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.

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.

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Frequently asked questions

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.

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