Our Plans

NJ FamilyCare

Who Is Eligible?
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Children and parents may apply for NJ FamilyCare. To be eligible, you must be without health insurance for at least three months. There is no waiting period if you have recently lost employment due to a reduction in staff. There are some exceptions to this rule, so contact the Horizon NJ Health Outreach Center toll free at 1-800-637-2997 for more information. Children who have lost eligibility for Medicaid or NJ FamilyCare may apply immediately.

Eligibility is based on the number of people in your family and family's total income.

Maximum Gross Income Limits for Parents to Enroll
Family Size Monthly Income Annual Income
Two People $1,868 $22,416
Three People $2,349 $28,188
Four People $2,829 $33,948
Five People $3,310 $39,720
Six People $3,791 $45,492
Seven People $4,272 $51,264

 

Maximum Gross Income Limits for Children to Enroll
Family Size Monthly Income Annual Income
Two People $4,805 $57,660
Three People $6,041 $72,492
Four People $7,278 $87,336
Five People $8,515 $102,180
Six People $9,751 $117,012
Seven People $10,994 $131,929

 

Maximum Gross Income Limits for Adults Without Dependent Children 
Family Size Monthly Income Annual Income
Single $1,305 $15,655
Couple $1,766 $21,187

 

For more information and to see if your child qualifies, call Horizon NJ Health's Outreach Center Representatives toll free at 1-800-637-2997. Hearing-impaired callers can call our TDD / TTY number at 1-800-682-9090 (TTY/TDD 711).

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Medicaid Managed Care

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Horizon NJ Health’s MLTSS program is designed for those who need help at home but are not ready to go into a nursing home. The MLTSS program provides home and community-based support services that go beyond standard Medicaid benefits. These services promote independence, dignity and choice and can help members grow older safely in the comfort and familiarity of their homes and communities.

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