NEW JERSEY HEALTH INSURANCE
Getting insurance as an individual on the open market:
Every resident of New Jersey has the right to buy health insurance. In general, you cannot be denied insurance or charged more because of your health status, age, gender, or occupation. (Certain private insurance plans, called “Basic and Essential” plans, allow variation in price based on age and gender.). Insurers can count as preexisting conditions those for which you received medical advice in the 6 months prior to the start of your policy. Coverage for pre-existing conditions can be excluded for a maximum of 12 months. However, the amount of time you were covered under your previous insurer may be credited toward your pre-existing condition exclusion period if you have not had a break in coverage of 31 days or more. This can cancel out or reduce the length of an exclusion period.
Getting insurance through a group or small business:
If you are insured through your employer, union, or some other type of group, you cannot be denied insurance because of your medical history. Insurers can, however, count as pre-existing conditions those for which you received medical advice in the 6 months prior to the start of your policy. Coverage for pre-existing conditions can be excluded for a maximum of 6 months. However, the amount of time you were covered under your previous insurer may be credited toward your pre-existing condition exclusion period if you have not had a break in coverage of 90 days or more. This can cancel out or reduce the length of an exclusion period.
NEW JERSEY MEDICAL INSURANCE STATISTICS
Consider the following statistics about health care coverage in New Jersey:
Total New Jersey Residents – 8,528,286
New Jersey uninsured residents – 14.94%
Total New Jersey HMO enrollment – 1,804,444
Avg annual employee premium in NJ employer-sponsored plan (after employer contrib): $1,033
Avg NJ hospital cost per inpatient day (before insurance) – $2,014
NEW JERSEY HEALTH PLANS
AN INDIVIDUAL AND FAMILY HEALTH PLAN IN NEW JERSEY
A new New Jersey private health insurance plan may be right for you if:
You are self employed
Your employer does not offer a group plan
You are enrolled in a group plan, but it does not cover spouses or dependents
You are enrolled in a health plan, but the premiums are too high
You are enrolled in a health plan, but your benefits needs have change
Affordable NJ Individual & Family Medical Insurance
If both you and your spouse or domestic partner are looking for a new health insurance plan, we recommend that you look up health insurance quotes both together and separately to find the plan that is most affordable for you. Depending on the health insurance company, New Jersey individual and family health insurance rates for couples can be based on the age of the youngest person on the policy. Some couples with an age difference of several years may find they save money by applying for the same plan rather than individually. Couples that are only a few years apart might be able to reduce their total costs by applying for separate health insurance plans. If you decide to apply for a health insurance plan as a couple, make sure the plan you choose covers the benefits both of you need.
STUDENTS HEALTH PLANS
Stay on Parent’s Plan – if you are a fulltime student, you may be eligible to remain on your parent’s plan. It is easier since your parents will be handling the bills, but if you go to school out-of-state, your coverage levels may not be as robust as they would be in your home state. Also, your parent’s health insurance could be more expensive than other coverage options.
School Sponsored Plan - Some colleges offer their own health plan. Some common concerns with these plans is that they may not cover services off-campus or you can lose eligibility if you are a part-time student. Check to see if your school offers a health plan for its students.
Student Health Plan - These plans are for full-time students typically between 17-29 years old. The major advantage with this plan is that the coverage will travel with you wherever you go in the US. However, it may require you to pay your premium in a single lump-sum amount and it is not available in every state.
Individual and Family Plans - You can also purchase an individual and family health plan. Individual and family health insurance is a type of health insurance coverage that is made available to individuals and families and offers a range of coverage benefits depending on the actual plan you select.