NJ FamilyCare offers accessible health coverage for New Jersey residents, and applying is open to everyone. Eligibility hinges on financial criteria, primarily assessed through your latest federal tax return, which can be verified electronically.
Children Under 19: NJ FamilyCare extends coverage to children under 19 with higher income thresholds, reaching up to 355% of the Federal Poverty Level (FPL). For a family of four, this translates to approximately $9,512 per month. It’s important for parents to renew this coverage annually. Crucially, children are eligible regardless of their immigration status, ensuring healthcare access for all children in New Jersey.
Adults Aged 19-64: Adults in this age bracket are eligible for NJ FamilyCare if their income is at or below 138% FPL. This equates to roughly $1,800 per month for single individuals and $2,433 monthly for couples. Generally, adult immigrants need to hold Legal Permanent Resident status in the U.S. for a minimum of five years to qualify. However, certain lawfully present immigrants, such as refugees and asylees, may be eligible irrespective of their entry date. Younger immigrants aged 19 and 20 who are lawfully present and have very limited income (around $509 per month for a single person and $805 for a two-person family) can also qualify for NJ FamilyCare.
Pregnant Individuals: NJ FamilyCare supports pregnant people with incomes up to 205% FPL. For a family of four, this income limit is approximately $5,493 per month. Lawfully present pregnant individuals are eligible for coverage regardless of when they entered the United States, prioritizing maternal and infant health.
Seniors, Blind, Disabled Individuals, and Medicare Recipients: NJ FamilyCare also provides pathways to coverage for individuals over 65, those who are blind or disabled, in long-term care, or adults aged 19-64 already enrolled in Medicare. Click here for detailed information on these specific categories.
New Jersey FamilyCare Income Calculation Methods
NJ FamilyCare utilizes Modified Adjusted Gross Income (MAGI) to determine financial eligibility for applicants. This streamlined approach uses your most recent federal tax return to ascertain both income and household size, simplifying the income assessment process. The tax-based household size offers a clear and efficient method for calculating eligibility.
