Applying for NJ FamilyCare Advantage

To apply for NJ FamilyCare Advantage, download the Horizon NJ Health NJ FamilyCare Advantage application and mail it with the necessary supporting documents to:

Horizon NJ Health
NJ FamilyCare Advantage
P.O. Box 1330
Newark, NJ 07101-1330

Horizon NJ Health NJ FamilyCare Advantage Application

You must include the following items with your application for the enrollment process:

• The most recent pay stub for each working person in your household. If you are self-employed, or the owner of a business, submit a signed copy of the most recent IRS 1040 Form (including all appropriate Schedules). You may also submit your last profit and loss statement.
• Proof that you are a resident of New Jersey, such as a utility bill or copy of a Driver License.
• Proof that your child(ren) has legal residence, such as a copy of a birth certificate or a Resident Alien Card.
• Documentation that your child(ren) has been without health insurance for six months or more, or that your child(ren) has lost NJ FamilyCare/Medicaid eligibility.
• Your initial premium payment must be included in your application package.
• Do not forget to select a Primary Care Provider for each of your children!

If you have questions about the NJ FamilyCare Advantage program, call the Horizon NJ Health Outreach Center at 1-800-637-2997.