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SHBP SEHBP Summary Program Description - State of New Jersey - nj

SHBP SEHBP Summary Program Description - State of New Jersey - nj 2025

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The document provides a comprehensive overview of the New Jersey State Health Benefits Program (SHBP) and School Employees' Health Benefits Program (SEHBP) for employees and retirees. It outlines eligibility criteria, recent benefit changes, available medical and dental plans, prescription drug coverage, enrollment procedures, and member rights under HIPAA. The document also details contributions for health coverage, including copayments and costs associated with various plans. Additionally, it includes information on COBRA coverage, special provisions related to health care laws, and contact information for further assistance.

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Who is eligible for state health benefits in New Jersey?

Who is Eligible? Children under 19 are eligible with higher incomes up to 355% of the Federal Poverty Level (FPL) ($9,512/month for a family of four). Adults age 19-64 with income up to 138% FPL ($1,800/month for a single person and $2,433/month for a couple).

What is the state of New Jersey health benefits identification card used for?

The card below, the permanent Health Benefits Identification card (HBID), is what you use to access the Fee for Service benefits that are part of every NJ FamilyCare health benefit package. This HBID card is activated or deactivated at the State depending on your eligibility.

How much do NJ state retirees pay for health insurance?

If your annual salary in the year you retired was between $24,000 and $40,000, you pay a monthly amount based on an annual cost of 1 percent of that salary. If your annual salary in the year you retired was less than $24,000 you pay a monthly cost of $20.

Is NJ FamilyCare the same as Medicaid?

NJ FamilyCare - New Jerseys publicly funded health insurance program - includes CHIP, Medicaid and Medicaid expansion populations.

How many years do you have to work to get a pension in NJ?

Available to members who have at least 10 years of pension membership service credit (but less than 25 years) and who are not yet 60 years of age for Tier 1 or Tier 2 members; or 62 years of age for Tier 3 or Tier 4 members; or 65 years of age for Tier 5 members, when they terminate employment.

What is the benefits identification card used for?

BENEFITS IDENTIFICATION CARD This BIC is used to verify your eligibility for Medi-Cal benefits, allowing your Medi-Cal providers to bill for your medical and/or dental care.

SHBP SEHBP Summary Program Description - State of New Jersey - nj 2025

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Who is eligible for state health benefits in New Jersey?

What is the state of New Jersey health benefits identification card used for?

How much do NJ state retirees pay for health insurance?

Is NJ FamilyCare the same as Medicaid?

How many years do you have to work to get a pension in NJ?

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SHBP SEHBP Summary Program Description - State of New Jersey - nj 2025

Here's how it works

How to quickly redact SHBP SEHBP Summary Program Description - State of New Jersey - nj online

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Got questions?

Who is eligible for state health benefits in New Jersey?

What is the state of New Jersey health benefits identification card used for?

How much do NJ state retirees pay for health insurance?

Is NJ FamilyCare the same as Medicaid?

How many years do you have to work to get a pension in NJ?

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What is the benefits identification card used for?

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