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Healthfirst
100 Church Street
New York, NY 10007

Have any questions?

Healthfirst
100 Church Street
New York, NY 10007 - See more at: http://www.healthfirstny.org/get-health-insurance.html#sthash.Is3rFtPx.dpuf

Medicaid, Child Health Plus, and Family Health Plus
1-866-463-6743
TDD/TTY English 1-888-542-3821
TDD/TTY Español 1-888-867-4132
Monday - Friday, 8 am to 6 pm

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Medicaid Managed Care - Eligibility and Cost

Can I sign up for Medicaid Managed Care?

Check the chart below to see if your monthly income level allows you to sign up for Medicaid Managed Care. To read the chart:

  • Add up the number of people in your household. This includes you, your legal spouse, your dependent children, and anyone else under 65 years old for whom you are the legal caregiver.
  • In the first column, choose which description best describes your household. Pick that row and read across to the correct number of people in your household to see the maximum amount of monthly income allowed to qualify for Medicaid.

If you need help with this, please click here.

 


Qualifying for Medicaid: Maximum Monthly Income
(For applications signed on or after April 1, 2013)

Number of People in Your Household

 

1

2

3

4

5

6

Each Add'l Person

Children under 1yr: Pregnant Women*

$1,915

$2,585

$3,255

$3,925

$4,595

$5,265

$670

Children 1-18 yrs

$1,274

$1,720

$2,165

$2,611

$3,056

$3,502

$446

Children 19-20 yrs: Parents

$800

$1,175

$1,352

$1,528

$1,704

$1,880

$177

Non-Disabled single adults and childless couples, 21-64 yrs

$750

$936

 

 

 

 

 

* = Pregnant women count as 2 people

How do I figure out my monthly income?

If you’d like to speak to someone about this, please click here.

Your monthly income is how much money you make before taxes (gross income) in one month. This income can come from a job or unemployment benefits.

To figure out your monthly income, you can do one of the following:

  • Add up how much money you make (before taxes) during one calendar month from your paycheck stubs or unemployment checks; or
  • If you are paid weekly, multiply the amount of money you make per week (before taxes) by 4.333 to determine your monthly income.
  • If you are paid bi-weekly (every other week), multiply the amount of money you make per paycheck (before taxes) by 2.166666 to determine your monthly income.

Example (paid weekly): Sarah is 25 years old. She is a single mother of 2 boys, 3 and 5 years old. Sarah makes $415 per week (before taxes) at her job. Sarah multiplies $415 by 4.333 to figure out that her monthly income is $1,798.

Looking at the chart above, she is a parent with children between 1-5 years old and there are 3 people in her household (Sarah, plus her 2 sons). Therefore, Sarah may qualify for Medicaid since the maximum monthly income requirement for a household of 3 people with children of her sons’ ages is $2,054.

We’re here to help! If you do not qualify for Medicaid Managed Care, you may be able to get Child Health Plus or another Healthfirst health insurance program. Contact a Healthfirst representative to ask questions and pick the best health program for you or your child.

Last update 2013-12-17 10:23