Family Health Plus
Family Health Plus is an insurance program sponsored by the State of New York
for adults 19-64 years old. You must be a New York State resident who doesn't
qualify for Medicaid and has no other health coverage. Working adults must
meet an income test that is slightly higher than what is allowed for Medicaid.
The program works by giving you the opportunity to join a managed care plan. You have to select a primary care physician when you join. You also want to be sure that the plan you pick works with the hospitals, clinics and doctors that you want to use. Continuum Health Partners primary care physicians and specialist physicians participate in the following plans:
- HealthFirst
- ABC Health Plan
- CenterCare
- HIP
- Affinity
Medical Services Covered Under Family Health
Plus
Family Health Plus provides comprehensive health insurance coverage. When
you choose a health plan, you will have a regular doctor, get regular checkups
and see specialists, if needed. Coverage includes:
- 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
- Behavioral health and chemical dependence services (which includes drug, alcohol and mental health treatment - some limits apply)
- Diabetic supplies and equipment
- Hospice care
- Radiation therapy, chemotherapy and hemodialysis; and
- Dental services (if offered by the health plan)
Adults Eligible to Join a Family Health Plan
are:
- Between and including the ages of 19 and 64
- Currently are not receiving equivalent coverage
- Not eligible for Medicaid
- Are New York State residents (in most cases you must be a legal resident or Green Card holder to received Family Health Plus)
- Meet the income requirements
Cost
There is no cost to apply for or participate in Family Health Plus. There
are no application fees and there are no co-payments or deductibles once you
are enrolled. There are no sliding fees or any other cost sharing for Family
Health Plus.
On-Site Enrollment
On site enrollment is available at Continuum Health Partners hospitals in
Manhattan. You can enroll on-site at Beth Israel Medical Center, Phillips
Ambulatory Care Center, New York Eye & Ear Infirmary, Roosevelt Hospital and
St. Luke's Hospital. It is suggested that you bring documentation with you
to the enrollment worker to complete a Family Health Plus enrollment application
Documentation needed is described below. To schedule an appointment for on-site
enrollment, please call the appropriate contact number in the Contact
Us section of the website.
The following Hospitals participate in Family Health Plus:
Manhattan
Beth Israel Medical Center -
Phillips Ambulatory Care Center
New York Eye & Ear Infirmary
Roosevelt Hospital
St. Luke's Hospital
