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MEPP covers emergency services, including labor and delivery, for New Jersey residents age 19 and older who do not qualify for NJ FamilyCare because they do not meet the U.S. Citizenship or immigration requirement.
Health Care Services Covered by NJ FamilyCare. Doctor checkups and sick visits. Specialist services. Vaccinations. Emergency care. Inpatient and outpatient hospital treatment. Laboratory tests and X-rays. Behavioral Health. Substance use disorder treatment.
on a medical bill when you have Medicare and Medicaid: For an office visit: If the charge for a service is $80.00 and the Medicare payment is $64.00 (80% of the charge), your Medicaid Health Plan will pay the 20% co-insurance or the difference between the Medicare reimbursement and the Medicaid Health Plan rate, whichever is less.
This policy describes how New Jersey facilities will be reimbursed for emergent and non-emergent services to UnitedHealthcare Community Plan members who seek services at the Emergency Room. Reimbursement Guidelines
If you have no way to get to the hospital during an emergency, call 911. We cover ambulance rides on the ground in a medical emergency for all members. You can also get rides to provider visits through Medicaid Fee-For-Service. To learn more, you can call ModivCare (formerly LogistiCare) at 1-866-527-9933 (TTY 1-866-288-3133). Be sure to ...
NJ FamilyCare is a comprehensive healthcare coverage program that provides a wide range of services: Doctor visits. Eyeglasses. Hospitalization. Lab tests. X-rays. Prescriptions. Regular check-ups. Mental health.
Effective April 1, 2019. As a member of Horizon NJ Health, you get the benefits and services you are entitled to with the NJ FamilyCare Program. The medical care and services you get through Horizon NJ Health are free or low cost.
