Getting Health Insurance You Can Afford - A Guide to Public and Private Health Programs
(Separate Website)
A guide to the Medicaid, Child Health Plus and Family Health Plus programs. This guide also has information about COBRA, Healthy New York and other health insurance.
By: New York City Managed Care Consumer Assistance Program
Read this in:
Chinese / 中文
,
French / Français
,
Korean / 한국어
,
Russian / Pусский
,
Spanish / Español
Medicaid
(Separate Website)
Information about Medicaid including the most current income and financial resource eligibility levels, where to apply, how to get help applying, and how to request a fair hearing. NOTE that medicaid eligiblilty rules are complicated, and this is a basic overview. The rules are different for children under 21 and their parents than for seniors age 65+ and for people with disabilities, and also are different for people between 21-65 who are not disabled.
By: New York State Department of Health
Three Changes in New York's Medicaid and Medicare Savings Program As of April 2008, Medicaid permits all beneficiaries to have more savings or financial resources. Also, the "Medicare Savings Program,"which pays the Medicare Part B monthly premium and sometimes other Medicare costs, no longer sets a limit on the amount of savings one may have to qualify. Also, Medicaid no longer requires drug and alcohol screening for people under 65.
By: Selfhelp Community Services
Where to Apply for Medicaid in NYC (When Not Seeking Medicaid Home Attendant Services)
(Separate Website)
The NYC Medicaid Offices that process applications for Medicaid for all people except those who want home attendant services.
By: New York City Human Resources Administration
myBenefits!
(Separate Website)
The fast and easy way to find out about many health and human services programs and how to apply for them - anytime and anywhere.
By: New York State Office of Temporary and Disability Assistance
Read this in:
Spanish / Español
Basic Eligibility for Medicaid in NYS for Elderly, Blind & Disabled Persons and How to Get Medicaid Home Care
(Separate Website)
Explains how people age 65+, disabled, and blind can qualify for Medicaid with income above the Medicaid limit through the "spend-down"program, and explains the rules about which bank accounts, IRAs, and other savings count. Also explains how to apply for Medicaid personal care/home attendant services.
By: Selfhelp Community Services, Inc. -Evelyn Frank Legal Resources Program
Read this in:
Spanish / Español
How to use funeral planning to become eligible for Medicaid
(Separate Website)
How pre-paying for your funeral or for the funeral of immediate family can help you "spend down" your savings to qualify for Medicaid. This is for people age 65+ and people with disabilities.
By: Selfhelp Community Services, Inc. -Evelyn Frank Legal Resources Program
Medicaid Excess Income ("Spenddown" or "Surplus Income") Program
(Separate Website)
Information on qualifying for Medicaid when your income exceeds the regular Medicaid limits, by applying your and your family's past or current medical expenses to offset the "excess income."
By: New York State Department of Health
Step-by-step guide to enrolling in the NYSARC Pooled SNT for Medicaid spend-down
(Separate Website)
Enrolling in a supplemental needs trust can be a way to access Medicaid despite having a high "spend-down," or income over the Medicaid limits. This explains how to enroll in a pooled trust.
By: Selfhelp Community Services, Inc. -Evelyn Frank Legal Resources Program
Medicaid Spend-down: NYC Medicaid Now Accepts FAXED Medical Bills
(Separate Website)
Form and instructions for faxing in medical bills to meet the monthly "spend-down."
By: Selfhelp Community Services, Inc. -Evelyn Frank Legal Resources Program
List of Pooled Trusts in NYS
(Separate Website)
Enrolling in a supplemental needs trust can be a way to access Medicaid despite having a high "spend-down," or income over the Medicaid limits. This is a contact list of non-profit organizations that have pooled trusts.
By: Selfhelp Community Services, Inc. -Evelyn Frank Legal Resources Program
Where to Apply for Medicaid When Seeking Home Attendant Services
(Separate Website)
The NYC Medicaid Offices called "CASAs"which process applications for Medicaid for people who want home attendant services.
By: Selfhelp Community Services, Inc. -Evelyn Frank Legal Resources Program
Applying for Medicaid Personal Care Services in New York City
(Separate Website)
Download the "M11q" Form you need to apply for a Medicaid home attendant care in NYC, with a guide to help your doctor complete the form, and links to information on Medicaid financial eligiblity for home care.
By: Selfhelp Community Services, Inc. -Evelyn Frank Legal Resources Program
Medicaid Reimbuirsement of Home Care Expenses
(Separate Website)
How to apply for reimbursement when you or your family paid out of pocket for home care before you applied for home care, or while your application was being processed.
By: Selfhelp Community Services, Inc. -Evelyn Frank Legal Resources Program
New York State Medicaid Law for People Needing Nursing Home Care
(Separate Website)
Information on Transfer of Asset rules for Medicaid, which can delay coverage by Medicaid for nursing home care. For Medicaid services received while living in the community, there are no transfer of asset penalties.
By: Goldfarb, Abrandt Salzman & Kutzin LLP
Medicaid Buy-in Program for People with Disabilities
(Separate Website)
The Medicaid Buy-In Program for Working People with Disabilities (a/k/a MBI-WPD or Medicaid Buy-In) allows people age 16-65 who are working to receive full Medicaid despite gross income that may be as high as $55,188 for an individual and $73,884 for a couple (2009 limits).
By: New York State Department of Health
Medicaid Programs for Pregnant Women
(Separate Website)
Learn about the various Medicaid programs for pregnant women in NYS, including the Prenatal Care Assistance Program (PCAP), which gives Medicaid coverage to pregnant women with income up to 200% of the Federal Poverty Line, and Medicaid Obstetrical and Maternal Services (MOMS) Program.
By: New York State Department of Health
What is EPSDT?
(Separate Website)
Information about "Early and Periodic Screening, Diagnosis, and Treatment" (EPSDT), a service that Medicaid is required to perform to help prevent and treat health problems in children and young adults under 21.
By: National Health Law Program (HealthCareCoach)
Medicaid & Work: Keeping Your Medicaid While You Work
(Separate Website)
Explains programs that encourage people with disabilities to work by allowing them to keep Medicaid even though they are now earning income.
By: New York Makes Work Pay Initiative (NY-MWP) of Cornell Law School and NYS Offices of Health & Mental Health
Medicaid Buy-In for Working People with Disabilities: Frequently Asked Questions
(Separate Website)
FAQ about the Medicaid Buy-In for Working People with Disabilities, which allows people under age 65 who have a disability to receive Medicaid despite having higher income.
By: New York Makes Work Pay Initiative (NY-MWP) of Cornell Law School and NYS Offices of Health & Mental Health
How to Navigate the Medicaid Buy-In Application Process
(Separate Website)
Tips for navigating the Medicaid Buy-In for Working People with Disabilities, which allows people under age 65 who have a disability to receive Medicaid despite having higher income.
By: New York Makes Work Pay Initiative (NY-MWP) of Cornell Law School and NYS Offices of Health & Mental Health
New York Makes Work Pay Initiative (NY-MWP) Initiative Homepage
(Separate Website)
Website of an important initiative to help working people retain health care, SSI and other benefits when they work, using government incentives to encourage working.
By: New York Makes Work Pay Initiative (NY-MWP) of Cornell Law School and NYS Offices of Health & Mental Health
What Do I Need to Know About Enrolling in Medicaid Managed Care?
(Separate Website)
What steps to take if you are on medicaid and are told to join a Medicaid HMO.
By: MFY Legal Services, Inc.
Read this in:
Spanish / Español
How Do I Pick a New Medicaid Managed Care Plan?
(Separate Website)
Information on what to think about and what questions to ask when choosing a new medicaid managed care plan.
By: MFY Legal Services, Inc.
Read this in:
Spanish / Español
How Do I Get Out of Medicaid Managed Care if I Need To?
(Separate Website)
Information on what to do if you need to get out of medicaid managed care.
By: MFY Legal Services, Inc.
Read this in:
Spanish / Español
10 Tips on Using Your Health Plan: A Guide for Medicaid Managed Care, Family Health Plus and Child Health Plus Members
(Separate Website)
An advocacy guide to using an HMO in the Medicaid, Child Health Plus and Family Health Plus programs.
By: New York City Managed Care Consumer Assistance Program
Medicaid Managed Care in New York State A guide which answers commonly asked questions about medicaid managed care.
By: Legal Aid Society
HIV SNP's (Special Needs Plans)
(Separate Website)
Describes a type of Medicaid Managed Care program that people with HIV/AIDS may voluntarily join, what services are covered and how care is accessed.
By: New York State Department of Health
What is Family Health Plus?
(Separate Website)
Official state government website about Family Health Plus, which is subsidized health insurance for New Yorkers age 19-64 who have income or financial resources higher than Medicaid limits.
By: New York State Department of Health
Who is eligible for Family Health Plus?
(Separate Website)
Information on Family Health Plus, which is subsidized health insurance for New Yorkers age 19-64 who have income or financial resources higher than Medicaid limits.
By: New York City Managed Care Consumer Assistance Program
Child Health Plus This resource answers frequently asked questions about Child Health Plus and how to apply.
By: Legal Aid Society
Read this in:
Spanish / Español
Child Health Insurance & Child Health Plus (from the Advocate's Guide to Managed Care)
(Separate Website)
Information about Child Health Plus, which is subsidized health insurance for children under age 19, with income limits, frequently asked questions and where to apply.
By: New York City Managed Care Consumer Assistance Program
Family Health Plus Premium Assistance Program
(Separate Website)
People who qualify for Family Health Plus can now get help paying the cost of health insurance they have through their employer. This program will help pay the cost of the premium and out-of-pocket costs like the deductible and copayments.
By: New York State Department of Health
Read this in:
Spanish / Español
Know Your Rights: Family Health Plus
(Separate Website)
Fact Sheet Explaining Family Health Plus, health insurance for people age 19 - 65 who do not qualify for Medicaid.
By: Legal Aid Society
What Every Non-Citizen Should Know About Public Benefits in New York City
(Separate Website)
Fact sheet explaining that many immigrants are eligible for Medicaid even without a "green card," and that receiving Medicaid does not put them at risk of being denied a "green card" on the basis of being a "public charge."
By: The Empire Justice Center and Fordham University School of Law
Read this in:
Spanish / Español
Immigrant Eligibility for NYS Health Insurance Programs
(Separate Website)
Many immigrants may qualify for Medicaid, even without a "green card." Learn about whether you may be eligible.
By: New York City Managed Care Consumer Assistance Program
Nursing Home Medicaid Coverage - Basic Financial Eligibility Rules about Income, Resources, and Spousal Protections
(Separate Website)
Rules about Financial Eligibility for Medicaid to pay for Nursing Home Care in NYS -- what income must be used to pay for care, what happens to your home, etc.
By: Selfhelp Community Services, Inc. -Evelyn Frank Legal Resources Program
Private Long Term Care Insurance
(Separate Website)
Detailed information on private insurance coverage for long term care in a nursing home or in your own home for people who have more income and assets than Medicaid permits.
By: New York State Insurance Department
Do you have trouble with English? Are you unable to to speak, read, write, or understand English well?
(Separate Website)
Did you know federal agencies and organizations that get money from the federal government have to provide reasonable services to assist you? Learn more.
By: Federal Interagency Working Group on LEP
If you do not speak English and go to a New York City agency you are entitled to free language assistance. Learn more about what services you are entitled to and the New York City agencies that must provide them.
By: Skadden, Arps, Slate, Meagher & Flom LLP
Read this in:
Chinese / 中文
,
Italian / italiano
,
Korean / 한국어
,
Russian / Pусский
,
Spanish / Español
Learn more about the laws which protect your right to get health-care services in your language?
(Separate Website)
By: New York Lawyers Public Interest
Video: How to Work with Interpreters
(Separate Website)
In this video, you will learn some basic tips that will allow you to communicate effectively and easily through an interpreter with a person who doesn't speak your language.
By: Legal Services of New Jersey
Read this in:
Spanish / Español
Continuation of Utility Service in Medical Emergencies
(Separate Website)
This resource provides information on what to do when you have a medical conditions that will be aggravated or become life threatening when you are faced with a utility shutoff or you have been disconnected, with suggested form for doctors to certify medical emergency.
By: Public Utility Law Project
How to File a Discrimination Complaint With The Office For Civil Rights
(Separate Website)
If you believe that you have been discriminated against because of your race, color, national origin, disability, age, sex or religion by a health care or human services provider (such as a hospital, nursing home, social service agency, doctor's office, pharmacy, children's health program, alcohol and drug treatment center, adoption agencies) or by a State or local government health or human services agency, you may file a complaint with the Office for Civil Rights (OCR).
By: U.S. Department of Health & Human Services
Read this in:
Chinese / 中文
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Korean / 한국어
,
Polish / polski
,
Russian / Pусский
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Spanish / Español
,
Tagalog / Tagalog
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Vietnamese / Tiếng Việt
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