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New Jersey Medicaid

We offer no or low-cost plans to help New Jerseyans get healthy — and stay healthy since 1989. We cover adults, people with disabilities, expecting moms and children with our New Jersey Medicaid and NJ FamilyCare plans. We offer a Dual Special Needs Plans for those who qualify for both New Jersey Medicaid (FamilyCare) and Medicare.

We’re proud that our NJ Medicaid (FamilyCare) plan is accredited by the National Committee for Quality Assurance (NCQA). NCQA is a private, non-profit organization dedicated to improving health care quality. UnitedHealthcare Community Plan of NJ has also achieved NCQA’s Long-Term Services and Supports Distinction for our UnitedHealthcare Dual Complete® plan. 

See why New Jersey chooses UnitedHealthcare

Personalized care checklist

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Find plans

Medicaid

NJ FamilyCare

Our NJ FamilyCare plan is for children, parent or caretaker relatives, and adults without dependent children. It's also for people who need extra support and care to live safely at home. You can choose your own doctor. Choose "View plan details" to see what our plan offers.

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Dual Special Needs plans

Dual Special Needs plans (also called Dual Health plans or D-SNPs for short) are for people who have both Medicaid and Medicare. Dual plans cover most doctor visits, hospital stays and prescription drugs. They offer many extra benefits beyond those you get with either Original Medicare or Medicaid.
View all Dual Special Needs plans

Individual & Family ACA plans

UnitedHealthcare offers Individual & Family ACA plans in New Jersey. They’re designed to give you the coverage you need without breaking the bank.

Choose from plans in the Bronze, Silver and Gold metal levels. They each come with a variety of benefits, including reliable support from our customer service experts.

See Individual & Family ACA plans (Opens in a New Tab)

Eligibility and enrollment

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Eligibility

New Jersey FamilyCare covers people including: 

NJ FamilyCare covers low income children under the age of 18, pregnant women, parents/caretaker relatives, single adults and adults (without dependent children) ages 19-24. 

Eligibility is based on family size and income. Family size includes children under 21, adoptive and natural parents, or caretaker relatives and their spouses.

Enrollment

Join us! Get started today. Enrollment is open year-round.

To learn more about eligibility and enrolling with UnitedHealthcare, visit the New Jersey steps to enroll page. . 

Steps to enroll

Renewals

Don’t lose benefits

Your health plan renewal date may be coming soon. If you haven’t already, you may need to recertify to keep getting UnitedHealthcare coverage.

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Benefits and features

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MLTSS Program

The Managed Long Term Services and Supports (MLTSS) program is focused on serving frail, elderly and disabled individuals. This program combines traditional health care benefits (doctor visits, hospital stays, labs) and long-term services and supports (providing help in home or community with daily living activities) that includes: 

  • Care management
  • Home and vehicle modifications
  • Home meal delivery
  • Mental health and addiction services cover counseling and other treatments 
  • 24/7 personal emergency response device to get you help quickly at no cost 
  • Personal care
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Healthy First Steps®

The Healthy First Steps team is here for you. Our program will help you take the right steps to keep you and your baby healthy.

We’ll help you:

  • Choose a pregnancy provider and a pediatrician (child’s doctor)
  • Schedule visits and exams and arrange rides to your visits
  • Get supplies, including breast pumps for nursing moms
  • Connect with community resources such as Women, Infants and Children (WIC) services

Health education

UnitedHealthcare Community Plan of New Jersey offers free health education to help everyone live healthier lives. We offer programs for children, parents and seniors, and that cover men and women’s health issues.

Topics include:

• Asthma • Lead poisoning • Childhood obesity • Diabetes • Heart disease • Injury prevention • Medication safety • Nutrition • Make your doctor’s visit worthwhile • Parenting skills • Stress management • Understanding breast cancer

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Interpreter services

You and your providers need to understand each other. Not speaking English makes this difficult.

We can arrange for an interpreter to be at your appointments.

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Community Connector

Find help in your community. You can search for help with food, housing, transportation and more at reduced or no cost to you. 

Dental, Hearing and Vision

Make sure your sight, teeth, speech and hearing are at their best. Benefits include:

  • Vision. Routine exams and help paying for eyeglasses and contact lenses.
  • Dental. We cover cleanings, checkups and dental work.
  • Hearing. Tests, check-ups and hearing aids are covered (some limitations apply)

Health Talk newsletter

Our Health Talk newsletter is now online. The newsletters are a great way to learn about our health plan and important health topics. You can read it whenever, wherever you want. Check back quarterly for a new edition.


Disclaimer information

(scroll within this box to view)

Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Complete plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Premium disclaimer

Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

Benefit disclaimer

Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.

Nurse Hotline disclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your provider's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time. Nurse Hotline not for use in emergencies, for informational purposes only.

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2025.

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

Important provider information

The choice is yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper directory requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Declaration of disaster or emergency

If you’re affected by a disaster or emergency declaration by the President or a governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.