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Pregnant Women

Prenatal Care Services through Medicaid


Prenatal Care Services through Medicaid is a comprehensive prenatal care program that offers complete pregnancy care and other health services to women and teens who live in New York State and meet income guidelines. Health insurance is available for pregnant women regardless of their immigration status. Under Prenatal Care Services, pregnant women receive prenatal health services, such as lab tests, HIV tests, nutrition screenings, and other services related to their pregnancy and for at least two months after delivery.  Babies receive health care services for at least one year after birth.

Eligibility Requirements Include:

  • Residency: Must be a New York State resident
  • Income: Please see chart below for monthly income levels
Prenatal Care Services through Medicaid
Monthly Income Levels

This chart is only a guide. Individuals should see an enrollment counselor for eligibility screening.
Household Size* Yearly Income Monthly Income Weekly Income
2 $31,020 $2,585 $597
3 $39,060 $3,255 $751
4

$47,100

$3,925 $906
5 $55,140 $4,595 $1,060
6 $63,180 $5,265 $1,215
For each additional person add: $8,040 $670 $155

* The pregnant woman is counted as herself and the number of children she is expected to deliver

NOTE: Chart effective January 1, 2013; subject to annual income updates.

Where to Enroll in Prenatal Care Services through Medicaid 

Find out where you can enroll in your neighborhood:

                  > Bronx

                  > Brooklyn

                  > Manhattan

                  > Queens

                  > Staten Island


Private Health Insurance and Help Paying for Coverage

If your income is above the levels indicated above, you might be eligible for health insurance coverage through the New York State of Health. 

Individuals under 65 years old can purchase private health insurance through the NY State of Health. Eligible individuals can also get help paying for private health insurance through new tax credits to lower costs. This financial help is only available through the NY State of Health. Enrollment in private health insurance plans is limited to specified enrollment periods – called “open enrollment” periods. The first open enrollment runs from October 1, 2013 to March 31, 2014. Only people with qualifying events can buy private insurance outside of this time period.

If you qualify, you can get help paying for the cost of coverage, including financial assistance to help pay the cost of monthly premiums and out-of-pocket expenses including co-payments, deductibles and co-insurance. To learn more, click here.

Other Helpful Resources

For more information regarding this and other Medicaid programs, please contact an agency listed below:
Human Resources Administration at 1-718-557-1399

To get more information and a referral to a pregnancy care provider, please call the New York State Growing Up Healthy Hotline: 1-800-522-5006 or visit the New York State Department of Health

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