NJ FamilyCare eligibility and enrollment

Am I eligible for NJ FamilyCare/Medicaid?

 

NJ FamilyCare is the name of New Jersey’s Medicaid program. It helps qualified residents get access to affordable health insurance. You may be eligible if you have limited income and are part of one of the following groups:

 

Children under age 18

 

Women who are pregnant

 

Parents or caretaker relatives of dependent children

 

Uninsured adults without children

 

Aged, blind, or disabled

 

The Managed Long Term Supports and Services (MLTSS) is a part of NJ FamilyCare and is a program for managing long-term care services.

 

You may be eligible if you:

 

Meet criteria for the level of care provided in a nursing facility.

 

Meet income and resource limits for NJ FamilyCare/Medicaid.

 

Are age 65 or older; or under age 65 and blind or disabled.

 

What are the income limits?

 

Visit these New Jersey websites to learn if you’re financially eligible for NJ FamilyCare/Medicaid:

 

NJ FamilyCare

 

NJ FamilyCare Aged, Blind, Disabled (ABD) Programs

 

Managed Long Term Services and Supports (MLTSS)

How do I enroll in NJ FamilyCare?

 

If you meet the eligibility requirements, you can enroll at any time. Simply follow these steps:

 

 

1. Gather important information

 

When you’re ready to apply, make sure you have the following information at hand:

 

Names, birth dates, and Social Security numbers

 

Most recent federal tax information (if available)

 

Pay stubs or other job and income information for the last month

 

Current health insurance information, if any

 

Other income like unemployment benefits, SSI benefits, pensions or retirement, alimony, etc.

 

 

2. Apply for NJ FamilyCare

 

Apply for NJ FamilyCare in one of three ways:

 

Apply on the NJ FamilyCare website.

 

Call NJ FamilyCare at 800-701-0710 (TTY 711).

 

Find an in-person enrollment site near you.

 

 

3. Choose Wellpoint as your health plan

 

Once approved, you can choose Wellpoint as your health plan by:

  1. Calling NJ FamilyCare at 800-701-0710 (TTY 711). Or
  2. Filling out the NJ FamilyCare Plan Selection Form and returning it in the envelope provided.

Ready to apply?

 

Get started on the NJ FamilyCare website.

Want to switch to Wellpoint?

 

If you were assigned to a different health plan during enrollment, you have 90 days to choose another plan. You can also switch to Wellpoint during the annual open enrollment period from October 1 to November 15 each year. NJ FamilyCare will allow you to switch for other reasons, too, such as losing access to your doctor under your or your child’s current health plan.

 

To switch to Wellpoint, call NJ FamilyCare at 800-701-0710 (TTY 711) and follow the prompts. An enrollment specialist may come on the line to help you make the change.

Have questions?

 

Check your member handbook, or live chat with a representative in the Sydney Health app.