Is NJ FamilyCare Medicaid? Understanding Eligibility for New Jersey’s Health Insurance Program

NJ FamilyCare is indeed New Jersey’s publicly funded health insurance program, also known as Medicaid and Children’s Health Insurance Program (CHIP). It offers accessible and affordable health coverage to eligible New Jersey residents. Many individuals and families in New Jersey can qualify for NJ FamilyCare, and it’s worthwhile understanding the eligibility criteria to see if you can benefit from this program.

Who Can Qualify for NJ FamilyCare?

NJ FamilyCare has different eligibility categories based on age, income, and specific circumstances. Here’s a breakdown of who can be eligible:

Children Under 19

Children under the age of 19 in New Jersey are eligible for NJ FamilyCare even with higher family incomes. Specifically, children in families earning up to 355% of the Federal Poverty Level (FPL) can qualify. For a family of four, this translates to a monthly income of approximately $9,512. It’s important to note that parents need to renew coverage annually. Immigration status is not a barrier for children; they can qualify regardless of their immigration status.

Adults Age 19-64

Adults between 19 and 64 years old may be eligible for NJ FamilyCare with incomes up to 138% of the FPL. This income limit is about $1,800 per month for a single person and $2,433 per month for a couple. For most immigrant adults, Legal Permanent Resident status for at least five years is generally required to qualify. However, certain lawfully present immigrants, such as refugees and asylees, may be eligible regardless of their entry date. Younger immigrants aged 19 and 20 who are lawfully present and have very low incomes (e.g., $509/month for a single person) may also qualify.

Pregnant Individuals

NJ FamilyCare provides crucial support for pregnant individuals, with eligibility extended to those with incomes up to 205% FPL. For a family of four, this equates to a monthly income around $5,493. Lawfully present pregnant individuals are eligible irrespective of when they entered the US.

Seniors, Blind, Disabled, and Medicare Recipients

Individuals over 65, those who are blind or disabled, individuals requiring long-term care, and adults aged 19-64 with Medicare may also qualify for NJ FamilyCare. More detailed information for these categories can be found on the State of New Jersey Department of Human Services website.

Income and Household Size Calculations for NJ FamilyCare

NJ FamilyCare uses Modified Adjusted Gross Income (MAGI) to determine financial eligibility. This is based on your latest federal tax return, which can be electronically verified. Using tax returns simplifies income calculation and household size determination for NJ FamilyCare eligibility assessments.

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