New Jersey Medicaid
Updated April 8, 2021 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 |
