Paying for Treatment: An Overview of New Jersey Family Care

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Paying for adult or adolescent treatment for psychiatric conditions or substance use disorders can be intimidating at first. If you need healthcare insurance to help pay for mental health services, there is a program called New Jersey Family Care that can help.

New Jersey Family Care is a state government health insurance program for people who are eligible for the Children’s Health Insurance Plan, Medicaid or Medicaid expansion programs. New Jersey Family Care also accepts people who work but don’t have employer insurance. If you live in New Jersey and meet the income requirements, you may be eligible for free or low-cost health insurance that would cover mental health and substance use treatment and other medical services.1

You can learn more about the Children’s Health Insurance Plan or Medicaid plans in New Jersey by visiting Medicaid’s website at https://www.medicaid.gov/medicaid/by-state/stateprofile.html?state=new-jersey.

Income Eligibility and Cost

New Jersey Family Care covers children, pregnant women, parents, caretakers of relatives and single adults, as well as couples without children. Your eligibility is based on income and household size, which is determined by your most recent federal tax return. You can see the income requirements for each category by visiting the New Jersey Family Care website at http://www.njfamilycare.org/income.aspx.

Healthcare Plans That Participate in New Jersey Family Care

Each county in New Jersey has at least three health plans. Your family’s income will determine if there will be any restrictions on certain services.

As of 2017, the following health plans participate in New Jersey Family Care:

  • Aetna
  • Amerigroup
  • Horizon
  • UnitedHealthcare
  • WellCare

Not every plan is available in every county. Visit the New Jersey Family Care website to check the availability for the county where you live.2

How to Use New Jersey Family Care Benefits

New Jersey Family Care

High Focus Centers is an in-network provider for most major insurance carriers.3 When you go for an assessment at one of our treatment facilities, bring all the cards with you that were issued by your managed care organization or health plan/HMO. The information on your cards will allow the treatment facility to determine your benefit package and how to bill for services.

To learn about the programs offered and insurance accepted at High Focus Centers, you can call (800) 877-3628 or visit our website at https://highfocuscenters.pyramidhealthcarepa.com/wp-content/uploads/2015/03/HFC-summary-2016-3.pdf.

High Focus Centers offers treatment locations in different counties throughout New Jersey. We’ll help you choose the adult or adolescent program that’s right for you or your loved one.

Get More Information About New Jersey Family Care Enrollment

To apply for New Jersey Family Care, call 1-800-701-0710 or visit their website at http://www.njfamilycare.org/Default.aspx. The entire application process can be completed online here: https://njfc.force.com/familycare/quickstart.

If you’d like to make an appointment at a local office to speak to someone in person about enrolling, the New Jersey Family Care website has a county-by-county map for more information, which can be found at http://www.njfamilycare.org/need_help.aspx.

If you aren’t eligible for New Jersey Family Care, you can look into other insurance affordability programs at http://www.healthcare.gov.


References:

  1. http://www.njfamilycare.org/Default.aspx
  2. http://www.njfamilycare.org/choos.aspx
  3. https://highfocuscenters.pyramidhealthcarepa.com/admissions/insurance-and-payment/