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Plan overview

ACA Marketplace Plans (Get Covered NJ)

Individual and family health insurance sold through New Jersey's state-based marketplace, Get Covered NJ, with income-based subsidies.

About ACA Marketplace Plans (Get Covered NJ)

The Affordable Care Act (ACA) Marketplace in New Jersey is called Get Covered NJ. It is the state-based exchange where individuals and families who do not get coverage through an employer, Medicare, or Medicaid can shop, compare, and enroll in qualified health plans.

Every Marketplace plan covers ten Essential Health Benefits set by federal law and may not deny coverage or charge more for preexisting conditions. Plans are organized into Bronze, Silver, Gold, and Platinum metal tiers based on how they split costs between you and the plan.

Most New Jerseyans who buy through Get Covered NJ qualify for federal Advance Premium Tax Credits and additional state subsidies that lower monthly premiums. Cost-sharing reductions on Silver plans further reduce deductibles and copays for eligible households.

What it covers
  • Doctor visits, hospital stays, and emergency care
  • Prescription drugs
  • Maternity and newborn care
  • Mental health and substance use services
  • Pediatric services, including dental and vision for children
  • Preventive care and screenings at no cost-sharing
  • Lab work and rehabilitative services
  • Pre-existing condition coverage with no exclusions
What it does NOT cover
  • Adult dental and vision (sold as separate products)
  • Long-term custodial care
  • Cosmetic and elective procedures
Who qualifies

New Jersey residents who are U.S. citizens or lawfully present and not enrolled in Medicare; subsidy amounts depend on household size and income.

Cost

Most enrollees qualify for federal and state subsidies through Get Covered NJ. Premiums vary by county, age, household size, and plan year. Talk to a Yumi Health advisor for a personalized quote.

When you can enroll

Open Enrollment Period in New Jersey: November 1 – January 31Special Enrollment Periods triggered by life events (marriage, birth, loss of coverage, move)Year-round enrollment for Medicaid and CHIP through NJ FamilyCare

Carriers active in New Jersey

These carriers offer this product to New Jersey residents. We shop across them to find the right fit.

Horizon Blue Cross Blue Shield of New Jersey logo
Horizon Blue Cross Blue Shield of New Jersey

Serves all 21 New Jersey counties

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AmeriHealth New Jersey logo
AmeriHealth New Jersey

Serves all 21 New Jersey counties

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Aetna (a CVS Health company) logo
Aetna (a CVS Health company)

Serves all 21 New Jersey counties

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Wellcare (by Centene) logo
Wellcare (by Centene)

Serves all 21 New Jersey counties

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New Jersey counties served

Yumi Health helps residents in all 21 New Jersey counties.

AtlanticBergenBurlingtonCamdenCape MayCumberlandEssexGloucesterHudsonHunterdonMercerMiddlesexMonmouthMorrisOceanPassaicSalemSomersetSussexUnionWarren

Sources

Information last reviewed: 2026-04-07. Specific premiums, networks, and benefits change every plan year — talk to a Yumi Health advisor for the most current details.

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