Nj familycare renewal application 2021 pdf-2025

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  1. Click ‘Get Form’ to open the nj familycare renewal application 2021 pdf in our platform.
  2. Begin by filling out your personal information in Step 1. Enter your first name, middle name, last name, and suffix. Provide your home address, city, state, ZIP code, and county. If you have a different mailing address, include that as well.
  3. In Step 2, provide details about your family members who will be included in the application. List their names, relationships to you, dates of birth, and citizenship statuses. Ensure to check if anyone needs health coverage.
  4. Continue to provide income information for each family member listed. This includes employer details and income amounts from various sources like wages or other benefits.
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NJ FamilyCare may send you a renewal application. Complete all forms and mail them back as soon as possible. Call NJ FamilyCare at 1-800-701-0710 (TTY 711) to find out your renewal date or ask for a renewal form. Contact your case worker at your County Welfare Agency (CWA).
If you dont see your questions listed below, please call NJ FamilyCare at 1-800-701-0710 (TTY: 711) and speak to a Health Benefits Coordinator. How is the NJ FamilyCare health plan appeal process changing?
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).
NJ FamilyCare will mail renewals to all members in the year between April 1, 2023 and March 31, 2024. Members should expect to renew their coverage once a year from now on.
If you dont choose to let GetCoveredNJ electronically check your income data, your coverage will be renewed without financial help.
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