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Pregnant Women and Post-Partum Infant Coverage

Coverage:  Pregnant women of any age during the term of a medically verified pregnancy

Financial Eligibility:  Gross family income does not exceed 200 percent of the Federal Poverty level.

Alien StatusLegal Permanent Residents can qualify.  There is no 5-year residency requirement for this program.  Pregnant women who do not have Legal permanent residency status may apply for the Medical Emergency Payment Program for Aliens.

Length of Coverage: I f a pregnant woman is determined to be income eligible during any month prior to the end of her pregnancy, she, if otherwise eligible, shall continue to be eligible without regard to changes in the household unit's income for the term of her pregnancy, including the 60-day period beginning with the last day of the pregnancy whether or not the pregnancy results in a live birth.

  • A pregnant woman who is determined eligible  shall be considered to be a pregnant woman until the end of the 60-day period beginning with the last day of her pregnancy. Her eligibility as a pregnant woman shall end on the last day of the month in which the 60-day period ends.

  • Post-partum Infant Coverage:  Any child born to a woman eligible under the provisions of this chapter shall remain eligible for a period up to one year so long as the child lives with his or her mother.

When to apply:  An application for a pregnant women should be filed as soon as early as possible but must be received not later than 90 days following the delivery (or end of pregnancy.)

Income Guidelines:    

COVERAGE FOR PREGNANT WOMEN

FAMILY
SIZE

MAXIMUM

INCOME

  • Count yourself and the unborn child as a household of 2.

  • Add your other children.  Do not include your parents or other individuals in your home even though you may be responsible for their support.

  • Add your spouse if you are married  Or add the father of your child or children if you reside together and are unmarried.

2

3

4

5

6

7

2,200

2,767

3,334

3,900

4,467

5,034

What is Covered:  All Pregnant Women receive a
Plan A Benefits Package  (Click and check Plan A to review a list of benefits)


Section 1 of your NJ FamilyCare Application:  Pregnant women must complete this question on the NJ FamilyCare Application:

  • Is anyone listed above pregnant?   Yes   No
  • If yes, write name(s) and due date(s): _____________________________________

     

     

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