Best Health Insurance Plans in New Jersey

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Compare Health Insurance Plans in New Jersey

Residents of the Garden State have plenty of options when it comes to health care. According to a study by US News, New Jersey has the 12th best health care in the country. The ranking considers health care access, quality, and good public health.

Health Care Choices in New Jersey

According to the New Jersey Department of Banking and Insurance, there are several ways for residents to get health insurance:

  1. Employer-provided
    1. From your employer
    2. Through your spouse's employer
    3. Through COBRA
  2. Individual or family plans
    1. Through HealthCare.gov
    2. Directly from a health insurance company
  3. Government-assisted
    1. Medicare
    2. Medicaid

Where do most New Jersey residents get their health insurance coverage?

New Jersey Health Insurance Sources
Sources Percent
Employer-Provided 55%
Individual or family 6%
Medicaid 17%
Medicare 14%
Uninsured 8%
Source: Kaiser Family Foundation, Health Insurance Coverage of the Total Population

Eight percent of New Jersey residents are uninsured. This percentage falls below the national average, which bodes well for policyholders. The more uninsured people in the state, the higher rates tend to be for insured people.

New Jersey Health Insurance Costs and Rate Factors

New Jersey residents spend an average of $8,859 per year on health care expenditures. That's a few hundred more than the national average. So, what determines your insurance price tag in New Jersey? Rate factors vary from person to person, but here's what your provider will be looking at to price your policy:

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Body Mass Index

According to the CDC, a high BMI makes you more likely to suffer from serious diseases and health conditions. Insurers look at this when pricing your policy to determine your risk-level. A high BMI often results in higher insurance rates.

In 2016, New Jersey had a 27.4 percent obesity rate, the 36th highest rate in the country. An average of 26 percent of New Jersey residents who used QuoteWizard to compare health insurance rates have a BMI in the obese range.

Tobacco Use

Smoking takes a huge toll to your health, and insurers know it. Providers charge tobacco users more for health insurance. About 14 percent of New Jersey residents smoke, the eighth lowest rate in the country.

Age

Older people tend to pay up to three times more than younger people for health insurance plans. New Jersey residents who shopped for health insurance using QuoteWizard are, on average, 41 years old.

Plan Type

The more medical coverage you want, the more you'll have to pay in monthly premiums. Marketplace plans are organized into metal categories: bronze, silver, gold, and platinum.

How much should you expect to pay for health care in New Jersey? These are the average monthly premiums for a 40-year-old Garden State resident in 2018:

New Jersey Martketplace Plan Rates
Bronze Silver Gold
$328 $403 $655
Source: Kaiser Family Foundation, Change in Average Marketplace Premiums by Metal Tier

In New Jersey, premiums for a gold plan are almost double the cost of a bronze plan. The price spike is because gold plans cover 80 percent of medical costs, whereas bronze plans cover 60 percent.

If you're under 30 or have certain exemptions, you may qualify for a catastrophic plan. These plans have low monthly premiums but a $7,150 yearly deductible. You'll have to pay more monthly, but a bronze or silver plan may save you money when you need to use your health insurance.

Location

Every state handles their health care marketplace differently. New Jersey has unique laws, regulations, and providers surrounding health insurance. Because of this, your location is a big factor in how much you'll be paying for health insurance.

Health care costs can also be community rated. So, your prices may depend on the combined claims that everyone files. If your neighbor files a high rate of insurance claims, your prices could be higher.

That means that living in a health-conscious state could keep your premiums low. America's Health Rankings put New Jersey as the 12th healthiest state in the country.

New Jersey Health Insurance Companies

New Jersey has one of the best health care rankings in the country, but only a few provider options for individual and family plans. Here are the Garden State's health insurance company options:

Some of these companies only offer policies in certain counties. Check the employer site to find out if coverage applies to your zip code.

New Jersey Health Insurance Laws

The Affordable Care Act ensures that insurance companies can't consider certain factors when pricing your policy.

According to HealthCare.gov, marketplace plans have out-of-pocket maximum limits. The 2018 out-of-pocket maximum is $7,350 for individual plans and $14,700 for family plans.

New Jersey law requires health insurance companies to provide at least some coverage for the following services:

  • Infertility treatment
  • Cancer screenings
  • Hearing aids for people under 15
  • Diabetes treatment
  • Cancer treatments
  • Infant formulas
  • Maternity care

There are more health care services that providers need to offer. Find the complete list here.

Medicare and Medicaid in New Jersey

Medicare and Medicaid are both government-funded health care programs. These programs offer affordable coverage for different groups of people. Medicare is available to seniors, and Medicaid helps low income families and children.

Medicare

People 65 and older are eligible for Medicare. There are several coverage options, including parts A, B, C, D, and supplemental coverage plans. As a New Jersey resident, you may be eligible for a Medicare Savings Program:

  • Single person with a monthly income lower than $16,389 and assets less than $7,560.
  • Couple with a monthly income lower than $22,221 and assets less than $11,340.

Medicaid

Medicaid is available to low income families and children. Here are the state's Medicaid financial requirements:

New Jersey Medicaid Financial Requirements
Household Size Maximum Yearly Income
1 $15,800
2 $21,307
3 $26,813
4 $32,319
5 $37,825
6 $43,331
7 $48,851
8 $54,384

New Jersey Office of the Insurance Commissioner

Website:
Homepage
Insurance Commissioner:
Marlene Caride
Insurance Hotline:
(800) 446– 7467
Office Hours:
Monday - Friday
8:30 am to 5:00 pm
File a Consumer Insurance Complaint
Complaint Page

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