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NJ Family Care

  What is NJ Family Care
  Who Can Qualify
    -Income Limits
  What Is Covered
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  Who Can Qualify for NJ FamilyCare?

         NJ FamilyCare Income Limits

 

  • Pregnant women, children, some low and very low income parents can qualify for NJ FamilyCare.

  • Check your FamilyCare Household Size and Income Limit.  

  • If you meet these requirements, check to see for which Benefit Plan your children may qualify.

  • Review the other NJ FamilyCare requirements below.

HOUSEHOLD TYPES

MONTHLY INCOME

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 Plan A Benefits Package 

COVERAGE FOR CHILDREN

FAMILY
SIZE

MAXIMUM

INCOME

  • Count yourself and the father (or mother) of your children who resides with you.   A pregnant mother counts as 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.

1

2

3

4

5

6

7

2,859

3,850

4,842

5,834

6,825

7,817

8,809

What is Covered:  Benefit Packages for Children are Determined by Family Income, Age and Other Coverage.

           Children's Plan Income Limits          Children's Benefit Plans

COVERAGE FOR LOW INCOME PARENTS

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.

1

2

3

4

5

6

7

940

1,265

1,592
1,917

2,243

2,569
2,894

What is Covered:  Low income parents receive Plan D Benefits Package 

COVERAGE FOR VERY LOW INCOME
PARENTS & CHILDREN

FAMILY
SIZE

MAXIMUM

INCOME

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.  A pregnant mother counts as 2.

  • Add the number of children in your household.

1

2

3

4

5

6

7

185

369

443

507

567

624

681

What is Covered:  Low income parents and children receive Plan A Benefits Package 

Who is Covered?
  • Children under the age of 18 for Family Income up to the maximum income limit for children.  (Children age 19 and 20 can also be evaluated for the very low income program.)

  • Eligibility for children in the custody of Guardians / Caretaker Relatives may be determined without including the income of Guardians or caretaker relatives.

  • Eligibility is based on family size and monthly income. Only monthly income, not assets, is considered for eligibility.

What is Family Size?

Family Size includes the Parent or Parents and dependent children.  You cannot include other relatives who live in your household (such as your parents) even though you may provide for their  support and claim them as dependants on your income taxes.

Children's Plan Income Limits

   

Children With No Other Health Coverage

 Children With Other Health Coverage

   

Birth to Age 19

Age
19 to 20
Under
Age 6
Age
6 to 20

Premium

None

None

Yes

Yes

None

None

None

Co-Payments

None

None

Yes

Yes

None

None

None

 

Maximum Income for Each Plan

Benefits Packages (Click to see a list of benefits for each plan)

Family Size

Plan A

Plan B

Plan C

Plan D

Plan A

Plan
A
Plan
A

1

1,087 1,225 1,634 2,620 1,087 1,087 817

2

1,463

1,650

2,200

3,535

1,463

1,463

1,100

3

1,840

2,075

2,767

4,451

1,840

1,840

1,384

4

2,217

2,500

3,334

5,367

2,217

2,217

1,667

5

2,594

2,925

3,900

6,283

2,594

2,594

1,950

6

2,971

3,350

4,467

7,199

2,971

2,971

2,234

7

3,348

3,775

5,034

7,199

3,348

3,348

2,517

 

   

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