Nj Familycare Plan D Coverage

Health plan brochure english.

Nj familycare plan d coverage. Nj familycare is not a welfare program but rather the state of new jersey s way of providing affordable health coverage for kids and certain low income parents. Only certain nj familycare c and d members have copays. Fee for service coverage until mandatory enrollment into an hmo only up to the 142 fpl yes yes yes service plan 0 to 142 fpl plan a 142 to 150 plan b 150 to 200 plan c 200 to 350 plan d new enrolles plan abp plan a plan abp ms plan a plan a monthly premiums no premiums no premiums no premiums above the 150 level no co pay no co pay no. Tuesday wednesday friday 8 00 a m.

Familycare c and d copayments for nj familycare c and d members a copayment or copay is the amount you need to pay for a covered service. Nj familycare new jersey s publicly funded health insurance program includes chip medicaid and medicaid expansion populations. Covered by fee for service when services are not given by a horizon nj health doctor. The amount of the copay is listed on your member id card.

Monday and thursday 8 00 a m. Once determined eligible for nj familycare enrollees must choose a managed care organization mco or health plan to provide health coverage services. Aetna better health of new jersey member handbook english member handbook spanish mltss member handbook english mltss member handbook spanish quick reference guide qrg 3 independence way suite 400. So if you or your children are new jersey residents and you need more information on this program please click the image below to visit the nj familycare website.

That means qualified nj residents of any age may be eligible for free or low cost health insurance that covers doctor visits prescriptions vision dental care mental health and substance use services and even hospitalization. Nj familycare c and d members have copays except for eskimos and native american indians under the age of 19. When nj familycare c and d members reach their family cost share limit they will no longer have a copay for more services. Member services phone number.

1 800 701 0720 hours of operation. Provider services phone number. Nj health covers benefit plan type benefit nj familycare a nj familycare abp nj familycare b nj familycare c nj familycare d family planning covered. Copays are usually 5 10 per visit or prescription.

April 20 eer ervies 7 6 what horizon nj health covers benefit plan type benefit nj familycare a nj familycare abp nj familycare b nj familycare c nj familycare d transportation services emergency ambulance 911 coverage is limited to ambulance ground and air for medical emergencies only.