How To Find the Best Health Insurance in New Jersey

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Health insurance is required by law in New Jersey, meaning it’s crucial for residents to shop around and compare prices for health plans from multiple carriers. Certain types of health insurance are a bit cheaper than average in New Jersey and the state also grants its residents a longer-than-usual open enrollment period.

Read on to learn more about New Jersey health insurance such as how much it typically costs and what happens if you fail to sign up for a policy.

Key Takeaways

  • Residents of New Jersey pay an average monthly premium of $461 for Marketplace benchmark health coverage.
  • If you don’t have health insurance and don’t qualify for an exemption, you could have to pay a tax penalty between $695 and $19,800 in New Jersey.
  • Aetna has the lowest starting rates for silver health plans in New Jersey.
  • You can enroll in a Marketplace health plan through GetCoveredNJ during open enrollment from November 1 to January 31.
  • People who are eligible for either Medicaid or the Children’s Health Insurance Program (CHIP) can receive affordable health insurance plans through NJ FamilyCare.

Is Health Insurance Required in New Jersey?

New Jersey imposes a financial penalty known as the Shared Responsibility Payment (SRP) on taxpayers who neither purchase health insurance nor qualify for an exemption to the state’s health insurance requirements. In 2024, the SRP can theoretically range from $695 to $19,800 depending on the number of people in your household and your household income, though in practice the SRP legally cannot exceed the statewide average cost of a bronze health plan.[1]

New Jersey Health Insurance Rankings

New Jersey has an above-average health care system, ranking 17th in the nation in terms of overall quality according to the Commonwealth Fund. Most notably, New Jersey boasts the lowest rate of alcohol-related deaths and the smallest impact of income disparity on avoidable emergency room visits for Medicare beneficiaries in the country. Take a look at the table below to see how New Jersey fared in each of the metrics analyzed by the Commonwealth Fund.[2]

Dimension

National Rank

Reproductive & Women’s Health

21

Access & Affordability

15

Prevention & Treatment

18

Avoidable Hospital Use & Cost

41

Healthy Lives

4

Income Disparity

29

Racial & Ethnic Health Equity

13

How Much Does Health Insurance Cost in New Jersey?

NJ Monthly Premium for Lowest-Cost Plan by Metal Tier

Silver-tier health insurance is a bit cheaper than average in New Jersey, as it costs $461 per month on average to enroll in a benchmark plan in the Garden State, whereas it costs $477 per month on average to enroll in a benchmark plan across the United States. New Jerseyans also pay an average of $381 per month for the lowest-cost bronze plan in the state, $459 per month for the lowest-cost silver plan and $630 per month for the lowest-cost gold plan.[3]

Average Cost Benchmark Premium by State

Cheapest Health Insurance Options in New Jersey

In general, bronze health plans have the lowest premiums because they require you to pay the most in out-of-pocket costs like deductibles, copays and coinsurance whenever you receive care. As a result, a bronze plan should be the cheapest option if you don’t expect to need medical care often but could end up costing you more in the long run than a higher-tiered gold or platinum plan if you do access health care regularly.[4]

health insurance tiers

Health maintenance organization (HMO) plans are also an appealing option because they tend to come with lower premiums and out-of-pocket costs than preferred provider organization (PPO) plans. Of course, the trade-off is that certain benefits covered by a PPO are not covered by an HMO including out-of-network care and specialist visits without a referral.[5]

What Is the Average Cost of Health Insurance in New Jersey by City?

The following table provides the median costs of Marketplace health plans listed on New Jersey’s state-run health exchange, GetCoveredNJ. The listed rates do not account for premium tax credits and apply to a sample population of 30-year-olds making $40,000 per year in multiple New Jersey cities and townships.[6]

City, ZIP Code

Quote

Paterson, 07501

$443.88

Lakewood Township, 08701

$443.88

Vineland, 08332

$443.88

Newark, 07101

$437.48

Cherry Hill Township, 08002

$437.48

NJ Median Monthly Rates in Major Cities

Which Health Insurance Companies Are the Most Affordable in New Jersey?

Aetna generally offers the lowest rates for silver health insurance plans in New Jersey. Check out the below table to see examples of other health insurance companies that charge 40-year-olds less than $800 per month for silver-tier coverage.[7]

Insurance Company

Cost Range

Aetna

$458 to $460

Horizon Blue Cross Blue Shield

$461 to $768

Oscar

$481 to $524

UnitedHealthcare

$488 to $490

Wellcare

$490 to $571

When Is Open Enrollment for Health Insurance in New Jersey?

Open enrollment lasts from November 1 to January 31 in New Jersey, meaning New Jerseyans get a slightly extended window of time during which they can sign up for health insurance coverage compared to the federal Health Insurance Marketplace open enrollment period of November 1 to January 15.[8][9]

Outside of open enrollment, you can still join a Marketplace plan if you become eligible for a special enrollment period on account of a qualifying life event like becoming pregnant, moving to a new coverage area or losing your employer-sponsored health insurance. In addition, New Jersey residents earning no more than 200% of the federal poverty level (FPL) can qualify for a special enrollment period at any point during the year.[8]

What Types of Health Insurance Are Available in New Jersey?

Although state law prohibits the sale of short-term health insurance, New Jersey residents can enroll in most other major types of health insurance including the following:[10]

  • Marketplace health insurance
  • Private coverage purchased directly from an insurance company
  • Employer-sponsored group health insurance
  • Consolidated Omnibus Budget Reconciliation Act (COBRA) continuation coverage
  • Medicare
  • NJ FamilyCare (includes Medicaid and CHIP)
  • Department of Veterans Affairs (VA) health benefits
  • Student health plans

How To Get Health Insurance in New Jersey

You should generally compare quotes from approximately three to five insurers before you settle on a health plan. You’ll have to provide information like your age, ZIP code, household income and more to obtain a quote, which can make for a tiresome process if you try to reach out to multiple health insurance companies individually.

Instead, consider letting SmartFinancial shop for you. Once you give us your information through a brief questionnaire, we’ll match you up with agents who can help you search for New Jersey health plans in your area. Compare health insurance quotes at no cost today.

Get a Free Quote for New Jersey Health Insurance Today!

FAQs

Is health insurance expensive in New Jersey?

New Jersey benchmark plans are $16 per month cheaper on average than benchmark plans throughout the United States. That said, the average monthly premiums for New Jersey’s lowest-cost bronze and gold plans are higher than the average premiums throughout the country by $17 and $142, respectively.[3]

Is Medicare available in New Jersey?

Eligible New Jerseyans can enroll in Original Medicare or Medicare Part C, also known as Medicare Advantage.

Have health insurance rates gone up in New Jersey?

Benchmark health insurance rates have gone up by $109 per month on average in New Jersey since 2019.[3]

What happens if I don’t sign up for health insurance in New Jersey?

Depending on your circumstances, you could have to pay a tax penalty ranging from as little as $695 to as much as $19,800 if you fail to sign up for health insurance in New Jersey.[1]

Is there access to free health care in New Jersey?

Children whose families earn up to 355% of the federal poverty level (FPL), pregnant people earning up to 205% of the FPL and other adults under the age of 65 earning up to 138% of the FPL can qualify for no-cost or low-cost health care coverage through NJ FamilyCare.[11]

Sources

  1. New Jersey Department of the Treasury. “NJ Health Insurance Mandate - Shared Responsibility Payment (SRP).” Accessed Sept. 17, 2024.
  2. Commonwealth Fund. “2023 Scorecard on State Health System Performance: New Jersey,” Pages 1, 4 and 5. Accessed Sept. 17, 2024.
  3. KFF. “Average Marketplace Premiums by Metal Tier, 2018-2024.” Accessed Sept. 17, 2024.
  4. GetCoveredNJ. “Frequently Asked Questions.” Accessed Sept. 17, 2024.
  5. Humana. “HMO vs PPO: What’s the Difference Between HMO and PPO Plans?” Accessed Sept. 17, 2024.
  6. GetCoveredNJ. “Check if You Qualify for Savings - Get Covered New Jersey.” Accessed Sept. 17, 2024.
  7. ValuePenguin. “Best Cheap Health Insurance in New Jersey (2024).” Accessed Sept. 17, 2024.
  8. GetCoveredNJ. “When Can I Buy Health Insurance?” Accessed Sept. 17, 2024.
  9. HealthCare.gov. “When Can You Get Health Insurance?” Accessed Sept. 17, 2024.
  10. New Jersey Department of Banking and Insurance. “Short-Term, Limited-Duration Insurance,” Page 2. Accessed Sept. 17, 2024.
  11. NJ FamilyCare. “Who Is Eligible?” Accessed Sept. 17, 2024.

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