New Jersey MedicaidUpdated 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|
|Apply Online||NJ FamilyCare|
|Appeal a Denial||Request a Fair Hearing|
|Find a Local Office||County Boards of Social Services|
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:*
- 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)|
*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|
|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|
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|