Family Health Plus is a public health insurance program for adults between the ages of 19 and 64 who do not have health insurance — either on their own or through their employers — but have incomes too high to qualify for Medicaid. Family Health Plus is available to single adults, couples without children, and parents with limited income who are residents of New York State and are United States citizens or fall under one of many immigration categories. Family Health Plus provides comprehensive coverage, including prevention, primary care, hospitalization, prescriptions and other services. There are no costs to participate in Family Health Plus. Health care is provided through participating managed care plans in your area.
Who can join?
Family Health Plus is available to single adults, couples without children, and parents with limited income, who are between the ages of 19 and 64, are residents of New York State and United States citizens or fall under one of many immigration categories. If you have health insurance — either on your own or through your employer — you are not eligible to enroll. There are no limits on the amount of assets or resources (such as a bank account) that you can have and still be eligible to enroll in Family Health Plus. How much income you and your family can have and still be eligible for Family Health Plus depends upon how many people are in your family. For more details, click on a family size below and see if your income falls below the maximum income levels for your family's size. If you want to find out if your child or children are eligible for Child Health Plus, click here.
How much does it cost?
There is no cost to participate in Family Health Plus. There are no costs to join and there are no co-payments or deductibles once you are enrolled. There are no sliding scale fees or any other cost-sharing for Family Health Plus. If your family's income exceeds the Family Health Plus income levels, you are not eligible to enroll. However, you may be eligible for Healthy NY, another New York State health coverage option.
What benefits can I get?
- Physician services; - Inpatient and outpatient hospital care; - Prescription drugs and smoking cessation products; - Lab tests and x-rays; - Vision, speech and hearing services; - Rehabilitative services (some limits apply); - Durable medical equipment; - Emergency room and emergency ambulance services; - Drug, alcohol and mental health treatment (some limits apply); - Diabetic supplies and equipment; - Radiation therapy, chemotherapy and hemodialysis; - and Dental services (if offered by the health plan).
