New York State's Health Insurance Programs for Children and Adults
What is Facilitated Enrollment?
Facilitated Enrollment is application assistance and eligibility screening for children and adults seeking health insurance through one of the (3) NYS health insurance programs - all of which are based on income and NYS residency.
Enrollment specialists meet with individuals and families to compete the application process and help become enrolled in a program (if eligible). Enrollers can assist families with the selection of a medical provider (obtain an appointment with a specialist) or access prescription medication. Staff also provides education on all possible health care options for individuals and families.
Children under the age of 19 may be eligible for either:
- Medicaid (for children)
- Child Health Plus
Adults between the ages of 19-64 may be eligible for either:
- Family Health Plus
What is Family Health Plus?
Family Health Plus is New York State's health insurance program for adults who do not have health insurance-either on their own or through their employer-but have incomes too high to qualify for Medicaid. Family Health Plus is available to single adults, couples without children, and parents with low income, who live in New York State and are United States citizens or fall under certain immigration categories.
Further information about Family Health Plus can be obtained here on the New York Department of Health website.
What is Medicaid for Children?
Medicaid for Children is a free health insurance program for children under the age of 19 that offers complete coverage for all of their health care needs. Eligibility is based on income, family size, and immigration status.
Further information about medicaid can be obtained here on the New York Department of Health website.
What is Child Health Plus
Child Health Plus is a New York State insurance program for children under age 19 who are not eligible for Medicaid and who have limited or no health insurance. Even if your income is fairly high, you may be eligible for Child Health Plus. Depending on your income the coverage may be free or you may have a monthly contribution.
Further information about Child Health Plus can be obtained here on the New York Department of Health website.
What Services will I receive with Family Health Plus, Child Health Plus, or Medicaid?
Inpatient hospitalizations, emergency care, out patient care, lab tests and x-rays, primary and preventive health care, vision, speech, and hearing services, durable medical equipment, prescription drugs, dental care, diabetic supplies, mental health, alcohol and substance abuse treatment (some limits apply), well child care, immunizations, physical exams, and more.
Do I Qualify?
The Facilitated Enrollment Program through M&BPN is available to residents of Broome, Chemnug, Cortland, Tioga, Delaware, Chenango, Otsego, or Tompkins counties. Income guidelines for Child Health Plus and Family Health Plus are available on the DOH website.Guidelines
How Can I Apply
Call M&BPN at 1-800-231-0744 or the agency in your county.
|Broome County||Mothers & Babies Perinatal Network||(607) 772-0517
|Chemung County||Mothers & Babies Perinatal Network||(607) 772-0517
|Delaware County||Delaware Opportunities, Inc.||(607) 746-1660|
|Otsego County||Opportunities for Otsego, Inc.||(607) 433-8023
|Tioga County||Tioga County Health Department||(607) 687-8601
|Tompkins County||M&BPN/Catholic Charities||(607) 772-0517
|Chenango County||Chenango Health Network||(607) 337-4128|
|Cortland County||Cortland County Health Department||(607) 756-3439|
What Documents Do I Need To Bring To Enroll For Insurance?
|Additional Application Information|
|Informacion Adicional para la Applicacion|
|Lista de comprobacion de la documentacion para el seguro medico|
|Child Support Documentation|
|Employer Sponsored Health Insurance Request For Information (DOH-4450)|
|Verification of Employment (DOH-5017)|
|Self Declaration of Income (DOH-5018)|
|Financial Maintenance (DOH-4443)|
|Letter for Child Care Costs|
|Employer Statement New Hire|
|Proof of Residence Landlord Statement|
|Financial Status Form (updated 03/09/10)|