Plans
How many HMO plans are offerred through NJ FamilyCare?
5
Fill in the blanks: ________ are eligible with higher incomes up to 355% FPL ($7,278/month for a family of four.) Parents still need to renew the coverage each year. _________ who are lawfully admitted can be eligible even if they have lived in this country fewer than five years.
Children 18 and under
FPL stands for ___________
Federal Poverty Level
If a member needs help enrolling with NJ FamilyCare, can they visit a health benefits coordinator within their county?
Yes
If a member goes to a Fee for Service physician, which ID card would they present?
State Medicaid ID Card
What plans can indiviuals apply for?
Plan A, Plan ABP, Plan B, Plan C, Plan D
Fill in the blanks: ____________ with income up to 138% FPL ($2,829/month for a family of four) must have tax dependent children in their household in order to be eligible under this category. The dependent children in the household must be insured also. Immigrant adults must have Legal Permanent Resident Status in the US for at least five years in order to be eligible for NJ FamilyCare.
Parents/Caretaker Relatives
Updated income charts are presented on the website the _____ of each year.
1st of January
County Welfare Agency (CWA) can also be known as ______________
Social Services
What does HMO stand for?
Health Maintenance Organization
Which plan is offerred for those that are eligible low-income individuals who are age 65 or older, blind, or determined likely to meet Supplemental Security Income (SSI) disability criteria based on an impairment(s) expected to last at least 12 consecutive months?
Aged, Blind, or Disabled
Fill in the blanks: _____________ with ages 19-64 and income up to 138% FPL ($1,387/month for a single person and $1,868/month for a couple.) Immigrant adults must have Legal Permanent Resident status in the us for at least five years in order to be eligible for NJ FamilyCare.
Adults without dependent children
Financial eligibility for individuals seeking eligibility for NJ FamilyCare will be based on _____________
Modified Adjusted Gross Income
Outreach and Enrollment sites for NJFamily Care are listed by ________________
County
True or False: The state medicaid card is activated or deactivated at the State depending on your eligibility.
True
How long must an individual reside in the state of New Jersey before they are eligible for NJ FamilyCare?
5 years
Fill in the blanks: ___________ ($4,203/mont for a family of four). ___________ who are lawfully admitted can be eligible even if they have lived in this country fewer than five years.
Pregnant Women up to 205% FPL
How many ways can someone apply to NJ Family Care?
4
What are the names of the HMO's offerred in New Jersey aside from Horizon NJ Health?
Aetna, Amerigroup, Wellcare, United Healthcare
How many language translations are offerred for materials that can be downloaded or mailed to an individual looking to apply to NJ FamilyCare?
18 different languages translations
Whats are the working hours of operation for NJ FamilyCare?
Hours of Operation:
Monday and Thursday
8:00 A.M. - 8:00 P.M.
Tuesday, Wednesday, Friday
8:00 A.M. - 5:00 P.M.
Who assesses income eligibility?
NJ FamilyCare
What are the ways an individual can apply for NJ Family Care?
By phone, download online and mail in, In person, Apply Online
What does FFS (Fee-for-Service) mean?
It means it is a benefit not covered by the Health Plan or HMO.