Family Health Plus
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This one application can be used to apply for Child Health Plus A and B, Family Health Plus, Medicaid, Prenatal Care Assistance Program (PCAP), the Family Planning Benefit Program and Women, Infants and Children (WIC) nutritional programs. Based upon the information you provide you will be told which program you and/or your child(ren) are eligible for.
Please Note: To apply for Family Health Plus, you must meet with an enrollment facilitator or with staff from your local social services district. They can provide you with an application. This Application will help you determine the kind of information that is needed to see if you are eligible. Click here for more information: What will happen after I apply?
The Access NY Health Care Application is available as an Adobe Acrobat Portable Document Format file. Do you need help working with PDF Files?
| English Instructions (PDF, 601KB, 4pg.) Application (PDF, 122KB, 6pg.) Additional Application Information (PDF, 57KB, 2pg.) Documentation Checklist for Health Insurance (PDF, 71KB, 4pg.) Fact Sheet (PDF, 58KB, 1pg.) All of the FHPlus application files in one (PDF, 868KB, 17pg.) |
Spanish Instrucciones (PDF, 2.07MB, 4pg.) Applicación (PDF, 225KB, 6pg.) Información Adicional para la Applicación (PDF, 76KB, 2pg.) Lista de comprobación de la documentación para el seguro médico (PDF, 154KB, 4pg.) Hoja de Hechos (PDF, 61KB, 1pg.) |
Do You Have Questions or Need Help Completing This Form?
CALL TOLL-FREE
For Children: 1-800-698-4543
For Adults: 1-877-9FHPLUS
ALL HELP IS FREE
(1-877-898-5849 TTY line for the hearing impaired)
