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New Jersey Health Insurance

 

All health insurance policies in New Jersey are considered guaranteed renewable as long as your premiums are paid up to date.  So this means your health insurance can not be canceled because you become sick.

 

New Jersey mandates that health insurance companies cover newborns and adopted children for the first 31 days, on their parent’s policy.  But inversely pregnancy is, and can be considered a pre-existing condition, except on group health policies.  Pregnancy is a pre-existing condition but not on group health insurance.

 

New Jersey makes every insurance company selling individual policies in their state to sell standardized policies.  These policies are very comprehensive and the consumer will typically have a choice of 4 indemnity plans, a PPO and an HMO.  New Jersey also mandates insurers offer an Essential Plan and a Basic Plan.  These plans are not considered comprehensive, and because of this are much more affordable.

 

To get more information about New Jersey's standardized health insurance policies click here.

 

If you visit the New Jersey Department of Insurance you will get some additional information about health insurance in the state of NJ.

 

                               Request a New Jersey Health Insurance Quote

 

 

 

 

 

Cities in New Jersey

 

Newark NJ

Jersey City NJ

Paterson NJ

Elizabeth NJ

Woodbridge NJ

Edison NJ

Dover NJ

Hamilton NJ

Trenton NJ

Camden NJ

 

 

 

 

Commonly Searched Terms

 

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NJ Self Employed Health Insurance

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NJ Individual Health Insurance

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NJ Health Insurance Policies

 

New Jersey Small Business Health Insurance

 

In New Jersey, a group health plan, can not base your health insurance premiums on your health.  This is called non discrimination.  Small Business Health Insurance in New Jersey is also guaranteed issue, meaning that you can not be turn down for coverage.

 

Pre-existing exclusions are limited on the amount of time they can exclude coverage.  Also if you have current coverage, without lapses, that will be credited against

 your pre-existing period.  Pregnancy is not considered a pre-existing condition on a group health plan.

 

In New Jersey, pre-existing conditions for group health plans can only be considered when looking at the medical treatments, or diagnosis that occurred during the 6 months prior to the beginning of this new policy.

 

The maximum pre-existing waiting period is 12 months for an employee. If you are a late enrollee your maximum waiting period is 18 months.  Any pre-existing periods must be applied only after written notice.

 

New Jersey offers five standardized plans for small businesses.  Insurance companies can provide riders to these policies, and also additional policies, but they must offer these 5 policies to every New Jersey Small Business without exception.  Because they are standardized it helps for consumers to compare costs and benefits.

 

Click here to get more information about Small Business Health Insurance in New Jersey.

 

                                Request a New Jersey Small Business Health Insurance Quote

 

 

New Jersey Individual Health Insurance

 

All New Jersey Health Insurance Policies have to cover disabled children on their parent’s policy into their adulthood.  The same is true of new born babies who are to be covered for 31 days on their parent’s policy.   If you are a full time student, New Jersey allows you to stay on your parent’s policy up until you are age 23. 

 

In New Jersey, insurance companies are not able to decide if they want to insure you or not.  New Jersey law restricts the insurance company’s right to deny coverage, on the basis of health status, as long as you are applying for coverage during open enrollment.  Open enrollment occurs every October for 30 days.

 

If you are HIPAA eligible, you can not be turned down for coverage either, but you do not have to buy your plan during open enrollment, you can buy it any time.

 

New Jersey allows health insurance companies to include pre-existing conditions and these are the two ways they can do it:

-         With an Elimination Rider which basically changes the policy to deny coverage of anything to do with the pre-existing condition.

-         With a Pre-Existing period, this can not be more than 12 months.

 

Relative to Pre-Existing Conditions, Insurance companies in New Jersey must give credit to prior credible coverage as long as there was not more than a 63 day lapse in coverage.

 

Individual rates in New Jersey can not vary due to age, location or health status.  To get actual pricing for New Jerseys Standardized plans click here.

 

New Jersey has a great program in place to help insure uninsured children.  It is called Family Care.  Visit the website to see if your child qualifies.

 

Click here for more information about Individual Health Insurance in New Jersey.

 


                                Request a New Jersey Individual Health Insurance Quote

 

 

New Jersey Self Employed Health Insurance

 

In New Jersey, self employed people are not allowed to buy health insurance like other small business.  Health Insurance Companies can not sell them their small business policies. When you are self employed in New Jersey you must buy an individual policy, therefore you will be protected under the laws protecting individuals.

 

Another option for affordable New Jersey Self Employed Health Insurance is often associations or self employed groups.  Just keep in mind that not all of these groups or associations are regulated by the state.

 

One benefit for Self Employed people is that they are able to deduct 100% of their health insurance premiums from their taxes!

 

Click here to get additional information about Self Employed Health Insurance in New Jersey.

 


                               Request a New Jersey Self Employed Health Insurance Quote

 

 

New Jersey Temporary Health Insurance

 

Many situations may arise where you find yourself without health insurance, or about to be without health insurance.  These reasons could range from graduating college to being in-between jobs.  Instead of going without health insurance you should look into getting a New Jersey Temporary Health Insurance Policy.  These policies will be cheap, with high deductibles and low coverage, but getting a New Jersey Temporary Health Insurance Policy is much better than going with out health insurance. 

 

Like in other state, temporary health insurance in New Jersey is not guaranteed renewable.  This is an important distinction to remember.

 

Click here to get additional information about Temporary Health Insurance in New Jersey.

 


                                Request a New Jersey Temporary Health Insurance Quote

 

 

What types of New Jersey Health Insurance are there?

 

HMO- Health Maintenance Organization.  This type of insurance is called managed care.  This means you have certain network of doctors and hospitals in New Jersey that you have to go to for care.  Most New Jersey HMO’s have office visit co-payments that range from $10 to $35, and hospital deductibles that range from $250 to $1,500.  Often the most affordable health insurance plans are HMO’s due to the fact they are managed care.

 

PPO-Preferred Provider Organization.  This type of insurance is also called managed care but it gives the consumer much more freedom; they allow you to visit any doctor or hospital in or out of network.  Most New Jersey PPO’s have an in network and an out of network charge.  If the in network co-insurance is 100% then the out of network co-insurance would be 80%.  If the in network co-insurance is 90% then the out of network co-insurance would be 70%   Typically New Jersey PPO’s offer co-payments for doctor visits as well as hospitalization. 

 

Indemnity Plan - In New Jersey, as health insurance rates continue to rise, many people are finding it more affordable to drop their health insurance and buy a New Jersey Major Medical Health Insurance Plan.  An Indemnity plan can also be called a major medical plan or catastrophic health insurance.  Whatever you call it, typically a New Jersey Indemnity Plan would cover more “major” claims.  An Indemnity plan has an annual deductible and will usually allow you to pick different co-insurance options.  Indemnity plans allow you access to any doctor or hospital, and for this reason they are typically very expensive.

 

Discount Medical Plans – In recent years many Discount Medical Plans have started to surface.  These plans have relatively inexpensive, but consumers must realize that this is not insurance.  All these companies do is to get their customers discounted rates (20-50% off) on certain procedures at certain physicians and hospitals. 

 

Federal Mandated Health Insurance Laws

 

HIPAA

Along with New Jersey Health Insurance Laws, there are Federal Laws that regulate Health Insurance companies.   HIPAA (Health Insurance Portability and Accountability Act of 1996). This act mandated federal standards for individual and group health insurance plans.  Some of the standards that it established were relative to guaranteed renew ability, crediting for prior health coverage and pre-existing condition waiting periods.

 

ERISA

Large corporations do not have health insurance policies.  Typically they are self funded, meaning the corporation pays for all of their employee’s medical bills instead of buying health insurance.  Most of these “self funded” companies are regulated by the federal government under ERISA (Employee Retirement Income Security Act)

 

COBRA

In New Jersey it is mandated, by the state, that all companies that offer a New Jersey Group Health Insurance Policy must also enable their employees to extend their health coverage temporarily; called Cobra.  A New Jersey Cobra Insurance is typically available for a time period of 18-36 months.   In New Jersey you are given 60 days to decide if you are going to take New Jersey Cobra Insurance or not.  Once you have passed on the opportunity to take Cobra, you are not eligible to receive it.

 

Cobra Insurance was introduced in 1985.  Cobra stands for Consolidated Omnibus Budget Reconciliation Act.  If you would like more information about your Cobra Insurance options please contact your companies HR department.

 

Often employees are surprised at the cost of a New Jersey Cobra Insurance.  The reason for this is that they are now responsible for 103% (100% of the premium plus a 3% administration fee) of a monthly health insurance premium when they probably only paid 20% while employed. 

 

Whether nor not to take Cobra is an important question, and you should realize there are alternatives to a New Jersey Cobra Insurance Policy.  One should realize what they plan to do in the future.  If you are looking for another job, and it will be a few months before you get a job, it might make sense to look for a New Jersey Temporary Health Insurance Plan.  If you are contemplating working at a consultant, it would be in your best interest to look into a New Jersey Self Employed Health Insurance Policy.   

 

QuicklyQuoteMe’s Opinion on Health Insurance

On most health insurance policies you have the option of taking a higher deductible, which can save you on your monthly premiums.  For these people who are generally healthy and do not use their medical policy it makes sense to take a risk to lower a monthly bill.

 

QuicklyQuoteMe recommends you consider your risk and talk with our licensed professionals about which deductible is right for your policy.  At QuicklyQuoteMe.com we have the highest quality insurance professionals working with us.  Fill out an online form and speak to one of them directly, they all come highly recommended!

 

                           Request a Health Insurance Quote from one of QuicklyQuoteMe’s Agents

 

 

If you are a health insurance agent looking for New Jersey Health Insurance Leads click here

 

 

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