| Where to
Find Insurance. New Jersey.
TABLE OF CONTENTS
Individual Health Coverage Program.
Small Employer Health Benefits Program.
New
Jersey Family Care
Where to
Find Insurance Main Page.

Individual Health
Coverage Program.
The Individual
Health Coverage Program was created by law to provide health
insurance for individuals in New Jersey who can't find health insurance.
Insurers who participate in the Individual Health Coverage Program must
offer a selection of standard health insurance policies to individuals. The benefits
provided under these standard policies are established pursuant to law. Consumers can
choose among several types of coverage including traditional indemnity coverage (where you can select
your own doctor) and HMO coverage.
The Individual Health Coverage Program provides protections for people
with pre-existing medical
conditions. As stated in the Buyer's Guide for the Program:
"provided you satisfy the
eligibility requirements . . . you cannot be denied coverage for any reason including your
past or current health condition. However, the 'pre-existing conditions' provision may
limit coverage during the first 12 months. You also are guaranteed renewal of your policy,
provided you remain a resident of New Jersey and do not become eligible for coverage under
a group plan, your premium is paid in a timely fashion and you do not commit fraud".
More information
on pre-existing conditions can be found in the
Buyer's
Guide
prepared by the New
Jersey Department of Banking and Insurance.
Premiums
for coverage under the Program can be found on the website of the
New Jersey Department of Banking and Insurance. Premiums change
every month so make
sure you are looking at premiums for the current month.
If current premiums have not yet been published on the web, you
can call 1-800-838-0935
and ask to have them mailed to you or you can check back at the
Insurance Department website later. In order to view premium information
on the Insurance Department website you will need the Adobe Acrobat
reader. If you do not have this software, you can download it from
the Insurance Department's website. Click
Here to link to premium information on
the New Jersey Department of Banking and Insurance website.
The New Jersey
Department of Health and Senior Services has prepared a Report Card comparing
HMOs in New Jersey which may help you select an HMO under the Program if that is the type
of health insurance coverage you choose. The Report Card does not cover other types of
health plans that participate in the Program. The Report Card can be viewed on the website
of the New Jersey Department of Health and Senior Services ( in both text and adobe
format). Click Here to View the Report Card.
The New Jersey Department of Banking and Insurance
website provides a detailed Buyer's
Guide which discusses the Individual Health
Coverage Program, including such important topics as eligibility
and pre-existing
conditions. Click
Here to View the Buyer's Guide.You can
also obtain a printed version of the Buyer's
Guide by calling 1-800-838-0935.
To obtain coverage under the Individual Health Coverage
Program, you should contact the insurer from whom you are interested
in obtaining coverage directly. The Buyer's
Guide discusses how to do this.
A list of participating
insurers is also provided on the Department
of Banking and Insurance website.
If you have questions about the Program, you
can contact the Department by telephone at 1-609-633-1882.
Small Employer Health
Benefits Program.
The Small Employer Health Benefits Program was created by law to provide
health insurance for small businesses (defined as businesses with 2-50 full time employees)
that can't find health insurance.
The New Jersey Department of Banking and Insurance
website has detailed information about the Small Employer Health
Benefits Program including a Buyer's
Guide and a list
of Health Insurers Participating in the Program.
To obtain premium information, contact individual health insurers
directly.
If you have questions about the Small Employer Health
Benefits Program you can call the New Jersey Insurance Department
at 1-800-263-5912.
New
Jersey Family Care- Health Insurance For families and children.
Under the NJ
Family Care Program, New Jersey offers health
care coverage to eligible uninsured families, single adults and
couples without dependent children.
Benefits under the Program
include:
- Preventive
Services;
- Hospitalization;
- Physician
Services;
- Lab
Services;
- Prescription
Drugs;
- Mental Health
Services
- Dental
Services;
- Emergency
Medical Care
The health care benefits provided under the Program are provided through Health Maintenance Organizations.
For more information on the Program, including how to apply, you
can telephone 1-800-701-0710
or visit New Jersey's website for NJ
FamilyCare.
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