The importance of healthcare all over the world is a necessity that cannot be overlooked. Everywhere you go, although health demands differ slightly, the need to look after one’s well-being stands tall. To maintain good health, we need quality health insurance. This is not a phase or a societal trend but a necessity that must be implemented to enjoy quality healthcare. In New Jersey, healthcare is as important as the residents themselves. And, with the advent of the Affordable Care Act, many adjustments have been made, making health insurance in New Jersey more accessible and affordable.
Healthcare in New Jersey is very flexible in that it suits almost everyone. So, whether you’re financially buoyant or gravely ill, there is a healthcare insurance plan that suits your needs perfectly.
Although there is no penalty for not having health insurance in New Jersey, it is deemed necessary and compulsory. This is because the annual health expenses spent in New Jersey when calculated for each household or individual amounted to a very outrageous sum. This means you could spend your entire earnings on health expenses alone without NJ health insurance.
However getting NJ health insurance alone is not enough, we need to ensure that we get the best plans and health premiums for ourselves.
Getting the best health insurance plans is relative. This is because the most suitable health insurance plan for me might not be suitable for you. And because there are various categories of health insurance plans, we need to study them closely to choose an option that suits our needs. In choosing a suitable health plan, we must consider our health needs and other priorities.
For instance, the plan a family of three healthy children will take is different from the plan of a family with three sickle celled children which will also be different from the plan of a single healthy individual.
In this article, we’d enlighten you on the peculiarities of NJ health insurance plans in New Jersey as well as how to get the best health insurance plan for yourself.
Health Insurance in New Jersey: Plans by Category
Getting quality health insurance is not as easy as it may seem. This is because there are various categories and hierarchies of plans to choose from. Below are the three main health insurance categories in New Jersey:
Most employers in New Jersey offer insurance subsidies by covering a certain percentage of the health insurance of their employees. Most times, a group plan which covers only part of the employee’s health cost is used.
Although you will still have to pay a certain percentage yourself, an employer-sponsored plan helps to greatly reduce your health expenses. Depending on your employer these plans might cover the health insurance of your family members too, although this is very rare.
Nevertheless, the employer-sponsored plan is an added benefit and the employer’s way of thanking and encouraging its worker. Most workers in New Jersey are under employer-sponsored plans.
Family Health Insurance Plans
Another way to greatly subsidize your health insurance premium in New Jersey is to enroll in a family plan. Most newlyweds enroll in family plans with their wives.
Big families with children also enroll in family plans. This plan helps to share the medical cost, maximizing the health insurance coverage.
However, before you enroll in a family plan, you have to consider the individual health requirements of each member of your family. The plan should be able to cater to every member of the family.
Individual Health Insurance Plans
Another category of health insurance plans is individual plans. This plan is suitable for self-employed or unemployed adults who are ineligible for an employer-sponsored or a family plan.
Also, if your employer-sponsored insurance plan does not meet up to your health requirements, you can vouch for this plan. Regarded as the most expensive health insurance plan, individual plans are the most effective. This is because the plan meets your health needs directly.
Cost of Health Insurance In New Jersey
One of the major factors people consider when getting a new health insurance plan is the cost of health insurance. However, the cost of a health insurance plan depends on other factors like health insurance coverage deductibles.
Moreso, in getting cheap health insurance in New Jersey, we should consider our health needs also. This is because the various categories of health plans are suitable for different individuals depending on their health requirements.
Affordable health insurance New Jersey is categorized into three metal plans.
Bronze plans in North Jersey and all around the US have the cheapest health premiums. But, their deductibles and out-of-pocket expenses are the most expensive. Their health insurance coverage is also the lowest as Bronze plans cover only 60% of your total health expenses.
As of 2022, the cheapest Bronze plan in New Jersey goes for about $350 monthly.
Silver plans in New Jersey offer higher health insurance coverage than the Bronze plan. Covering about 70% of your total expenses. Also, their monthly premiums are higher with a lower deductible and out-of-pocket costs.
This means that although you pay more as monthly premiums for Silver plans, you’d pay less when you visit the hospital. Silver plans are the most cost-effective health insurance plan as they offer many cost-reducing platforms that can help cover as much as 85% of your entire medical costs.
As of 2022, the cheapest Silver plan in New Jersey would cost about $420 every month.
Gold Plans are the highest health insurance plans in New Jersey in terms of hierarchy. Offering a mouth-watering 80% health insurance coverage, these plans are the most expensive plans with very high monthly premiums and low out-of-pocket expenses and deductibles.
In New Jersey, the average monthly cost for gold plans is about $630.
How To Find The Best Coverage of Health Insurance in New Jersey
Finding the best health coverage in New Jersey is a lot to handle. This is because the best health insurance plan for you might not be the most effective plan for you, especially when you want to maximize the health insurance services. Your monthly income, health requirements, and specific location in New Jersey all add up to the kind of plan you should buy.
This means that the cheapest or best health insurance for you depends on your health requirements and income level. Although New Jersey has expanded Medicare according to the Affordable Care Act, those that are not eligible, however, must look for other health plans that suit them.
Best Plan for Very Poor Individuals with Health Issues
If you have serious health issues without the finance to cater to your health then Medicaid might just be the best option for you. However, there are certain requirements that you must meet. As of 2022, according to the Affordable Care Act (ACA), your income level must be under 138% of the federal poverty level.
If you don’t meet up to this major requirement as well as other requirements you’d be deemed ineligible. However, if you are eligible, you’d get a great cost reduction, and depending on your financial status, you might even get free healthcare through Medicaid.
Most suitable health insurance plans for rich people with high medical expenses
The most expensive health plans are usually the best if you can afford them. Because of their high coverage, and low deductibles, you’d get better health insurance care by subscribing to these plans.
Individuals and families with underlying health conditions should consider this plan. Also if your prognosis demands constant visitation to the hospital or expensive drug prescriptions, you should do well to opt for this plan.
Most suitable health insurance for people with fair health expenses and average income
Silver plans are regarded as the most cost-effective plans because they are less expensive than the Gold plans, yet they offer more health insurance coverage than the Bronze plans.
With as much as 70% coverage, you should be able to cope with the monthly premiums and deductibles of Silver plans. Also, silver plans are the only health insurance plans with various Cost Reduction Subsidies (CRS).
These Cost Reduction subsidies can increase your insurance coverage to as high as 85%, making your Silver plan benefits equivalent to or even more than a Gold plan.
However, silver plans have eligibility criteria that must be met before a person can qualify for Cost Reduction Subsidies. In New Jersey, the most Affordable Silver plan is the Value Added Silver Plan.
Most suitable plan for healthy young adults
The main purpose of spending large amounts on monthly premiums is to get efficient health coverage. But what if you don’t need excess coverage? Well, I’d you are young and sure of your health you might not need to visit the hospital often. And so, it would be a waste of funds to spend on expensive health insurance coverages.
The best plan for you at this point will be the Bronze plans. Offering the cheapest monthly premiums, these plans cover only 60% of your total health expenses.
Although their deductibles and out-of-pocket expenses are higher, it’s not too much because you’d rarely visit the hospital. The bronze plan will however come in handy in times of accidents and other health emergencies.
The high deductibles are a challenge if you have high medical needs. For instance, in New Jersey deductibles might cost as much as $5,000, and the insurance company will not cover your health needs until you’ve paid up that amount.
Notwithstanding, the Bronze plan is the most efficient for healthy folks. In New Jersey, the most affordable Bronze plan is the IHC Bronze EPO HSA AmeriHealth Advantage $25/$50. You must be wondering what is an EPO health plan, so it is an exclusive provider organization plan.
Facts to Note About Health Insurance in New Jersey
As you embark on the journey of health insurance and as you try to sustain a suitable health insurance plan for yourself and your family in New Jersey, below are certain things you need to know about health insurance plans in New Jersey.
New Jersey Marketplace plans
There are six insurance carriers In New Jersey from which you can purchase private insurance plans especially if you are self-employed. However, most New Jersey employers offer group plans that help greatly reduce the cost of health insurance.
If your employer doesn’t offer a group plan or your employer’s plan does not meet your needs, you could take the individual plan or family plan if you are married. In New Jersey, residents can purchase individual and family health plans under Obamacare from the Health Insurance Marketplace New Jersey from their website (healthcare.gov).
The use of GetCoveredNJ
As of 2022, you can only purchase private Marketplace plans not under Obamacare from GetCoveredNJ. Although this plan is not a federal health insurance Marketplace plan, you can still get some of the best New Jersey health insurance quotes here.
Premium tax credit
In New Jersey, it is possible to buy health insurance plans directly. the health insurance companies if you do not want to buy via GetCoveredNJ. Although, you’d be ineligible for premium discounts if you enroll directly.
As of 2022, the New Jersey Open enrollment, which is a period when residents can purchase health insurance plans, begins on the 1st of November and ends on the 31st of January.
Although, adjustments can be made in times of pandemic or national crises. Whenever an exception is made, another window is opened and whether or not you were affected by the occurrence that led to the window, you’d still be eligible.
Normally, you would be unable to purchase a health insurance plan outside the open enrollment timeframe. However, if you qualify for special enrollment, an exception will be made.
Special enrollment is a special window that is created for certain individuals that are deemed eligible due to the circumstances that made them unable to purchase health insurance during the open enrollment period.
Below are some of the requirements for special enrollments.
- You’d have to forfeit your previous health insurance coverage.
- You’d have to be ineligible for Medicaid
- You’d be ineligible for a family health plan by your parents once you turn 26.
- Moving to New Jersey recently might make you eligible
- Adopting a child
- Giving birth to a child
- Becoming a new US citizen
- Financial changes that affect your coverage options can also make you eligible.
Short-term health insurance
In New Jersey, the sales of short-term Health Insurance Plans New Jersey, are prohibited according to the New Jersey Health insurance laws. This means that every health insurance policy offers full coverage for a long time. This is a sort of advantage because short-term plans mostly offer limited coverage.
Health Insurance in New Jersey FAQs
How much is health insurance in NJ per month?
The monthly cost of health insurance in New Jersey depends on a lot of factors like the type or category of plan you intend to buy. However, New Jersey residents will spend about $500 monthly for an individual plan. These costs however will be different for a family or employer-sponsored plan.
Is there free healthcare in New Jersey?
Yes, free or greatly subsidized health care is readily available for eligible residents of New Jersey. This healthcare insurance program, the NJ Family Care, is generally funded by the New Jersey government. The eligibility criteria for this free healthcare program are very similar to that of Medicaid and the Children’s Health Insurance Program (CHIP).
Who is eligible for NJ healthcare?
Generally, healthcare in New Jersey is open to all residents and visitors of New Jersey. However, health insurance and healthcare subsidies in New Jersey might not be open to visitors. Moreso, these insurance and subsidies might have other requirements making them eligible to only some of the New Jersey residents.
Does New Jersey have good health insurance?
In terms of efficiency, New Jersey has one of the best health insurance policies in the entire United States. However, accessible service providers and insurance companies are few. So, although they have quality plans, you have limited options to choose from. Nevertheless, you can cab the best health insurance quotes in New Jersey.
How much does health insurance cost per month in NJ?
The monthly cost of health insurance in New Jersey will depend on your specific plan and health demands. Individual plans are cheaper than family plans, and Gold and Platinum plans are higher than Silver and Bronze, nevertheless, you’d spend about $750 monthly on a very cost-effective plan in New Jersey
How much is health insurance a month for a single person?
A single person can spend close to $690 monthly depending on the plan. For a Bronze plan, a single person might spend about $450, about $580 for Silver, about $700 for gold, and about $890 for a platinum plan.
How much is Obamacare in NJ?
As of 2022, the average monthly cost of Obamacare New Jersey is $500 not considering subsidies. However, this amount will be reduced depending on the subsidy you qualify for.
Which health insurance has the best benefits?
There are a handful of health insurance companies in New Jersey all with their merits and demerits. Choosing one over the other will be an injustice as each insurance company has its strength.
So, before you make your choice on the insurance company you’d go with, ensure you weigh your options and check if their strengths align with your wants.
Who is the #1 provider of health insurance in the US?
As of 2022, UnitedHealthcare is the number one health insurance company in the US based on revenue and members. With a revenue of over $285 billion and more than 70 million enrolled members, UnitedHealthCare is one of the most trusted and reliable health insurance companies with quality customer satisfaction.
NewHealthInsurance offers you the best healthcare quotes in the state of New Jersey. Get quotes, compare all options and purchase your plan today.