New York State offers free and low-cost public health insurance programs for low-income New Yorkers. These plans provide medical care through a fee-for-service or a managed care plan. HRA/DSS, through its Medical Assistance Program division (MAP), is responsible for the administration of public health insurance. MAP determines and maintains eligibility, based upon income and/or resource levels, for each of the available health insurance programs and their related services.
Individuals and families can qualify for public health
insurance even if they have income, own a house, own a car, have a bank account
or receive private health insurance. Persons and families who are low-income, or
receiving SSI or cash assistance, are automa/html/partners/serv_ptar.shtml tically eligible. Pregnant women, children, persons over 65 and people with disabilities are also eligible.
Plans include: Medicaid; Child Health Plus; Family Health Plus; Medicare Savings Plan (also known as Medicare Buy-In); Medicaid Buy-In Program for Working People with Disabilities; and the Family Planning Benefit Program.
To obtain further details about these programs and services, or to apply, please visit any one of the Medical Assistance Program Offices.
If you are already receiving Medicaid or Family Health Plus, use these Medicaid Renewal Instructions.
The Medical Information Privacy Notice details medical information, privacy rights, access to information, and details concerning how medical information about you may be used and disclosed.
To find out if you would qualify for Medicaid, click on this link: Online Pre-screening for Public Health Insurance or see the table provided below:
Income and Resource Eligibility Levels for Public Health Insurance
|
Public Health Program
|
Income Level Chart (PDF) |
| 1. |
PCAP and Medicaid Monthly Income Levels (Pregnant Women and Children Under 19) |
Income_level.pdf |
| 2. |
Child Health Plus Premium Levels – Monthly Income by Family Size (Children Under 19 NOT Medicaid-Eligible) |
Income_level.pdf |
| 3. |
Regular Medicaid Levels (Parents, 19
and 20 year olds, 21-64 disabled or blind, 65 and over) |
Income_level.pdf |
| 4.a |
FHP Income/Resource Levels (Parents Living with Children Under 21 in
their Household; 19-20 year olds living with their parents) |
Income_level.pdf |
| 4.b |
FHP Income/Resource Levels (Adults Without
Children Under 21 in Household, and 19-20 Year Olds Living Alone) |
Income_level.pdf |
| 5. |
Family Planning Benefit Program Income
Levels (No Resource Test) |
Income_level.pdf |
| 6. |
MBI-WPD (16-64) |
Income_level.pdf |
| 7. |
Monthly Medicaid Standards (Non-Disabled Adults
ages 21-64 Without Children under 21 in the Household and Low Income Families) |
|
| 8. |
Medicare Savings Program (Buy-In) |
Income_level.pdf |
| 9. |
Other Important Figures |
Income_level.pdf |
| 10. |
Spousal Support and Resource Level |
Income_level.pdf |
| 11. |
Monthly Regional Nursing Homes Rates |
Income_level.pdf |
If you have any questions about Medicare Part D or about choosing a Part D prescription drug plan or changing the one in which you were enrolled by Medicare, please call 311.
Learn more about Medicaid Offices
If you are already, or would like to become an electronic submitter view the HRA Eligibility Data and Image Transfer System (EDITS).
MICSA can
also receive electronic submissions of public transportation reimbursement
claims. If you are already an authorized facility for public
transportation reimbursement claim or interested to view the overview, click on
the right, the quick line to the Public
Transportation Automated Reimbursement System (PTAR)
.
