NJ FamilyCare/Medicaid Program
The NJ FamilyCare/Medicaid program is a federal and state-funded health insurance program created to help New Jersey's uninsured children and certain low-income parents and guardians obtain affordable health coverage. It is not a welfare program. Healthfirst NJ offers the NJ FamilyCare/Medicaid program to eligible New Jersey families residing in Bergen, Essex, Hudson, Passaic and Union counties who cannot afford to pay the high cost of private health insurance.
- Who is eligible for the NJ FamilyCare/Medicaid program?
Children 18 and younger may apply for the program, as well as certain low-income parents (see link to grid below).
The income eligibility level for children's coverage is 350% of the federal poverty level (FPL). For example, children in a family of four with a monthly income of up to $6,432 could be eligible for coverage. For parents, the income eligibility level is 200% of the federal poverty level (FPL), or $3,675 for a family of four.
- Incomer Eligibility and Cost
- NJ FamilyCare/Medicaid Online Application
Healthfirst NJ FamilyCare/Medicaid Covered Benefits
- Doctor Visits
- Hospitalizations
- Lab Tests
- X-Rays
- Mental Health*
- Vision
- Dental**
- Plus, Healthfirst NJ also offers free health programs that offer education, prevention and outreach services.
* Healthfirst NJ FamilyCare A, B, C, and D members receive mental/behavioral health services through the Medicaid fee-for-service program by using their New Jersey Health Benefits ID Card. Division of Developmental Disabilities (DDD) members receive these services through their Healthfirst NJ plan.
**Dental care available for most children.
Click on your preferred language to view the Healthfirst NJ FamilyCare/Medicaid online application in English or Spanish.
To learn more about the NJ FamilyCare/Medicaid program or eligibility requirements, please contact Healthfirst NJ Member Services toll free at 1-888-GO4-HFNJ (1-888-464-4365) Monday - Friday from 8:00 a.m. through 6:00 p.m. Hearing-impaired callers can call our TTY number. For English dial 1-800-852-7897, or for Spanish dial 1-866-658-7714. You can also contact NJ FamilyCare at 1-800-701-0710 or TTY 1-800-701-0720.
Find out more information online at our Healthfirst NJ FamilyCare/Medicaid Member Materials resource center.
