NJ FamilyCare/Medicaid provides health care coverage for adults age 19-64 who live in New Jersey and who are either U.S. Citizens or qualified immigrants. 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 $1,800 a month; for a family of 4, that is $3,698 a month (2025 guidelines).
The NJ FamilyCare Aged, Blind, Disabled (ABD) Programs provide medical coverage to individuals who are age 65 years or older as well as individuals determined blind or disabled by the Social Security Administration or by the State of NJ.
In general, immigrant adults must have Legal Permanent Resident status in the U.S. for at least five years in order to qualify for NJ FamilyCare. Some immigrant adults can qualify if they are lawfully present, regardless of when they entered the U.S. Examples are refugees and asylees, and there are others. Immigrants age 19 and 20 who are lawfully present and have very low income ($509 a month for a single person and $805 a month for a family of 2 – 2025 guidelines) can also qualify.
Pregnant women who do not qualify for NJ FamilyCare
There are other health care coverage programs for pregnant women who do not qualify for NJ FamilyCare:
- GetCoveredNJ, New Jersey’s Health Insurance Marketplace. Must be U.S. Citizen or Qualified Immigrant.
- Medical Emergency Payment Program covers emergency services, including labor and delivery, for New Jersey residents age 19 and older who do not qualify for NJ FamilyCare because they do not meet the U.S. Citizenship or immigration requirement.
- NJ Supplemental Prenatal and Contraceptive Program (NJSPCP) covers prenatal (pregnancy) and contraceptive (family planning) care in clinics, hospitals, Federally Qualified Health Centers, and family planning centers. Must meet NJ FamilyCare guidelines except for U.S. Citizenship or immigration requirement.
- Federally Qualified Health Centers (FQHCs) have sliding fee scales for a wide range of services.
- Charity Care helps with hospital bills.
- Private Health Insurance
Official Site of The State of New Jersey