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NJ FamilyCare
Medicaid
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 qualify based on income and health care needs. View the benefits below to see all that our plan offers.
Daim phiaj no muaj tsis hais qhov twg uas koj nyob hauv New Jersey.
More information on eligibility and enrollment can be found on the NJ FamilyCare website.
- NJ FamilyCare
Nrhiav cov kws muab kev pab kho mob thiab kev pab them nqi kho mob rau qhov phiaj xwm kho mob no.
Search for doctors, hospitals and specialists.
Nrhiav cov kws kho mob rau fab kev coj tus cwj pwm nyuaj siab mob hlwb thiab cov chaw muaj kev pab.
Nrhiav cov tshuaj uas raug pab them los ntawm qhov phiaj xwm kho mob no.
Nrhiav ib tus kws khoo hniav uas nyob ze koj.
Find a lab near you.
Nrhiav lub khw muag tshuaj nyob ze koj.
Cov Kev Pab thiab Cov Yam Ntxwv
Adult Day Care
Companionship is important. Adult day care provides care and companionship for seniors who need extra help during the day.
Caregivers also benefit, knowing their loved one is well cared for and safe during the day.
Services will vary by the member's coverage type and may include:
- Social connections and friendship.
- Bathing and personal care.
- Meals.
Caregiver Training*
For MLTSS members: Caring for a loved one or a friend is an act of love and devotion. It can also leave the caregiver emotionally and physically exhausted.
Our workshops teach:
- Caregiving basics.
- Healthy eating and help with eating.
- Health insurance basics.
- How to care for yourself while caring for a loved one.
- Caring for a loved one with dementia or Alzheimer's disease.
Along with instruction, caregivers have an opportunity to socialize with others and build a network of support.
Care Management*
Do you or a loved one have a serious health problem or a high-risk pregnancy? If so, our care managers are in your corner. They will:
- Explain medical terms in plain language.
- Coordinate your doctor appointments.
- Provide your care team with your medical records.
Your care manager will stay close by throughout the medical journey. He or she will:
- Think beyond your immediate medical needs.
- Make sure you have support at home, so you can focus on getting better.
Kev Xaiv Tus Kws Kho Mob
You or your child gets a primary care provider (PCP) who is your main doctor. Siv peb Lub Cuab Yeej Nrhiav Kws Kho Mob txhawm rau los saib seb koj tus kws kho mob puas nyob hauv peb lub network.
If you don't have a doctor, or if your doctor is not in our network, we can help you find a new one close to you.
Koj tus PCP yog koj tus kws kho mob tseem ceeb rau:
- Preventive care.
- Treatment if you are sick or injured.
- Referrals to specialists for certain conditions.
Choice of Birth Center
Where you have your baby is an important choice. That's why you can pick from 100 network hospitals across New Jersey.
We also encourage you to tour the hospital's birthing center. This way you will be familiar with it. And you'll be more relaxed when you have your baby.
Community Transition Services*
For MLTSS members: We want to help you live in the place that is right for you. If needed, our plan will help cover the cost of moving from a nursing facility into your community.
Covered items can include:
- Household goods.
- Security deposit.
- Utility deposit.
- Your first week of food, as needed.
Chore Services
If you are having difficulty performing day-to-day household activities, chore services can step in. They can take on the routine tasks that may be hard for you to do on your own.
Services will vary by the member's coverage type and may include:
- Running errands.
- Cleaning the house.
- Doing laundry.
- Preparing meals.
Kho Hniav
Routine exams and cleanings every six months help keep teeth and gums strong and healthy. If there is a dental problem that needs to be fixed, that's covered as well. If approved, the plan covers:
- Crowns and bridges.
- Dentures.
- Oral surgery and root canals.
Diabetic Supplies
If you have diabetes, you may need insulin, needles, wipes and glucose strips. If medically necessary, we cover all that and more.
Our plan also steps up with services to help you manage your diabetes, including:
- Classes on keeping diabetes in control.
- Coordinating doctor care.
- Meal planning and food choices.
Cov Cuab Yeej thiab Tej Khoom Siv
Koj txoj kev noj qab haus huv thiab kev nyab xeeb nyob tom tsev yog qhov tseem ceeb.
Our plan covers medical equipment ordered by your doctor or case manager. This includes items like:
- Hospital beds.
- Oxygen tanks.
- Wheelchairs or wheelchairs.
Hearing Care
Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to help protect your hearing.
Peb them rau:
- Exams, therapy and tests.
- Hearing aids and batteries.
Some limitations apply.
Noj qab nyob zoo yog ua ntej tshaj plaws®
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.
Peb yuav pab koj:
- 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.
- Txuas nrog cov peev txheej hauv zej zog xws li Cov Kev Pab cuam Poj Niam, me nyuam mos thiab me Nyuam (WIC).
Home Meal Delivery*
For MLTSS members: Taking care of the basics, like cooking, can be hard to do yourself after an illness or sickness. That's why we'll bring nutritious meals to you to help you through tough times. You can get up to 1 meal delivered per day, if needed.
Kev kho mob hauv tsev kho mob
Our plan pays for all expenses related to a hospital stay, so you can rest and heal.
Peb daim phiaj them rau:
- Nursing care.
- Room and board.
- Supplies and equipment.
- Treatment and therapies.
- Diagnostic tests and exams.
Thiab tom qab koj tawm hauv tsev kho mob mus lawm, koj tsis nyob ib leeg. We make sure you get follow-up care to continue healing at home.
Interpreters
Your doctor and you need to understand each other. Hais lus tsis tau Lus Askiv zoo ua rau qhov no nyuaj tuaj. We can arrange for a medical interpreter to be at your appointment.
We also have people at our phone centers who speak more than one language. Chances are, we have someone who speaks your language.
Lab and X-ray Services
Kev paub tias dab tsi tsis yog lawm thiab nrhiav pom qhov ntawd thaum ntxov yuas ua rau muaj kev pab tau.
- Kuaj kab mob thiab kev kuaj.
- Xoos fais fab X-rays, yees duab thiab lwm yam kev yees duab.
Peb yuav pab koj kom tau txais tej ntaub ntawv qhia paub uas yuav tsum tau kho koj txoj kev noj qab haus huv zoo dua qub los yog nyob rau ntawm qhov koj ua tau zoo tshaj plaws.
Cov Tshuaj
Our plan includes medicines and refills for prescriptions written by your doctor or specialist. Thousands of drugs are covered.
We also cover some over-the-counter medicines with a written order from your doctor.
And we make getting your medicine easy. You can fill your prescriptions at:
- Local pharmacies in our network.
- Services that deliver right to your door.
Cov Kev Pab Tswv Cuab
Sometimes you might need a little help understanding your health care options. With us, you have someone you can call 24/7. We'll answer your questions simply and completely.
We can also help you find:
- Doctors.
- Pharmacies.
- Hospitals or other health facilities.
- Local resources.
Nurse Visits
Sometimes you may need continued care after you leave the hospital or urgent care center. If your health is at risk after a serious illness, surgery or injury, a nurse will visit you at home to:
- Provide medical care for you.
- Answer your questions and concerns.
Kev saib xyuas tus kheej
Sometimes the basics are hard to do yourself after an illness or injury.
Services will vary by the member's coverage type and may include:
- Dressing.
- Bathing.
- Feeding.
Prenatal Visits
A pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.
All of your recommended prenatal clinical visits and tests are covered.
At these visits, the clinic will:
- Make sure you and your baby are healthy.
- Explain what to expect at each stage of your pregnancy.
- Answer your questions.
Respite Care*
For MLTSS members: Do you have family members or friends who care for you at home? If so, we want to support their hard work too. That's why we provide respite care to give your caregivers a rest. Respite care offers caregivers time away from their loved one who is ill or has special care needs.
Cov Koob Tshuaj thiab Tshuaj Txhaj Tiv Thaiv Kab Mob
Routine shots help keep you healthy.
Peb daim phiaj them rau:
- Recommended shots and vaccines.
- Diagnostic tests and exams.
Cov Kev Pab Cuam Kho Mob
Kev kho mob rau lub cev, ua taus hauj lwm thiab hais tau lus yuav pab tau koj kom zoo los ntawm ib qho raug mob los yog ib tus mob loj, kom mus txog rau qhov koj muaj peev xwm ua tau.
Our plan provides:
- Occupational therapy.
- Physical therapy.
- Speech therapy.
Kev Kho Mob Sai
You may have an injury or sudden illness that is not life-threatening but needs immediate attention.
Our plan covers care at:
- Urgent care centers.
- Medical aid units.
- Other walk-in clinics.
Kev Saib Xyuas Kho Mob Ntsig Txog Qhov Muag
You'll get the care, eyeglasses and treatment that let you see life more clearly.
Coverage includes:
- Routine exams.
- Help with paying for eyeglasses and contact lenses.
This benefit is offered by March Vision.
Cov Kev Mus Ntsib Kws Kho Mob Kom Noj Qab Nyob Zoo
Well visits with your doctor can help keep you healthy. Cov kev mus ntsib kws kho mob no yuav txhom tau tej teeb meem mob thaum tseem ntxov, kom thiaj kho tau.
Cov kev tiv thaiv kom txhob muaj mob muaj xws li:
- Cov kev kuaj ib ce rau cov muaj hnub nyoog thiab cov me nyuam.
- Kev tu xyuas rau cov me nyuam mos liab kom noj qab nyob zoo.
- Kev tu xyuas rau cov poj niam cev xeeb tub.
- Cov kev txhaj tshuaj thiab kev kuaj mob li ib txwm ua.
- Cov kev kuaj mis.
Nws tsis muaj feem yus nrog them (co-payments) rau kev tiv thaiv kom txhob muaj mob.
Children's Hospital of Philadelphia(CHOP): Cov Nqe Lus Nug Uas Kheev Nquag Nug Tas Li
Getting Started - Make the Most Out of Your Health Plan
Cov Lus Taw Qhia Pib Ua
Electronic Visit Verification (EVV)
Electronic Visit Verification (EVV) Fact Sheet
Phau Ntawv Qhia Ua Tswv Cuab
Phau Ntawv Qhia Ua Tswv Cuab
Coordinating Your Care
Today’s health care world requires you to visit many different providers; more than just your Primary Care Provider (PCP). That is why it is important that your care be coordinated to avoid duplication of services and medications.
You will benefit when your primary doctor, health care providers and health plan coordinate your care, because they will be working together to give you the right care, at the right time and in the right setting.
How can you help coordinate your care?
• Tell your PCP about all the specialists you see. Talk about any tests, treatments or medications that a specialist has prescribed or suggested.
• Ask your specialist to contact your PCP directly and send them a copy of your medical report and results. This helps avoid duplication of care or prevent problems when patients take two or more drugs that should not be used together.
• When you go to a specialist, ask for a copy of your medical report and results so you can bring them back to your PCP. It’s a good idea to keep a copy for yourself.
• If you have been to the emergency department or have had a hospital admission, make sure to inform your PCP.
• If your PCP or specialist orders a test, ask the provider when to expect your test results. Find out how you will get the test results; will it be by phone, letter or online on a secure patient portal.
Be sure to learn about all your test results, even when results are normal. This helps you and your doctor to make sure no test results are missed.
Remember you, your doctor and your health plan are all partners in your care.
Emergency Room Alternatives
Emergency Room Alternatives
Urgent Care Centers / Walk-in Clinics
News Bulletins
National Flu Campaign Questions and Answers
Daim Ntawv Ceeb Toom Txog Kev Tiv Thaiv Kev Ntiag Tug
Member Rights
Changes in Appeals Process
Seasonal Flu Facts
National Flu Campaign Questions and Answers
Social Security Number Privacy
Planning for a Health Care Visit
5 tips for your next health care visit
Appointment Assistance Form
Take Charge of Your Health: Get a Flu Shot
Flu season is here. The flu can be very serious. Getting a flu vaccine is your best protection against the flu. The best time to get your flu shot is October through December. You should talk to your doctor about having a flu shot. Or you can call our Customer Service Center.
Third Party Liability
Protect Your Children From Lead Poisoning
Citizenship Documents Required
Assurance Wireless / Lifeline
Members may be eligible to receive a free cellphone and 350 monthly minutes, unlimited text messages and free calls to UnitedHealthcare Community Plan Member Services. Enroll by visiting www.assurancewireless.com/Partner/bUHC or calling 1-888-321-5880
Member Newsletters 2016 - Current
2024 Newsletters
Caij Nplooj Ntoos Hlav
2023 Newsletters
Caij Ntuj Sov
2022
2021
2020
2019
2018
2017
2016
Member Newsletters Prior to 2016
2015
2014
2013
NJ Department of Community Affairs (DCA) Utility Arrears Program
Utility Arrears Program
National Diabetes Prevention Program
The National Diabetes Prevention Program addresses prediabetes and type 2 diabetes. The program is available in Lus Askiv and Spanish and features the Center for Disease Control’s (CDC) recognized lifestyle change program to prevent or delay type 2 diabetes. You can find additional information at National Diabetes Prevention Program | Diabetes | CDC
Personal Preference Program
Personal Care Assistance, Your Way: The Personal Preference Program
The Personal Preference Program (PPP) allows you greater flexibility and control over the care you need by self-directing your Personal Care Assistance (PCA). PPP allows you to hire, train, and schedule the people you want to provide the care you need, when and where you need it. PPP is an alternative to traditional agency-delivered PCA, one where you are in control.
For more information about the Personal Preference Program, click here.
To apply for the Personal Preference Program, please print this form and email it United Healthcare at uhcnjppp@uhc.com or call us at 1-800-645-9409.
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