FamilyCare poster Oct2013 2 · SELECT HEALTH PLAN YOU’RE COVERED SUBMIT 1-800-701-0710...

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new jersey DHS department of human services Produced by DHS Office of Publications Rev. 10/2013 CALL LOG ON OR SELECT HEALTH PLAN YOU’RE COVERED SUBMIT 1-800-701-0710 www.njfamilycare.org ELIGIBILITY REQUIREMENTS Covers children in families earning up to $82,425 for a family of four. Adults earning less than $15,282 or Childless Couples earning less than $20,629. Families with higher incomes may qualify based on household size. PROCESSING TO VERIFY INFORMATION PHARMACY DOCTOR DENTIST ELIGIBLE? APPLY PROVIDE Names, Birthdates, Social Security Numbers and Income TTY1-800-701-0720

Transcript of FamilyCare poster Oct2013 2 · SELECT HEALTH PLAN YOU’RE COVERED SUBMIT 1-800-701-0710...

Page 1: FamilyCare poster Oct2013 2 · SELECT HEALTH PLAN YOU’RE COVERED SUBMIT 1-800-701-0710 ELIGIBILITY REQUIREMENTS Covers children in families earning up to $82,425 for a family of

new jersey DHSdepartment of human servicesProduced by DHS Office of Publications Rev. 10/2013

CALL LOG ONOR

SELECT HEALTH PLAN

YOU’RECOVERED

SUBMIT

1-800-701-0710 www.njfamilycare.org

ELIGIBILITY REQUIREMENTSCovers children in families earning up to

$82,425 for a family of four. Adults earning less than $15,282 or

Childless Couples earning less than $20,629.Families with higher incomes may qualify based on household size.

PROCESSING TOVERIFY INFORMATION

PHARMACY

DOCTOR

DENTIST

ELIGIBLE?

APPLYPROVIDE

Names, Birthdates,Social Security Numbers and Income

TTY1-800-701-0720