Medicaid NY Head Office
26 Federal Plaza, Room 3811
New York, NY 10278-0063
Phone: 212-616-2400
Email: ronydmch@cms.hhs.gov
Medicaid NY Customer Service
Phone:Â 518-486-9057 (general)
Phone:Â 1-800-541-2831 (general)
Phone: 855-355-5777 (Marketplace)
Phone: 1-800-505-5678 (New York Medicaid Choice)
Phone: 1-800-343-9000 (billing or eMedNY)
Phone:Â 1-877-9FHPLUS (application assistance)
Email:Â medicaid@health.state.ny.us
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About Medicaid New York
If you are located in New York state and not able to afford medical care, the Medicaid state program might just be for you. Single, childless couples, pregnant women, parents and caretaker relatives with dependent children, elderly or disabled individuals can benefit out of Medicaid’s coverage across the state. Applications can be submitted directly on the website here or by calling the Medicaid helpline or through a Managed Care Organization (MCO).
Health insurance is available under Medicaid and Family Health Plus for most people aged 19 to 64. You can visit the website to check the criteria for applying with New York State of Health Marketplace or Local Department of Social Services (LDSS). The application has sections that ask for applicant’s information, household information, household income, health insurance, housing expenses, among others. If you or anyone had enrolled in Medicaid, the federal health programs or any other form of public assistance, those details must also be furnished. Status of your application will be intimated within 45 days of submission. If you are pregnant or applying on behalf of children, you will get a response within 30 days. If you are not satisfied by the response, you can request a State fair hearing. You can call the toll free number, write a letter or even send an online request form.
The Medicaid program also pays for past bills before enrolling in the program. You will be even reimbursed for bills you pay until you get your Medicaid card. To order a new Medicaid Benefit Identification Card, please call the helpline or visit your local department of social services. Most renewals are on an annual basis. You will receive a renewal packet by mail prior to your renewal date. There is also Medicaid Managed Care Plan that focus on preventive health care and provides residents with a medical home for themselves and their families. For more details you can drop by one of Medicaid’s offices in Bronx, Brooklyn, Manhattan, Queens or Staten Island.
Services covered by Medicaid include regular medical check-ups, prescription
drugs, hospital care, laboratory and X-ray services, care through home health agencies, eye exams, eyeglasses, mental health services, family planning services, clinic services and prenatal care. Locate a Medicaid office nearest to your address in New York state.
Visit the official NY Health Plan Marketplace to enroll in a health insurance coverage. Without leaving the website, you can compare insurance options, calculate costs and select coverage. The Marketplace, established by the New York State in 2012, can be used by individuals, families and small businesses. Enrollment can only be made by those who live in New York and is a US citizen. With regard to documents, you need to keep ready your social security numbers, birth dates, employer and income information and policy numbers for any current health insurance. Filling out the forms should not take more than 45 minutes. To locate a broker nearest to you address click here. And if you a practitioner who needs to enroll as an orderer, referrer, attending or prescriber, access the link here. You can also make changes to your enrollment record on the website. For more information or queries on Medicaid application, benefits, nearest hospital, ID card, billing, or others, reach the Medicaid New York customer service via phone or email.
