Family Health Plus

This program, implemented in 2001, provides health coverage to adults who do not have health insurance, but whose income is 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. They may be U.S. citizens or fall under one of many immigration categories. This free program provides comprehensive coverage, including prevention, primary care, hospitalization, prescriptions, mental health, and other services. An individual whose gross monthly income is less than $867 would qualify for Family Health Plus (2008 figures).

Program Benefits

• Co-payments apply, but there are no Plan premiums
• In-patient hospitalization
• Emergency care
• Out-patient care
• Lab tests and x-rays
• Primary and preventative health care/education
• Vision, speech, and hearing services
• Durable medical equipment
• Prosthetics and orthotics
• Prescription drugs
• Diabetic supplies and equipment
• Smoking cessation products
• Dental care (if offered by the Plan)
• Home health care (some limits apply)
• Family planning/reproductive health
• Short-term rehabilitation
• Mental health/alcohol and substance abuse treatment (some limits apply)
• Physicians, nurse practitioners, midwives
• Radiation, chemotherapy, hemodialysis
• Emergency ambulance transportation
• Hospice care

If you think you are eligible for Family Health Plus, even if you’re not sure, contact  Customer Care  or call us at 1.800.339.4557. Our friendly and courteous representatives can quickly tell you if you or your loved ones qualify for one of our State-sponsored health care programs.