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Retroactive Eligibility for Pregnant Women, Children
and Very Low Income Households
Retroactive eligibility is
eligibility for the three months prior to the month of application so long as
eligibility existed and there are unpaid medical bills for services in that
month. In the case of a pregnant woman, in order to be eligible for a
retroactive month, the medical verification of pregnancy must have occurred in
the retroactive month or in a previous month.
Who Can Qualify:
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Income Limits for Plans
that can qualify for Retroactive Eligibility |
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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.
|
|
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2,200 |
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2,767 |
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3,334 |
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3,900 |
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4,114 |
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4,467 |
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COVERAGE FOR PLAN A CHILDREN |
FAMILY
SIZE |
MAXIMUM
INCOME |
-
Count yourself and the
father (or mother) of your children who resides with you.
-
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.
|
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1,087 |
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1,463 |
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1,840 |
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2,217 |
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2,594 |
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2,971 |
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3,348 |
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COVERAGE FOR
VERY LOW INCOME
PARENTS & CHILDREN |
FAMILY
SIZE |
MAXIMUM
INCOME |
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Low
Income Parents and Children can be evaluated for categorical
Medicaid. The following individuals can qualify
for this program:
-
Children up to the age of 18. (Children ages 19 and 20 can also be evaluated. )
The parents (or caretakers) of children under age 18.
Count yourself and the father (or mother) of your
children who resides with you.
Add the number of children in your household.
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185 |
|
369 |
|
443 |
|
507 |
|
567 |
|
624 |
|
681 |
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Section 1. NJ FamilyCare
Application: Be sure to complete this question on your NJ
FamilyCare Application
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Does anyone have any unpaid medical bills for the last 3 months? Yes No
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If
yes, please write name(s), see instructions:
______________________________________ |
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