New York · Medicaid
Medicaid in New York
Looking for Medicaid eligibility in New York? Here is how this coverage lane works specifically for New York residents, what it costs, and how to get it.
Facts on this page checked Jan 15, 2026. Sources are listed at the end.
How it works here
Medicaid, explained for New York.
New York expanded Medicaid under the ACA, so adults with income up to 138% of the Federal Poverty Level may qualify regardless of whether they have children.
Medicaid in New York provides free or very low-cost comprehensive coverage for those who qualify, and you can apply year-round — there is no enrollment window.
If you do not qualify for Medicaid in New York, a subsidized Marketplace plan through NY State of Health is usually the next best option.
New York expanded Medicaid and operates a broad public coverage continuum that can include Medicaid and related state programs for eligible residents.
Adults with income up to about 138% of FPL may qualify for Medicaid; others may land in New York's Essential Plan depending on income.
Enrollment is year-round for Medicaid-eligible residents, and income changes should be reported promptly so the marketplace can move you between programs correctly.
New York facts
- Marketplace
- NY State of Health
- Medicaid expansion
- Adopted
- Uninsured rate
- ~5.2%
Open enrollment 2027
When New York can enroll.
- Opens
- Nov 1, 2026
- Sun
- For Jan 1 coverage
- Check the exchange
- NY State of Health sets this date
- Last day to enroll
- Jan 31, 2027
- Sun
New York runs its own exchange. These dates come from a secondary source (healthinsurance.org, Aug 2026). Confirm with NY State of Health before you rely on a date. Outside this window, a qualifying life event (a move, a new baby, losing other coverage) can open a Special Enrollment Period.
Medicare is different.Medicare’s annual enrollment runs Oct 15 to Dec 7, 2026. For Medicare help, visit our sister site OLYRON Medicare or Medicare.gov.
Dates checked Oct 15, 2026. Sources: HealthCare.gov: dates and deadlines; CMS statement, Jul 27, 2026.
More in this state
Other coverage in New York.
- ACA Marketplace plansSubsidy-eligible major-medical plans sold on the exchange.
- Health sharingMember-funded medical cost sharing — not insurance.
- Short-term plansTemporary coverage to bridge a gap — limited benefits.
- MedicareOriginal Medicare, Advantage, and Medigap for 65+ and eligible.
- DentalStandalone and bundled dental coverage options.
- VisionEye exams, glasses, and contacts coverage.
- TelehealthVirtual primary and urgent care memberships.
Questions
Good questions, short answers.
Who qualifies for Medicaid in New York?
Adults with income up to about 138% of the Federal Poverty Level, plus children, pregnant women, and others who meet income rules.
Can I apply for Medicaid any time in New York?
Yes — unlike Marketplace plans, Medicaid enrollment is open year-round for those who qualify.
Did New York expand Medicaid?
Yes. New York adopted ACA Medicaid expansion, which generally opens coverage to more low-income adults.
Sources
- Medicaid.gov — federal Medicaid program information · reviewed 2026-01-15
- KFF (Kaiser Family Foundation) — health policy research · reviewed 2026-01-15
- OLYRON HealthMatch editorial methodology — how we source and rate options · reviewed 2026-01-15
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