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New Jersey Medicaid

New Jersey Medicaid provides health coverage to low-income residents, including children, pregnant women, parents, seniors, and individuals with disabilities.

Program Name New Jersey Medicaid
Expanded Medicaid Yes
Website nj.gov
Phone 800-356-1561
Apply Online NJ FamilyCare
Appeal a Denial Request a Fair Hearing
Find a Local Office County Boards of Social Services

Eligibility Requirements

To be eligible for New Jersey Medicaid, you must be a resident of the state of New Jersey, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

You must also be one of the following:*

  • Pregnant
  • Be responsible for a child 17 years of age or younger
  • Have a disability or a family member in your household with a disability

* ACA Medicaid expansion covers eligible low-income adults.

Annual Household Income Limits (before taxes)

Household Size* Maximum Income Level (Per Year)
1 $17,131
2 $23,169
3 $29,207
4 $35,245
5 $41,284
6 $47,322
7 $53,360
8 $59,398

*For households with more than eight people, add $6,038 per additional person.

Available Services Include:

Chiropractic services Optical appliances
Dental care Optometry services
Durable medical equipment Personal care services
Family planning Pharmacy services
Hearing aid services Physical, occupational and speech therapy
Home health care Physician services
Hospice care Podiatrist
Hospital services Private duty nursing
Laboratory tests and X-rays Prosthetics and orthotics
Licensed practitioner services Psychologist
Nurse-midwife services Services in a clinic
Nursing facilities for people over 21 Transportation

Copayments

Adults residents enrolled in New Jersey Medicaid are not charged any copayments.

However, copayments are charged for children under age 19 if their household income is above 150% of the federal poverty level (FPL). There are also monthly premiums for some recipients based on income.

2021 Income Chart

FPL % Monthly Premium Copay
0% – 150% $0 $0
150% – 200% $0 $5 – $10
200% – 250% $42.50 $5 – $35
250% – 300% $85.00 $5 – $35
300% – 350% $142.50 $5 – $35

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