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NJ FamilyCare

Amerigroup is proud to serve NJ FamilyCare members in New Jersey. We’ll help arrange for you and your family to get the covered benefits you need to stay healthy.

What you get with Amerigroup


Visits to the doctor

Visits to the doctor

Prescriptions

Prescriptions

Dental care

Dental care

Vision care

Vision care


Your benefits include:

  • Primary care provider (PCP) visits
  • Immunizations and wellness visits
  • Specialist visits
  • Hospital care
  • Urgent care
  • Emergency care
  • Lab and X-ray services
  • Pregnancy services
  • Family planning services
  • Physical, occupational and rehabilitative therapies
  • Speech and hearing services
  • Behavioral health care (mental and substance abuse services)
  • Smoking cessation services
  • Home health care services
  • Hospice services
  • Disease management for asthma, diabetes and more

See your member handbook for a full list of covered benefits.

Referrals and preapprovals

A referral and/or preapproval may be needed for certain services. Visit our  Referrals and preapprovals page to learn more.

Your health and well‐being are important to us. That’s why you need to select a primary care provider (PCP) for your main health care needs. Your PCP can be a doctor, nurse practitioner or physician assistant. For special care, your PCP can also refer you to specialists, hospitals and other facilities. Amerigroup has many doctors for you to choose from as your PCP. To find and choose a plan doctor in your area, use our Find a Doctor search tool.

Find a Doctor

We believe that good dental care is important to your overall health. Your dental benefits include:

  • Dental exams
  • Teeth cleaning
  • Fluoride
  • Sealants
  • Extractions
  • Fillings
  • Dentures (removable or partial)
  • Orthodontics

Your dental benefits are provided through LIBERTY Dental. To find or change your dentist, call LIBERTY Dental at 1-833-276-0848 or visit their website.
Go to LIBERTY Dental

Many LIBERTY dentists are in the NJ Smiles program, treating children ages 6 and under. You can choose your child’s dentist on the  NJ Smiles Provider Directory.

Your routine vision benefits include eye exams and prescription lenses and frames, when medically needed.

Your vision benefits are managed through Superior Vision. To find a vision provider, call Superior Vision at 1-800-735-2258 or visit their website.

Go to Superior Vision

Your benefits include a wide range of prescription and many over-the-counter (OTC) drugs. We work with Express Scripts (ESI) to provide these benefits.

Visit the pharmacy page to find a pharmacy near you and check if your medicine is covered.

Go to pharmacy page  

Healthy Rewards is a program that pays you for taking control of your health. You can get a $15 over-the-counter (OTC) benefit four times a year. Choose from a variety of OTC items you need to stay healthy. You can also earn gift cards for completing healthy activities, like:

  • Prenatal and postpartum visits for pregnant members
  • Screenings for diabetes management, breast cancer and lead

Create your account at www.myamerigroup.com/HealthyRewards, or call 1-877-868-2004 (TTY 711) to opt-in. You must opt-in to the Healthy Rewards program to get your OTC benefit and earn rewards.

Visit Healthy Rewards

Premiums

A premium is a monthly payment you pay to get health care benefits. Most NJ FamilyCare D members make these payments. The State’s Health Benefits Coordinator tells you if you have to pay.

This payment will go toward your family cost-share. Your family cost-share is based on your total family income. If you have a monthly premium, be sure to make your payment so you keep your benefits.

Copays

Copays are a set dollar amount you pay for a covered service, like going to the doctor or getting a prescription filled.

Only certain NJ FamilyCare C and D members have copays. The amount of the copay is listed on your member ID card. Copays are usually $5-10 per visit or prescription.

When NJ FamilyCare C and D members reach their family cost‐share limit, they will no longer have a copay for more services.

Alaskan Natives and Native American Indians under the age of 19 don’t have premium payments or copays.

Your member resources

We want you to understand your benefits and receive the best possible care. Here are some resources to help.

Member handbook

Additional benefit information can be found in your member handbook.

Member Services

If you have any questions, call Member Services at 1-800-600-4441 (TTY 711). Our team is available Monday through Friday from 8 a.m. to 6 p.m. You can also log in to your account to send us a message at any time.

24-hour Nurse HelpLine

24-hour Nurse HelpLine

Whether it’s 3 a.m. or a Sunday afternoon, health issues come up. That’s why you can always call our
24-hour Nurse HelpLine and speak directly to a nurse.

Call 1-800-600-4441 (TTY 711) anytime, day or night, even on weekends and holidays.

Not yet an Amerigroup member?


Let us be your partner for a healthier life. Call NJ FamilyCare at 1-800-701-0720
to choose Amerigroup as your health plan or visit our How to enroll page.

How to Enroll