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New Jersey Health Insurance

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  Individual & Family


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New Jersey Health Insurance Companies


Learn more about each health insurance carrier in NewJersey and their respective insurance plans - NewJerseyHealth Insurance Plans.

Learn more about each insurance carrier here: Aetna, Amerihealth, Horizon, Horizon, Mutual of Omaha, Oxford, Unicare, Unicare Area B, Unicare Essential

Click here to view sample quotes for New Jersey

Compare health insurance quotes from nearby states:   Pennsylvania Health Insurance,  Delaware Health Insurance

New Jersey Affordable Health Insurance

 

If you are an individual looking for health insurance in New Jersey, or sourcing other options, as insurance costs continue to rise, Health Plan One can help.  Get started by inserting your zip code above to receive your free online health insurance quote.

 

Increasing Insurance Costs:

With the increasing cost of providing health insurance for you and your family, the prospect of finding affordable health insurance is both daunting and confusing. Health insurance premiums have risen 79.4% in NJ in the past 6 years, according to Families USA. In fact, about 966,780 NJ adults do not have insurance at all, according to Kaiser Family State Facts.

But family health insurance is essential and, luckily, there is no need to feel you are alone when selecting a plan. If you reside in New Jersey and need to find a better family health insurance plan or obtain health insurance, Health Plan One can help you review all possible insurance solutions. Fill in your zip code above to get an instant online insurance quote for your family health insurance plan.

Insurance & Politics: What Your State Government Is Doing:

In 1992, the New Jersey Legislature created two programs to guarantee access to health coverage for individuals and small employers, regardless of risk factors such as health status, age, or claims history. Excerpted: “The Individual Health Coverage Program ("IHC") and the Small Employer Health Benefits Program ("SEH") have reformed the individual and small employer (employers with 2-50 employees) health insurance markets. A third program, The New Jersey Health Access Program ("Access") provided subsidies for people who could not afford to purchase individual health coverage

Visit the site link above to learn more about New Jersey Health Programs
New Jersey offers the NJ Family Care Program to children up to age 18, who are New Jersey residents, U.S. citizens or legal residents, have no other health insurance and whose family income is up to 350% of the Federal Poverty Level. Please visit the NJ Family Care website fro more detailed information at http://www.njfamilycare.org/

New Jersey Health Insurance is Different

 

How is New Jersey different from other states in terms of Health Insurance Rules?

New Jersey currently does not have a high risk pool for those needing health insurance because medical underwriting is not allowed in the sate. This means that insurance carriers are not permitted to review the medical history of prospective members. Anyone who pays for health insurance gets health insurance.  

Preexisting Conditions

There is a 6-month look back period and a 12-month exclusionary period for preexisting conditions. This means that if you have a medical problem which exists at the time you enroll in or purchase your health insurance, or 6 months prior to that time, the health insurance company will deny all claims pertaining to this medical problem for 12 months.
 

New Jersey Health Insurance for Groups and Small Businesses (2-50 employees)

 

If you're looking to secure small business health insurance coverage, we need some information from you about your business. Begin by inserting your zip code at the top of the page.

According to the State Of New Jersey, the Small Employer Health Benefits Program (“SEH”) that went into effect January 1, 1994, offers small employers (those with 2-50 full-time employees) the choice to purchase standardized health benefits plans, offered by all carriers, or, under certain conditions, they may purchase or renew pre-reform ("non-standard") plans. The small employer market is a "modified community rated" market, which permits carriers to consider the age and gender of the employees and the location of the business in determining rates.

Read Guide to the Program

New Jersey COBRA Individual Health Coverage

  

New Jersey offers COBRA, the Consolidate Omnibus Budget Reconciliation Act of 1985. Many companies with 20 or more employees that offer health insurance are required to offer employees and their dependents continuation coverage for benefits that were lost due, for example, to job loss, reduction in hours worked, death, or divorce. For State Health Benefits Program (SHBP) participants, COBRA is not a separate health program; it is a continuation of SHBP coverage under the provisions of the federal law.

Employees enrolled in the SHBP may continue coverage under COBRA, in any plan that the employee is eligible for, if coverage ends because of a reduction in working hours, leave of absence, or termination of employment for reasons other than gross misconduct.

Read more about COBRA

Medicaid in New Jersey

Medicaid is a joint state and federal medical bills assistance program that pays medical bills for eligible, needy persons.  These individuals must meet certain income and other requirements.
 
Income requirements
Children
Children (ages 1-5)-133% of the Federal Poverty Level
Children (Ages 6-19)-133% of the Federal Poverty Level
 
Pregnant Women and Infants
Pregnant Women-185% of the Federal Poverty Level
Infants (ages 0-1)-200% of the Federal Poverty Level
 
 Parents
Non-Working Parents-100% of the Federal Poverty Level
Working Parents-100% of the Federal Poverty Level
 
Other populations
Medically Needy Individual- 51% of the Federal Poverty Level
Medically Needy Couple- 45% of the Federal Poverty Level
Supplemental Security Income Recipients- 74% of the Federal Poverty Level
Aged, blind, and disabled- 100% of the Federal Poverty Level
 
Covered Services
Hospital outpatient, rural health clinic, federally qualified health centers, laboratory and x-ray, nursing home, physician services, dental, early periodic screening diagnosis and treatment, family planning, clinic services, prescription drugs, case management, medical transportation, nurse midwife, extended services for pregnant women, and ambulatory prenatal care.
 
Co-Payments
Co-payments vary. There are no co-payments if you are under 18, pregnant, living in a nursing home, or receiving family planning services.
 
You may learn more about New Jersey Medicaid at http://www.state.nj.us/humanservices/dmahs/dhsmed.html
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