New Jersey Medicare Insurance Plans
Medicare is a federally sponsored health insurance program available to those over the age of 65, as well as to individuals who have certain disabilities. At the state level, however, there exist specific organizations that help beneficiaries better understand the Medicare process, and Medicare recipients may even qualify to receive state subsidies, depending on their circumstances. Consider the following information if you are interested in obtaining Medicare coverage in the state of New Jersey.
Medicare Supplement Insurance (Medigap) Policies
New Jersey does require Medigap insurance companies to sell you a Medigap policy, even if you’re under 65. Find more details in the Outreach and Education workbook at CMS.gov.
Mini-COBRA Policies (Small Group)
New Jersey has a state continuation program, similar to COBRA, that states if you work for an employer with less than 20 employees you may be eligible for up to 12 months of coverage. Find more details on COBRA and the continuation program here.
New Jersey Medicare Savings Program
New Jersey offers four Medicare Savings Programs that individuals who qualify may apply for through the New Jersey Department of Human Services.
*The following data is from 2016 and is based on federal amounts. These amounts may increase in 2017. If your income and resources are slightly higher, you should still apply, you may qualify for benefits even if your income is higher than the limits listed.*
- *Qualified Medicare Beneficiaries (QMBs): For individuals with a monthly income under $1,010 or couples with a monthly income under $1,355 who are receiving Medicare Part A, the state pays all premiums, deductibles, copayments, and coinsurance for Medicare Parts A and B.
- *Specified Low-Income Medicare Beneficiaries (SLMBs): For individuals with a monthly income under $1,208 or couples with monthly income under $1,622 who are receiving Medicare Parts A and B, the state pays the Medicare Part B premium.
- *Qualified Individuals (QIs): For individuals with a monthly income under $1,357 or couples with monthly income under $1,823 who are receiving Medicare Parts A and B, the state pays the Medicare Part B premium.
- *Qualified Disabled and Working Individuals (QDWIs): For individuals with a monthly income under $4,045 and couples with income under $5,425 per month who lost disability benefits due to earnings and are eligible to enroll in Medicare Part A, the state pays the Medicare Part A premium for up to 48 months.
*Data from Medicare.gov
According to ssa.gov, you should be aware that several States may even disregard all resources for individuals or couples in certain categories.
New Jersey State Health Insurance Assistance Program (SHIP)
New Jersey SHIP is a statewide program made possible with state and federal funding to provide free help to Medicare beneficiaries and their caregivers. Volunteer counselors provide unbiased, one-on-one assistance with choosing a plan, dealing with claims, and other common Medicare questions.
Low-Income Subsidy (Extra Help) for Prescription Drugs
In 2016, you may qualify if you have up to $17,820 in yearly income ($24,030 for a married couple).
If you live in New Jersey and have questions about the benefits listed above or how to choose the health care coverage that will meet your needs, consult with one of our licensed sales agents for help when you compare Medicare insurance plans. Our knowledgeable licensed sales agents can help you discover the Medicare benefits that are right for your health care needs.