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Family Planning Benefit Program

The Family Planning Benefit Program (FPBP) is a free and completely confidential New York State program that provides family planning services to teens, women and men who meet certain income and residency requirements, and who are not enrolled in Medicaid or Family Health Plus.

Download the Family Planning Benefit Brochure


Eligibility Criteria

You may obtain coverage through FPBP if: 

  • You are a teen, female or male of any age;
  • You are a New York State resident;
  • You are a U.S. citizen, national, Native American or have a satisfactory immigration status Note: undocumented immigrants and people on short-term visas who are not in the process of applying for permanent status are not eligible;
  • Your income is equal to or less than the income levels listed below

Family Planning Benefit Program Income Levels 
This chart is only a guide. Individuals should see an enrollment counselor for eligibility screening.
 
Family Size Yearly Income Monthly Income Weekly Income
1 $26,024 $2,169 $500
2 $35,078  $2,924 $675
3 $44,132 $3,678 $849
4 $53,186 $4,433 $1,023
5 $62,239 $5,187 $1,197
6 $71,293 $5,942 $1,371
For each additional person add: $9,054 $755 $174
* The pregnant woman is counted as herself and the number of children she is expected to deliver.
NOTE: Chart effective January 1, 2014; subject to annual income updates.

FPBP Presumptive Eligibility

Now it is even easier to get reproductive services through FPBP. Presumptive Eligibility provides immediate coverage for individuals who appear to be eligible for FPBP prior to submitting a completed application.

How do I get Presumptive Eligibility?
To get presumptive eligibility you must go to a Medicaid Family Planning provider. The staff will help you complete a screening form to help determine if you are eligible for FPBP.

What does Presumptive Eligibility mean to me?
Presumptive Eligibility means you will receive a Medicaid card and have full access to all FPBP covered services from the day of the screening until the date your application is processed and you are found eligible for FPBP. If you do not submit or complete an application, your presumptive eligibility coverage will end on the last day of the month following the month of screening.

How many times can I apply for Presumptive Eligibility?
Your ability to get Presumptive Eligibility is not limited.

Free Services Covered by FPBP

  • Birth control pills or patches, condoms, injectables, diaphragms, IUDs
  • Emergency contraception services (e.g., Plan B)and follow-up care
  • GYN exams
  • Pregnancy testing and counseling
  • Screening and counseling for sexually transmitted infections, HIV, pap smears, and urinary tract or female-related infections
  • Male and female sterilization

Services not Covered by FPBP

  • Pregnancy services (if pregnant and in need of prenatal care services, click here)
  • Fertility treatments 
  • Abortions
  • Services not related to family planning
  • Mammograms  

Where to Receive Family Planning Services
Services can be obtained at any provider who accepts Medicaid.  This includes pharmacies, primary care doctors, community and school-based health centers, family planning clinics and hospitals

How to Apply for FPBP

What to Bring 

  • Photo ID (bring one): Drivers license, passport, school ID, other official photo ID
  • Proof of age (bring one):  Birth certificate, official hospital or school records
  • Proof of Citizenship/Satisfactory immigration status (bring one):  Birth certificate, passport, naturalization certificate, green card
  • Proof of residency (dated within last 6 months-bring one): Photo ID with address, postmarked envelope, magazine, utility bill, letter or lease agreement
  • Social Security Card, or be prepared to verbally provide number
  • Proof of income (bring all that apply): Pay stubs, unemployment or Social Security award letter or check stub, workers compensation award letter or check stub, child support or alimony letter or check stub, letter from employer; letter from the person who provides financial support to you

Other Helpful Resources
For more information regarding this and other public health insurance programs, please contact

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