The difference in New Jersey Health Insurance programs

Sometimes health insurance may seem like a financial burden at times, but it is unfortunately a necessity for survival and continued health. However, like most types of insurance there are many factors that can stop people from being able to afford it, or even from any insurance companies accepting them in the first place. It is for this reason that New Jersey Legislature created two programs to ensure that anyone would be entitled to health coverage regardless of their risk claims history, age or any other risk factors. If you have found it difficult to attain New Jersey Health Insurance from then these programs could be just the help you need.

Individual Health Coverage Program

This program was created so that individuals who are not entitled to healthcare programs provided by the government or by employers could still get access to health insurance. The program aims to provide people to access to many private carriers who can offer a range of health insurance policies. There is a standard individual health benefit plan designed by the Individual Health Coverage Program Board which can be purchased as either a fee for service plan or a managed care plan as well as there being basic and essential plans sold by private carriers, which are available as network based plans using an exclusive provider organization. The basic and essential plans are actually not just available for individuals but can actually be purchased for couples, families including at least 2 adults and 1 child and also a single adult and dependents.

The SEH or Small Employer Health Benefits Program

This program came into effect over 20 years ago in 1994. The aim of it is to ensure that small employers are entitled to access to small group health benefits plans regardless of the health status of any members of the group, as well as allowing these employers to easily renew their policies regardless of any changes that may affect the financial or health status of members. As well as, this plan is also there to protect employees as it enables all employees and any dependents they have to continue receiving the protection of health insurance even after they are no longer eligible to be a member of the group plan. In order to be able to partake in this program the employee group must be at least two members and no more than 50 members.