Child Health Plus | Family Health Plus | Medicaid

For complete listing of all New York State sponsored Health Insurance plans (including Medicaid) click here.

Low-cost or no-cost health insurance options may be available for UAlbany students who are New York State residents based on income and family size. 

You may use the ACCESS NY Public Health Insurance Eligibility Screening Tool to see which public health insurance programs you and your family may be eligible for.

Assistance is available at the Healthy Capital District Initiative, Wellcare and Fidelis Care.

The Healthy Capital District Initiative (HCDI) provides assistance in the application process for individuals and who wish to apply for Child Health Plus, Family Health Plus or Medicaid through the HCDI Facilitated Enrolment Program.  Contact HCDI at:  518-462-7040 or visit the web site here.

WellCare is a provider of government-sponsored health plans including Medicaid, State Children's Health Insurance Programs. Contact Wellcare at: 1-800-288-5441 or Khiara Hogan, Facilitated Enroller, at 518-462-3861 or visit the web site here.

Fidelis Care is the New York State Catholic Health Plan, providing quality, affordable health coverage to children and adults in 58 counties statewide.  Fidelis Care offers free or low-cost comprehensive health insurance through the Child Health Plus, Family Health Plus, and Medicaid Managed Care programs. 

Contact Fidelis Care at:  1-888-343-3547 or Lichelle Womack, Fidelis Marketing Representative at 518-210-9319 who will provide assistance in the eligibility screening and application process.  Visit the web site here.

For additional help understanding the options available please email Bobbie Englisbe at the University at Albany Health Center at benglisbe@albany.edu.

Below are insurance options to explore with HCDI or Fidelis Care representatives:

I. Child Health Plus: UAlbany students under 19 years of age may qualify for Child Health Plus:

Child Health Plus is based on family income and is available to students under 19 years of age who do not qualify for Medicaid and are New York State residents.  Qualifications depend on gross family income and family size. Click here.

There is no monthly premium for families whose income is less than 1.6 times the poverty level.

• About $570 a week for a three-person family or $687 a week for a family of four.
• Families with somewhat higher incomes pay a monthly premium of $9, $15, $30, $45, or $60 per child per month, depending on their income and family size.
• There are no co-payments for services.

To see whether you  or your family would have to pay a premium for coverage see below:

                 

Child Health Plus 2012 Family Contributions by Income and Household Size
Premium Categories	Monthly Income by Family Size*								Each Additional Person, Add:
	1	2	3	4	5	6	7	8
Free Insurance	$1,489	$2,017	$2,545	$3,073	$3,601	$4,129	$4,657	$5,185	$528
$9/Child/Month (Max $27/Family)	$2,067	$2,800	$3,532	$4,265	$4,997	$5,730	$6,493	$6,195	$733
$15/Child/Month (Max $45/Family)	$2,328	$3,153	$3,978	$4,803	$5,628	$6,453	$7,278	$8,103	$825
$30/Child/Month (Max $90/Family)	$2,793	$3,783	$4,773	$5,763	$6,753	$7,743	$8,733	$9,723	$990
$45/Child/Month (Max $135/Family)	$3,258	$4,413	$5,568	$6,723	$7,878	$9,033	$10,188	$11,343	$1,155
$60/Child/Month (Max $180/Family)	$3,724	$5,044	$6,364	$7,684	$9,004	$10,324	$11,644	$12,964	$1,320
Full Premium*/ Child/Month	Over $3,724	Over $5,044	Over $6,364	Over $7,684	Over $9,004	Over $10,324	Over $11,644	Over $12,964

*The full premium varies, depending on the health plan chosen by the family.

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II. Family Health Plus:  UAlbany students age 19-21 who are dependents of their parents or are financially independent and not living with their parents (over age 21) may qualify for Family Health Plus.

Family Health Plus (FHP) is a public health insurance program for adults who are aged 19 to 64 who have income too high to qualify for Medicaid.  Family Health Plus and is available to residents of New York State. 

Rates vary depending on family income.  There is no cost to apply for Family Health Plus and there are no deductibles once you are enrolled. Once enrolled you may be asked to pay part of the costs of some medical care/services. This is called a co-payment or co-pay. If your family's income exceeds qualifying levels, you are not eligible to enroll.

Qualifiers for Family Health Plus:

• Age 21 and older if they are living at home with their parents while going to school
• Under age 21 students who do not live at home may apply for FHP in the county where they reside and must:
• Maintain full-time residence in the area near the college that they attend.
• Officially notify the college of the change in their legal residence.
• Change their driver's license and voter registration to the new address.

Questions regarding Family Health Plus can be directed to the Family Health Plus Call Center at 1-877-934-7587 or by e-mailing:  fhplus@health.state.ny.us.   

Click here.

Maximum Gross Annual Income Guide Effective January 1, 2012

Maximum Gross Annual Income Guide Effective January 1, 2012
Family Size	Yearly Income	Monthly Income	Weekly Income
Single Adult	$11,170	$ 931	$214
Couples with No Children	$15,130	$ 1,261	$291
Parents/Guardians Living with at Least 1 Child Under 21
Family Size 2	$22,695	$1,892	$436
Family Size 3	$28,635	$2,387	$550
Family Size 4	$34,575	$2,882	$665
Family Size 5	$40,515	$3,377	$779
Family Size 6	$46,455	$3,872	$893
Family Size 7	$52,395	$4,367	$1,007
For each additional person add:	+$ 5,940	+$ 495	+$ 114

 

III.  Medicaid:  Medicaid is a program for New Yorkers who can't afford to pay for medical care.

You may be eligible for coverage by Medicaid if you have high medical bills, receive Supplemental Security Income (SSI) or meet certain financial requirements as listed in the table below. 

You can apply for Medicaid in any one of the following ways:

• Write, phone, or go to your local department of social services in your county of residence.
• If you live in New York City, contact the Human Resources Administration by calling (718) 577-1399.
• Click here.

2012 Income & Resource Levels*
	Medicaid Standard for Singles People, Couples without Children & Low Income Families		Net Income for Families; and Individuals who are Blind, Disabled or Age 65+		Resource Level (Individuals who are Blind, Disabled or Age 65+ ONLY)
	Annual	Monthly	Annual	Monthly
1	$8,818	$735	$9,500	$792	$14,250
2	$11,008	$918	$13,900	$1,159	$20,850
3	$13,098	$1,092	$15,985	$1,333	$23,978
4	$15,208	$1,268	$18,070	$1,506	$27,105
5	$17,389	$1,450	$20,155	$1,680	$30,233
6	$18,984	$1,582	$22,240	$1,854	$33,360
7	$20,665	$1,723	$24,325	$2,028	$36,488
8	$22,822	$1,902	$26,410	$2,201	$39,615
9	$24,057	$2,005	$28,495	$2,375	$42,743
10	$25,294	$2,108	$30,580	$2,549	$45,870
For each additional person, add:	$1,236	$104	$2,085	$174	$3,128

*Effective January 1, 2012

     

Medicaid 2012 Income Eligibility Levels
Age Categories for Children	Monthly Income by Family Size								Each Additional Person, Add:
	1	2	3	4	5	6	7	8
Children 1-18 yrs	$1,239	$1,677	$2,116	$2,555	$2,994	$3,433	$3,872	$4,311	$439