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Eligibility
NJFC Basics
Plans
NJFC Basics
100

If a member needs the phone number to NJFC where can I find it?

www.njfamilycare.org
100

Who does njfc cover? 

NJ FamilyCare covers: children, pregnant women, parents/caretaker relatives, and single adults/childless couples.    

100

What langauges are available on the website ?

Arabic , Chinese etc

100

What is our Branded name ?

Horizon NJ Health

100

True or false 1095 tax documents are mailed out on feb 15.

False

200

What are the hours of operation for NJFC?

Monday and Thursday 8:00 A.M. - 8:00 P.M.
Tuesday, Wednesday, Friday 8:00 A.M. - 5:00 P.M.

200

What health plan is currently frozen ?

UnitedHealthcare


200

Where can I Apply ?

Online, Phone, Mail, in person
200

Should a member bring only their hnjh card to the doctor ?

No they should bring their Health Benefits identification card and their HNJH card

200

All hmos are covered in every county. True or false

False

300

What is the phone number for the ESSEX county welfare office?

Phone: 973-395-8000

300

What Questions should you ask yourself before choosing a health plan?

  1. What NJ FamilyCare Health Plans are available in my county?
  2. What doctors or specialists do I/we see and what Health Plan do they participate in?
  3. Does the Health Plan have other participating doctors, dentists, and drug stores that are convenient for me to use?
300

0If you have questions about enrolling and wish to talk to NJFC what is the Phone number

800-701-0710

300

Medicaid is fully funded by the state of NJ. true or false

false ( state and federal)

300

Which county does not have all plans ?

Hunterdon

400

How is the NJ FamilyCare health plan appeal process changing?

Beginning July 1, 2017, the New Jersey Managed Care Organization appeal process for denials of health care services will be different because of changes to the federal rules that the managed care health plans must follow. The managed care health plans and the State know the new rules. You should know that, if you request an appeal or Medicaid Fair Hearing for health care services on or after July 1, 2017, your health plan will guide you through the process.      

400
what is qualified status

Qualified" status includes:       

  •  A lawful permanent resident
  •  A refugee 
  •  An asylee 
  •  A Cuban-Haitian entrant 
  •  An undocumented resident whose deportation is being withheld by USCIS
  •  An Amerasian immigrant 
  •  A child of an honorably discharged US military veteran 
  •  A child of a member of the US military 
  •  Certain American Indians born in Canada are treated         the same as a US citizen for the purpose of Medicaid eligibility.
  •  An immigrant paroled for over one year.
  •  An applicant under the Violence Against Women Act
400

What does it cover ?

  • Doctor visits
  • Eyeglasses
  • Hospitalization
  • Lab tests
  • X-rays
  • Prescriptions
  • Regular check-ups
  • Mental health 
  • Dental
  • Preventive screenings
400

If a member is incarcerated do they keep all benefits

NO

400
How often must a member renew their policy
Annually
500

What is NJFC ?

NJ FamilyCare is federal and state funded health insurance program created to help qualified New Jersey residents of any age access to affordable       health insurance. NJ FamilyCare is for people who do not have employer insurance.     

If you are interested in enrolling in NJ FamilyCare please look at the Who Is Eligible?       section to see if you qualify. To view income eligibility limits for various family sizes, go to         Income Eligibility and Cost. 

500

What is the medical emergency payment program

To access the Medical Emergency Payment Program, individuals must:

  • be an established New Jersey resident;
  • have no documentation from the U.S. Citizenship and Immigration Service (USCIS); or             
    • have lawfully present status (green cards or some visas) or other restricted immigration status but entered the United States on or after August 22, 1996,                   and you have not resided in the United States for 5 years; or
    • are a non-immigrant (student, child of a worker or visitor on business).
  • have income within the appropriate standard for household size
  • meet
500

how many health plans does each county have ?

Each county has at least three and up to five Health Plans that will help you get these services once enrolled

500

What are the 4 Medicaid based programs ?

NJFC , Breast and Cervical Cancer, Medically Needy , Aged blind and disabled.

500

what are the 5 plans that are with njfc?

Aetna , United Healthcare, WellCare, Amerigroup, HNJH
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