Insurance Enrollment
SJFMC will assist you in applying for and enrolling in health insurance. There are several ways you can apply for insurance, and we are here to help!
Open Enrollment for 2024 health insurance is here, which means it is time to complete or update yout Get Covered New Jersey application with any changes, such as income or family size, and enroll in coverage for 2025!
Open Enrollment runs now through January 31, 2025!
You must enroll by December 31st for January 1st Coverage!
Get covered now, don’t delay!
Now is the time to buy health insurance for next year. Read the Get Covered New Jersey information below and make sure you’re covered for whatever life brings.
Plans and prices change every year, and there are more choices available for 2025, so we encourage you to shop and compare plans to find the coverage that best fits your needs and budget.
Record Savings & Expanded Health Coverage Access
Get Covered New Jersey offers financial help to many New Jerseyans to lower health insurance costs. Due to federal and state changes, record levels of savings are available to New Jerseyans. When you apply for health coverage in the Marketplace, you might qualify for three types of financial help: premium tax credits, cost-sharing reductions and additional financial help offered by the state of New Jersey. Premium tax credits help lower your monthly health insurance premium payments. Cost-sharing reductions help lower your out-of-pocket costs like deductibles and copays. The state savings – called New Jersey Health Plan Savings – will provide additional help to most people purchasing coverage on the Marketplace.
Nine out of 10 residents enrolling at Get Covered New Jersey qualify for financial help.
Based on your income, you may also qualify for free or low-cost coverage with NJ FamilyCare, the state's publicly funded health insurance program. You only need to fill out one application on GetCoveredNJ to learn what financial help you can get.
Most 2024 Enrollees will Be Automatically Renewed – Be Sure to Make 2025 Updates
Similar to last year, Get Covered New Jersey will automatically renew most consumers into 2025 coverage without requiring any consumer action. Consumers will receive notices from GetCoveredNJ in early November with their 2024 eligibility and renewal information and will be able to see their 2025 information in their account now.
Additionally, since plans and prices change each year, even those who are automatically renewed should review their plan options for 2025. Remember that consumers must take action by December 31st for plan changes to take effect January 1st.
Remember: For coverage starting January 1st, you must enroll by December 31st! Open Enrollment ends January 31st.
How Can I Apply?
Meet with a trained SJFMC Health Insurance Navigator and receive free help to find a health insurance plan that is right for you and your family. To make an appointment to get covered, call us at 609-481-3100 or visit www.getcovered.nj.gov.
For frequently asked questions, click here (for English version) or here (for Spanish version).
Fill out this form to request assistance with health insurance enrollment.
If you are on Medicaid/NJ FamilyCare, make sure you check your mail and re-enroll to keep your benefits.
You will be receiving a letter from Medicaid requiring you to resubmit your personal information to keep your health insurance. If you do not respond, you may lose your coverage.
If you have moved, call NJ FamilyCare and update your address immediately so that you receive your letter. Hotline for Changes and Questions: 1-800-701-0710
For assistance please call our trained SJFMC Insurance Navigators at 609-481-3100
**Please bring your letter from the state to your SJFMC appointment**
To request and appointment with an SJFMC Insurance Navigator click here.
NJ FamilyCare is a federal-and state-funded health insurance program created to help qualified New Jersey residents of any age get access to affordable health insurance. NJ FamilyCare is for people who do not have employer insurance.
If you are interested in enrolling in NJ FamilyCare please look at the Who Is Eligible? section to see if you qualify. To view income eligibility limits for various family sizes, go to Income Eligibility and Cost.
The entire application process can be completed at any SJFMC health center with the help of a certified application counselor or a financial counselor. You can also complete the application at https://njfc.force.com/.
All children can apply for NJ FamilyCare, regardless of their immigration status.
With NJ FamilyCare, income-eligible children under 19 can receive:
| • Primary and specialty care, including check- ups and other visits • Eye Glasses • Hospitalization (both inpatient and outpatient) • Lab tests/x-rays • Prescriptions • Dental Services • Preventive Screenings | • Vaccinations • Mental Health Care • Substance Use Testing and Treatment • Vision Services • Hearing Services • Lead Screening • Family Planning • Other medically necessary services |
Visit nj.gov/CoverAllKids to learn more and apply. Call 1-800-701-0710 (TTY: 711) with questions or to apply by phone.
Fill out this form to request assistance with health insurance enrollment.