How do I Apply for Medicaid? *
What is Medicaid?
Medicaid is a program for New Yorkers who can't afford to pay for medical care.
How do I know if I qualify for Medicaid?
You may be covered by Medicaid if:
- You have high medical bills.
- You receive Supplemental Security Income (SSI).
- You meet certain income, resource, age, or disability requirements.
How do I apply for Medicaid?
You can apply for Medicaid in any one of the following ways: Write, phone, or go to your local department of social services .
In New York City, contact the Human Resources Administration by calling (718) 557-1399. Residents of the five boroughs of New York City may call toll free at 1-877-472-8411.
Pregnant women and children can apply at many clinics, hospitals, and Prenatal Care Assistance Program (PCAP) offices. Call your local department of social services to find out where you can apply.
If you are in a facility operated by the New York State Office of Mental Health. contact the patient resource office.
If you are in a facility certified by the New York State Office of Mental Retardation and Developmental Disabilities. contact the revenue and reimbursement office.
When I go for my application interview, what should I take with me?
- Proof of age, like a birth certificate
- Proof of citizenship or alien status*
- Recent paycheck stubs (if you are working)
- Proof of your income from sources like Social Security, Supplemental Security Income (SSI), Veteran's Benefits (VA), retirement
- Any bank books and insurance policies that you may have
- Proof of where you live, like a rent receipt
or landlord statement
- Insurance benefit card or the policy (if you have any other health insurance)
- Medicare Benefit Card
*NOTE. Medicaid coverage is available, regardless of alien status, if you are pregnant or require treatment for an emergency medical condition. A doctor must certify that you are pregnant or had an emergency, and you must meet all other eligibility requirements.
If I think I am eligible for Medicaid, should I cancel any other health insurance I might already have?
No. If you currently pay for health insurance or Medicare coverage or have the option of getting that coverage, but cannot afford the payment, Medicaid can pay the premiums under certain circumstances.
Even if you are not eligible for Medicaid benefits, the premiums can still be paid, in some instances, if you lose your job or have your work hours reduced. If you need help with a COBRA premium, you must apply quickly, to determine if Medicaid can help pay the premium.
You may be eligible for the Medicare Buy-in Program. This program pays your Medicare premiums and deductibles.
If you have Acquired Immune Deficiency Syndrome (AIDS), Medicaid may be able to help pay your health insurance premiums.
If I can't leave the house, can I still apply?
Yes. Call your local social services office and ask how this can be done.
How do I know if my income and resources qualify me for Medicaid?
The chart below shows how much income you can receive in a month and the amount of resources you can retain and still qualify for Medicaid. The income and resource levels depend on the number of your family members who live with you.