Health Insurance in New Jersey
The average benchmark silver plan premium in New Jersey's ACA marketplace is approximately $500/month before subsidies. Subsidies are available for most people earning 100–400% of the federal poverty level and can reduce your cost significantly or to $0.
Medicaid in New Jersey
New Jersey has expanded Medicaid under the ACA. Adults with incomes up to 138% of the federal poverty level (~$20,780/year for an individual in 2024) may qualify for Medicaid at low or no cost.
New Jersey Health Insurance Context
New Jersey expanded Medicaid in 2014 and operates Get Covered NJ, its own state marketplace. New Jersey has a state individual health insurance mandate (in addition to the federal ACA).
Health Coverage Options in New Jersey
- Employer-sponsored insurance: Usually the most cost-effective if available
- ACA Marketplace plans: Available at $500/month/month (before subsidies) — subsidies can dramatically lower your cost
- Medicaid: Available in New Jersey for eligible low-income adults
- Medicare: For adults 65+ and qualifying individuals with disabilities
- Short-term health plans: Low-cost but limited coverage — not ACA-compliant
Frequently Asked Questions
How much does health insurance cost in New Jersey?
The average benchmark silver ACA marketplace plan in New Jersey costs approximately $500/month per month before subsidies. Most people who enroll qualify for premium tax credits that can significantly reduce this cost — or bring it to $0 for lower-income households. Use our calculator to estimate your net premium.
Has New Jersey expanded Medicaid?
Yes, New Jersey has expanded Medicaid under the Affordable Care Act. Adults with income up to 138% of the federal poverty level may qualify for Medicaid at little or no cost. Visit your state Medicaid office or healthcare.gov to apply.
When can I enroll in health insurance in New Jersey?
The ACA Open Enrollment Period (OEP) typically runs November 1 – January 15 for coverage starting the following year. Outside of OEP, you can enroll if you have a qualifying life event (job loss, marriage, birth, etc.) through a Special Enrollment Period (SEP). Medicaid enrollment is open year-round in New Jersey.
What is the best health insurance plan in New Jersey?
The best plan depends on your health needs, budget, and preferred doctors. In New Jersey, compare Silver plans on the marketplace — they balance premiums and out-of-pocket costs for most people. If you qualify for Medicaid, that is typically the most affordable option. Use our calculator to model different scenarios.