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Get Documents Needed When You Apply For Health - Nyc . Gov - Nyc

NEED TO SHOW US ALL OF THESE DOCUMENTS. We only need documents that apply to you or others who are applying. We will need to see original or certified copies of documents for identity and U.S. citizenship. Please contact your local department of social services or call 1-800-698-4543 to find out where you can bring identity and U.S. citizenship documents. Many local departments of social services and Child Health Plus health plans do not accept original documents by mail, so please check with t.

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I-551 Related content

DOCUMENTS NEEDED WHEN YOU APPLY FOR HEALTH ...
We only need documents that apply to you or others who are applying. We will need to see...
Learn more
employee-health-benefits-application.pdf
Centralized NYCAPS agency/H+H employees MUST complete the Health Benefits Application...
Learn more
New York State Medicaid Enrollment Form
The information requested will permit proper payments to you as a Medicaid provider...
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What documentation do I need to apply? Valid and current driver's license. Valid and current passport. Original US birth certificate. Social Security card.

Eligibility and Cost Family ContributionsMonthly Income by Family Size* (Effective for applications received on or after 2/18/2024) 12 Free Insurance $2,787 $3,782 $15 Per Child Per Month (Maximum of $45 per family) $3,138 $4,259 $30 Per Child Per Month (Maximum of $90 per family) $3,765 $5,1103 more rows

PROOF OF CURRENT INCOME: You must provide a letter, written statement, or copy of check or stubs, from the employer, person or agency providing the income. Submit all that apply.

Teachers can select from a variety of health insurance plans, several of which require no employee contributions. Coverage for teachers and their families (including registered domestic partners) begins on the first day of employment.

How to Enroll For Health Benefits. To enroll, you must obtain and file a Health Benefits Application at your payroll or personnel office or NYCAPS Central. The form must be filed within 30 days of your appointment date (for exceptions, see Effective Dates of Coverage section).

To be eligible for New York Medicaid, you must be a resident of the state of New York in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. Certain Medicaid programs may also be determined based on one of the following criteria: Pregnant, or.

There are three ways to enroll in health insurance through NY State of Health: Apply online through the NY State of Health website. By phone at 1-855-355-5777 (TTY: 1-800-662-1220) With the free help of a trained and certified Enrollment Assistor or Broker.

Additional staff have been added to assist callers. The Health Benefits Retiree Client Service Walk-in Center is open for in-person meetings on Wednesdays only, by appointment only. It remains closed to walk-in visitors. To make an appointment to meet with a Client Service Representative call (212) 513-0470.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232