New York Medicaid Eligibility Calculator
Check if you qualify for Medicaid in New York (NY). Enter your household size and income to see eligibility for adults, children, and pregnant women. ✓ Expanded
New York Medicaid at a Glance
138%
Adult FPL Limit
405%
Child FPL Limit
7,600,000
Enrolled
5.2%
Uninsured Rate
Check Your Eligibility
New York Medicaid Income Limits (2026)
| Household Size | Adult Limit | Child Limit | Pregnant Limit |
|---|---|---|---|
| 1 person | $21,597/yr | $63,382/yr | $34,899/yr |
| 2 people | $29,187/yr | $85,657/yr | $47,164/yr |
| 3 people | $36,777/yr | $107,932/yr | $59,429/yr |
| 4 people | $44,367/yr | $130,207/yr | $71,694/yr |
| 5 people | $51,957/yr | $152,482/yr | $83,959/yr |
| 6 people | $59,547/yr | $174,757/yr | $96,224/yr |
| 7 people | $67,137/yr | $197,032/yr | $108,489/yr |
| 8 people | $74,727/yr | $219,307/yr | $120,754/yr |
What New York Medicaid Covers
New York Medicaid provides comprehensive health coverage including:
✓ Doctor & specialist visits
✓ Hospital inpatient & outpatient
✓ Prescription medications
✓ Lab tests & X-rays
✓ Mental health services
✓ Preventive care & screenings
✓ Emergency room visits
✓ Maternity & newborn care
✓ Dental (varies by state)
✓ Vision care (varies by state)
How to Apply for Medicaid in New York
1. Online: Visit your state Medicaid website or HealthCare.gov to submit an application.
2. Phone: Call 1-800-318-2596 (TTY: 1-855-889-4325) to apply by phone.
3. In Person: Visit your local New York Department of Social Services or Medicaid office.
4. Mail: Download and mail a paper application from your state Medicaid website.
Tip: You can apply for Medicaid at any time — there is no open enrollment period. Processing typically takes 45 days (90 days for disability-based applications).
Frequently Asked Questions
What are the New York Medicaid income limits for 2026?
In New York, Medicaid income limits are 138% FPL for adults (expansion state), 405% FPL for children, and 223% FPL for pregnant women. For a single adult, this means approximately $21,597/year.
Has New York expanded Medicaid?
Yes, New York has expanded Medicaid under the Affordable Care Act, covering adults up to 138% of the Federal Poverty Level (FPL). This means more low-income adults qualify for free or low-cost health coverage.
How do I apply for Medicaid in New York?
You can apply for New York Medicaid online at HealthCare.gov, by calling 1-800-318-2596, visiting your local Medicaid office, or mailing a paper application. Applications are accepted year-round.
What is MAGI and how does it affect Medicaid eligibility?
Modified Adjusted Gross Income (MAGI) is the income methodology used for most Medicaid eligibility determinations. It includes taxable income, tax-exempt interest, and Social Security benefits. Deductions like student loan interest and IRA contributions are subtracted. A 5% income disregard is applied to the FPL threshold.
Can I have assets and still qualify for New York Medicaid?
For most MAGI-based Medicaid categories (adults, children, pregnant women), there is no asset test — only income matters. However, elderly and disabled applicants may face asset limits, typically $2,000 for individuals or $3,000 for couples, though some states have eliminated asset tests.
What is the Medicaid coverage gap in non-expansion states?
Since New York has expanded Medicaid, there is no coverage gap. All adults up to 138% FPL are covered.