What is the NJ FamilyCare application form used for?
The NJ FamilyCare application form is designed to help individuals and families determine their eligibility for health coverage options. This includes free or low-cost insurance through Medicaid or the Children's Health Insurance Program (CHIP), known as NJ FamilyCare. It also provides information about new tax credits that can assist in paying health coverage premiums.
Who can apply using this form?
Anyone in your family can be included in the application. You can apply even if you or your child already have health coverage, as you may qualify for lower-cost or free options. The form is also available for families that include immigrants. If you are single, a short form may be used. Visit njfamilycare.org for more information.
What information do I need to complete the application?
You will need Social Security Numbers or document numbers for any legal immigrants needing insurance. Additionally, provide employer and income information for everyone in your family, such as pay stubs or W-2 forms. Current health insurance policy numbers and information about job-related health insurance are also necessary.
Why is income information required?
Income and other information are requested to determine what coverage options you qualify for and whether you can receive assistance with costs. All information is kept private and secure, as mandated by law. For details on privacy, refer to the Privacy Act Statement at njfamilycare.org.
What happens after I submit my application?
After sending your completed application to the specified address, you can expect a follow-up within 1–2 weeks. Instructions for the next steps will be provided. If you do not receive communication, check njfamilycare.org or call 1-800-701-0710 for assistance.
Can I get help with the application process?
Yes, assistance is available in several ways. You can apply online at njfamilycare.org, call the Help Center at 1-800-701-0710, or visit in person with a local counselor. Language assistance services are also provided at no cost if needed.
Do I need to provide immigration status for all family members?
No, you do not need to provide immigration status or Social Security Numbers for family members who do not require health coverage. The application focuses on eligibility for health coverage and will use personal information solely for that purpose.
What if I don’t have all the required information when applying?
You can still submit your application even if you lack some information. Ensure that you sign the application before sending it. The NJ FamilyCare team will reach out to you for any missing details.
Is there a specific adult that needs to be the contact person on the application?
Yes, the application requires one adult in the family to act as the contact person. This individual will receive updates and information regarding the application status and any necessary follow-up actions.
What if I need to include more than two people in my application?
If your family includes more than two individuals, you must make copies of the relevant pages and attach them to your application. Ensure that each person is listed accurately to facilitate the eligibility assessment.