Medicaid
New York Medicaid (MAGI: adults 19-64, parents, children, pregnant)
In short
Free comprehensive health coverage (doctor, hospital, Rx, dental, vision, mental health, transportation) through a managed care plan; no premiums. NY residents with income at or below 138% FPL (adults 19-64); higher limits for pregnant people (223%) and children (Child Health Plus above that).
Why it matters
Work rules start ~2027 and renewals move to every 6 months. Millions of New Yorkers will need help to keep coverage, again and again.
- What you get
- Free comprehensive health coverage (doctor, hospital, Rx, dental, vision, mental health, transportation) through a managed care plan; no premiums.
- Who qualifies
- NY residents with income at or below 138% FPL (adults 19-64); higher limits for pregnant people (223%) and children (Child Health Plus above that).
- Income limit (2026)
- 138% FPL: about $1,836/mo for 1, $2,489/mo for 2 (GIS 26 MA/05, Feb 2026). No asset test for MAGI groups.
- Papers to gather
- ID, proof of NY address, SSN (if any), immigration documents, proof of income (pay stubs, award letters), current health insurance info.
- Renewal
- Annual today. H.R.1: adults 19-64 in expansion group move to 6-month renewals for renewals starting ~Jan-Mar 2027 (exact NY start date unverified).
- 2026 update
- changed: H.R.1 work/community-engagement requirement for expansion adults 19-64 begins Jan 2027 for new applicants and ~Mar 2027 at renewal (80 hrs/mo work, school, training or volunteering, or ~$580/mo income; exemptions for pregnancy, caregivers, disability, etc.). NYSOH to send notices by Sept 30, 2026. Retroactive coverage shrinks (1 month expansion / 2 months others) for applications from Jan 2027.
Some details here could not be confirmed yet. We check every rule with the agency before you apply.
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