Effective: August 20, 2026
J&J may receive your name, phone, email and the service you request through the website.
Do not send Medicare numbers, Social Security numbers, banking information, medical records or other sensitive application data through the public contact form. J&J will tell you how to provide required documents securely.
Information is used to respond to your request, schedule appointments and provide services you ask for. J&J does not sell website contact information.
The Get Covered NJ quick intake may collect basic contact, location, household, approximate income-range, current coverage and enrollment-event information so J&J can prepare to assist you. Do not submit Social Security numbers, immigration document numbers, banking information, medical records or account passwords through this public website form. The quick intake is not the official Get Covered New Jersey application and does not determine eligibility.