๐Ÿ’ฐ Benefits & Hearings

Medicaid

What it means

Free or very low-cost health insurance for low-income New Yorkers. It pays for doctor visits, hospital stays, prescriptions, dental, vision, mental health, and long-term care. The income limit for most adults under 65 is 138% of the federal poverty level. The current dollar amount is at nystateofhealth.ny.gov. For seniors, people with disabilities, and long-term care, the rules are different and may include an asset test or a spend-down. Most applicants apply online at nystateofhealth.ny.gov; the county DSS handles applications for adults 65 and older, people with disabilities, and long-term care.

When you might hear this

You hear this when someone needs health insurance and cannot afford it. Medicaid is different from Medicare โ€” Medicaid is for low-income people of any age, Medicare is for people 65 and older or with certain disabilities. Some people have both.

What to ask

  • Which Medicaid path applies to me โ€” MAGI group or non-MAGI?
  • Where should I apply โ€” NY State of Health or the county DSS?
  • Will my assets be counted in my category?
  • If I am over the income limit, is there a spend-down option?
  • How long will my coverage last, and when do I recertify?
Source
NY Soc. Services Law ยง 366 โ€” Read the law
Checked: 2026-04-15
This is for understanding only. It is not legal advice. If you are in a case, talk to a lawyer.