Open Enrollment | Employee Services Agency (2024)

FAQs

What is the maximum income to qualify for get covered in NJ? ›

In 2024, an individual with an income of up to $87,480 and a family of four who makes up to $180,000 can receive state subsidies to lower the costs of health coverage.

Aetna CVS Health is the best health insurance provider in New Jersey based on coverage, acceptance, cost and plan type. MoneyGeek also found the best insurers for different needs.

Get Covered New Jersey is the state's official health insurance marketplace where individuals and families can easily shop for and buy coverage.

An open enrollment period is a window of time that happens once a year — typically in the fall — when you can sign up for health insurance, adjust your current plan or cancel your plan. It's usually limited to a few weeks. If you miss it, you may have to wait until the next open enrollment period to make any changes.

It's getting more expensive to be considered low-income in New Jersey. A New Jersey family of four in 2018 has to earn $71,900 a year or less to be considered low-income, according to the Department of Housing and Urban Development — an almost six percent increase from last year.

The income range is $30,000 to $120,000 in 2024 for a family of four. (Income limits may be higher in Alaska and Hawaii because the federal poverty level is higher in those states.) The American Rescue Plan Act of 2021 also extended subsidy eligibility to some people earning more than 400% of the federal poverty level.

Individual Health Coverage Program. The Individual Health Coverage (IHC) Program was created to ensure that people without access to employer or government sponsored health care programs could purchase health coverage for themselves and their families from a variety of private carriers.

The best cheap health insurance in New Jersey is the Silver 1 plan from Aetna. This plan offers a good balance between low rates and robust coverage. If you want a Bronze plan, which has less coverage than a Silver plan, AmeriHealth has the cheapest option.

Qualifying New Jersey residents of any age may be able to get free or low-cost health insurance through New Jersey's publicly funded health insurance program, NJ FamilyCare. It includes people who qualify for Children's Health Insurance Program (CHIP) or Medicaid.

Get Covered NJ is your state's Marketplace. Visit New Jersey's website.

Is there a penalty for not having health insurance in NJ? ›

New Jersey's mandate, which mirrors the federal requirement, includes an annual penalty of 2.5 percent of a household's income or a per-person charge — whichever is higher.

The Medically Needy Asset Limit is $4,000 for an individual and $6,000 for a couple. 2) Qualified Income Trusts (QIT) – Also called Miller Trusts, QITs offer a way for persons over the Medicaid income limit to still become income-eligible for Nursing Home Medicaid or Home and Community Based Services.

It is an opportunity to ensure that you have the healthcare coverage you need, are prepared for the unexpected, and can take advantage of all of the benefits your employer may offer.

Health insurance has an open enrollment period to avoid people buying health coverage only when they're sick. If people only got health insurance when they needed care and then dropped it when their health improved, there wouldn't be enough healthy people paying premiums to offset the costs for sicker members.

Open enrollment is the annual period when individuals can renew, change or cancel their health insurance. Missing an open enrollment period can put you at risk for losing health coverage for a full year until the next annual open enrollment period.

For an adult to qualify for NJ FamilyCare, the total family income must be at or below 138% of the Federal Poverty Level. For a single person, that is $1,732 a month; for a family of 4, that is $3,588 a month (2024 guidelines).

Consumers with an annual income up to 200% of the Federal Poverty Level ($29,160 for an individual or $60,000 for a family of four in 2024) can now qualify for a Special Enrollment Period and can access nearly free health plans throughout the year.

US Citizen or Qualified Immigrant. New Jersey Resident. Income between $1,733 - $2,573 monthly for a single adult, $2,352 - $3,492 for a couple (2024)