When I buy my individual or small group policy, including through New Jersey's health insurance marketplace, will applied behavior analysis (ABA) be covered?
Yes. Insurers that offer new coverage to individuals and small businesses are expected to cover ABA beginning in 2014. New Jersey imposes a $36,000 cap on the amount of ABA that must be provided each year. Because the ACA prohibits annual dollar limits on essential health benefits, insurers may be able to convert these limits into non-dollar limits (such as a cap on the number of sessions of applied behavior analysis each year).
Where can I learn more about New Jersey's health insurance marketplace?
The federal government is managing New Jersey's marketplace through healthcare.gov. Learn more here.
Did New Jersey choose to expand its Medicaid program?
Yes. New Jersey will expand its Medicaid program in 2014 to cover households with incomes up to 133 percent of the federal poverty level. That works out to about $15,800 a year for individuals or $32,500 for a family of four. Learn more here about your options.