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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.
Qorshahan waa laga heli karaa meel kasta oo aad uga nooshahay New Jersey.
More information on eligibility and enrollment can be found on the NJ FamilyCare website.
- NJ FamilyCare
Hel bixiyeyaasha iyo caymiska loogu talagalay qorshahan.
Search for doctors, hospitals and specialists.
Baarbaar bixiyeyaasha daryeelka caafimaadka handhaqanka iyo dhigaallo.
Hel daawooyinka lagu daboolo caymiskan.
Hel Dhartarka Ilkaha oo kuu dhow.
Find a lab near you.
Hel farmashiye kuu dhow.
Macaashyada & Sifooyinka
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.
Dooqa dhakhtarka
You or your child gets a primary care provider (PCP) who is your main doctor. Isticmaal Qalabka Raadinta Dhakhtarka si aad u aragto in dhakhtarkaagu ku jiro shabakadeena.
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.
PCP-gaaga ayaa ah dhakhtarkaaga ugu muhiimsan ee loogu tala galay:
- 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.
Daryeelka ilkaha
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.
Qalabka iyo Saadka
Caafimaadkaaga iyo badbaadadaada guriga waa muhiim
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.
Waxaan daboolnaa:
- Exams, therapy and tests.
- Hearing aids and batteries.
Some limitations apply.
Healthy First Steps™
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.
Waan ku caawin doonaa:
- 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.
- Ku xirirannashaha dhigaalada bulshada sida adeegyada Haweenka, Dhallaanka iyo Carruurta (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.
Isbitaal Dhigista
Our plan pays for all expenses related to a hospital stay, so you can rest and heal.
Qorshahayagu waxa uu daboolaa:
- Nursing care.
- Room and board.
- Supplies and equipment.
- Treatment and therapies.
- Diagnostic tests and exams.
Ka dib markaad isbitaalka ka baxdo, keligaaga ma tihid. We make sure you get follow-up care to continue healing at home.
Interpreters
Your doctor and you need to understand each other. In aan si fiican loo hadlin Ingiriisi ayaa tan ka dhigaysa mid adag. 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
Ogaanshaha waxa khaldan iyo in la helo goor hore ayaa wax walba samayn karta.
- Shaybaarada iyo tijaabada.
- Raajooyinka, iskaangaraynta iyo sawir-qaadista kale.
Waxaan kaa caawin doonaa inaad hesho macluumaadka loo baahan yahay si aad u hormariso caafimaadkaaga ama aad u noqoto sida kuugu fiican.
Daawooyinka
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.
Member Services
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.
Daryeelka gaarka ah
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.
Xabado iyo Tallaal
Routine shots help keep you healthy.
Qorshahayagu waxa uu daboolaa:
- Recommended shots and vaccines.
- Diagnostic tests and exams.
Adeegyada Daawaynta.
Daaweynta jirka, shaqada iyo hadalka waxay kaa caawin kartaa inaad ka soo kabsato dhaawac halis ah ama jirro, ama si fudud u gaarto awooddaada buuxda.
Our plan provides:
- Occupational therapy.
- Physical therapy.
- Speech therapy.
Daryeelka Degdegga ah
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.
Daryeelka Aragga
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.
Booqashooyinka Wanaagsan
Well visits with your doctor can help keep you healthy. Booqashooyinkani waxay ku dhici karaan dhibaatooyin caafimaad goor hore, si loo daweeyo.
Adeegyada ka hortagga waxaa ka mid ah:
- Baaritaannada ku aaddan dadka waaweyn iyo carruurta.
- Daryeelka ilmaha wanaagsan.
- Daryeelka haweenka uurka leh.
- Tallaalada joogtada ah iyo tijaabooyinka.
- Raajada naaska.
Ma jirto wax lacagta caymiska ee go'an ah oo laga bixiyo daryeelka ka hortagga ah.