $14,804 | $8,549 | $5,755 |
| 8 | $16,484 | $9,519 | $6,408 |
How do I apply for NJ Family Care?
Applications for NJ FamilyCare are available year-round at www.NJFamilyCare.org , allowing residents to apply any time during the year.
If you have questions about NJ FamilyCare, including your benefits or the status of an application, please call (800) 701-0710 and speak to a Health Benefits Coordinator (HBC).
New Jersey Department of Human Services
NJ FamilyCare (Medicaid & CHIP)
(800) 701-0710
About this information
SingleMotherGuide.com is an independent website and is not affiliated with any government agency. Program amounts and income limits are compiled from official federal and state sources, which are cited on the page, and are reviewed periodically and updated as those sources change.
The information is provided for general guidance and is not legal or financial advice. The administering agency makes the final determination of eligibility and benefit amounts. To report an error, please contact us.
Data freshness
Figures on this page are compiled from the public sources cited above and may change; refer to the cited sources for the most current information.
- Last updated
- Updated by
- Ada Hu