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ACFAP is not a health plan so enrollees must obtain New York health insurance that best meets their CF-related medical needs. It reimburses premiums paid for health/dental and vision insurance plans as well as co-payments and deductibles related to cystic fibrosis.

To qualify for ACFAP in New York, you must:

• Be at least age 21 (can apply 90 days before 21st birthday)
• Be diagnosed with CF
• Be Ineligible for Medicaid
• Have been resident of NY State for a minimum of 12 continuous months (exception made for college students)
• Have health insurance (or obtain new coverage within 90 days of enrollment)

For Additional Information be sure to call TEL: 518-408-5089

• Reside in New York State
• Have no health insurance
• Be a health insurance beneficiary but without screening and/or diagnostic services
• Meet the requirements for income eligibility
• Be the required age (ages 21 to 64 for cervical cancer screening, 40 to 64 for breast cancer screening and, for both men and women ages 50 and over, for colorectal cancer).

The CSP services are provided in every county and borough of New York at local clinics, health centers, doctors’ offices, and hospitals by health professionals participating in the CSP.

Included in this New York health insurance program are clinical breast exams, Pap tests, mammograms, colorectal cancer screening, and, for certain patients, a colonoscopy. Those receiving positive screening tests also receive diagnostic testing, are then referred for treatment if necessary and may be enrolled in the Medicaid Cancer Treatment Program. If a high risk for colorectal cancer due to family history (polyps, etc.), a colonoscopy may be ordered.

For Additional Information be sure to call TEL: 877-778-6857

The CYSHCN other objective is to ensure families receive the best health care for their children that have special health care needs.

Children in this  NY health Program must have a condition for which they need special health care and support services. Such children might have a serious or chronic:

• Physical condition
• Intellectual or developmental disability
• Behavioral or emotional condition

The following Services are often included: physical exams, screening services, hearing & vision care, nutrition care, doctor office visits, early intervention services, lab tests, immunizations, prescription medicine, routine care coordination, social services, and home health visits.

For Additional Information be sure to call TEL: 518-473-7922

The EIP is administered by the New York State Department of Health through the Bureau of Early Intervention.

To be eligible for this New York health insurance program, children must be:

• Under 3 years of age
• Have a confirmed disability or established developmental delay, as defined by New York State, in area/areas of development including physical, cognitive, communication, social-emotional, and/or adaptive.

This NY Health program offers therapeutic and support services to qualifying infants and toddlers with disabilities and their families, including but not limited to:

• Diagnosis and evaluation
• Physical and occupational therapies
• Speech-language pathology and audiology
• Assistive technology
• Nursing services
• Nutrition services
• Psychological services

For Additional Information be sure to call TEL: 800-522-5006

More than 337,000 people aged 65 and over benefit from EPIC in order to supplement their New York Medicare Part D drug plan out-of-pocket costs.

If you are enrolled in or eligible for a Medicare Part D drug plan, you can apply for EPIC coverage. For members of the Medicare Part D drug plan, EPIC will help pay your premiums if your income is up to $23,000 if single or $29.000 if married; this is called the Fee Plan. The Deductible Plan is for those with a higher income and members must pay their own Part D premiums but will have their EPIC deductible reduced.

The Fee Plan:

• • Is for those with moderate incomes
  • Has a low annual fee paid in quarterly installments; from $8 to $300 based on income
  • Saves members about 80% on prescriptions at participating pharmacies
  • Runs through December 31st each year
  • Have Medicare Part D Plan premiums paid up to $36.55 every month

The Deductible Plan:

• • Is for seniors with higher incomes ($20,001 to $75,000 if single or $26,001 to $100,000 if married)
  • Means members pay full cost till the annual deductible is reached, then co-payments (save about 80%)
  • Runs through December 31st each year
  • Have Medicare Part D Plan premiums paid up to $36.55 every month

*Collectively, fees and deductible amounts are based on income and marital status. The coverage is coordinated with Medicare Part D if you have it.

In order to receive New York health insurance EPIC benefits, you must:

• • Be residents in NY state
  • Meet income requirements (does not include scholarships)
  • Be at least 65 years or older
  • Use a pharmacy located in NY state.

For Additional Information be sure to call TEL: 800-332-3742

It is administered in New York by the New York State Office for the Aging and there are about 500 trained HIICAP counselors ready to assist you across the state. If you are a Medicare beneficiary, HIICAP can assist you with information, and counseling about the Medicare program, including that concerning medical and prescription drug needs, as well as other New York Health Insurance plans.

As in all states, HIICAP in New York State is not linked to any insurance companies and does not sell insurance products. Additionally, HIICAP’s counseling sessions offer unbiased, confidential, and free advice.

Among other things, HIICAP can help you:

• Choose between Medicare and Medicare Advantage Plans including eligibility, enrollment, benefits; premiums, costs and claims
• Understand Medicare rules and your medical bills
• With a comparison of Part D prescription drug plans
• With information about health plans such as HMOs, PPOs, Private Fee for Service (PFFS), Special Needs Plans, and Medical Savings Accounts
• With Medigap supplemental insurance
• With programs which help pay Medicare premiums, deductibles
• Choose from long-term care options
• With information on low-income programs such as the Elderly Pharmaceutical Insurance Coverage (EPIC) Program, Medicare Savings Programs, “Extra Help” prescription assistance, and pharmacy discount programs.

To be eligible for HIICAP in New York State, you must:

• Be a New York resident
• Be eligible for, or enrolled in Medicare

For Additional Information on this New York Health Insurance program,  be sure to call TEL: 800-701-0501

The program provides:

• Financial help for specific HIV/AIDS-related FDA approved prescription drugs
• Specificied outpatient medical and support services
• Case management
• Help with Insurance premiums/deductibles/co-payments
• Mental health services
• Help with substance abuse, etc.

To be eligible, you must:

• Be a resident of New York
• Be HIV positive
• Meet income guidelines ((earn less than $62,450 for a single person, $84,550 for a couple, or $106,650 for a household of three)
• Not have a health insurance plan in place or need help with your out-of-pocket costs (less than $62,450 for a single person, $84,550 for a couple, or $106,650 for a household of three;

For Additional Information be sure to call TEL: 800-542-2437

New Yorkers who are deaf-blind, or have hearing-vision loss, to live and work independently in their chosen community. To be eligible, applicants must have a household income equal to or less than 400% of the Federal Poverty Level.

Assistance provided by iCanConnect in New York State includes:

• Telephones (including wireless phones)
• Interoperable video conferencing services
• Computers and access to the Internet (Equipment may be hardware, software, applications)
• Possible installation and training of essential equipment

See iCanConnect – New York State for further details.

It enables disabled people who work to earn more without risking the loss of necessary health insurance coverage. It offers comprehensive medical Medicaid coverage with a modest or no premium based on income.

To be eligible, you must:

• Be a resident of NY state
• Be aged from 16 to 64
• Have a disability as defined by Social Security
• Be engaged in paid full-time or part-time work
• Meet gross income limits
• Have nonexempt resources below $20,000 ($30,000 for a couple)

For Additional Information be sure to call TEL: 800-541-2831

To be enrolled in the MCTP in New York, you need to complete an application with a New York State Department of Health Cancer Services Program (CSP) trained designee and/or be referred to the program by a Designated Qualified Entity (DQE), who is a person trained by the New York State Department of Health to assist individuals to complete the MCTP application.

Full Medicaid benefits are provided for those enrolled in the MCTP for an initial period which is determined by the type of cancer or precancerous condition of the person receiving treatment.

To be eligible for the MCTP, you must:

• Be under the age of 65
• Have an income at or below 250% of the Federal Poverty Level
• Not be covered under any creditable insurance
• Be ineligible for Medicaid under other eligibility groups
• Be a resident of New York state and a U.S. citizen or eligible alien
• Have been screened by a NY State licensed health care provider or by another state’s National Breast & Cervical Cancer Early Detection Program.

For Additional Information be sure to call TEL: 866-442-2262

The MSP may also cover other cost-sharing expenses if your income requirements are met. MSP covered persons also automatically receive assistance from the federal program: ‘Extra Help’, which helps in the reimbursement of most Medicare prescription medicine (Part D) costs. Many Medicare persons who may not qualify for Medicaid because they do not meet income requirements may still qualify for an MSP as they don’t resource tests.

The MSP has three benefit tiers with a different income eligibility level for each:

1. The Qualified Medicare Beneficiary (QMB) assists in paying for Part A & B premiums, deductibles, coinsurance, and your copays.
2. The Specified Low-income Medicare Beneficiary (SLMB) and the Qualifying Individual (QI) program both assist in paying for Part B premiums only; however, their income eligibility guidelines are different.
3. The Qualified Disabled and Working Individuals (QDWI) helps cover Part A premiums.

* If you qualify for any of the following: QMB, SLMB, or QI, then you will automatically qualify for the ‘Extra Help’ program, which helps cover some of the cost for Medicare prescription drugs.

To be eligible for any of these 4 programs, you:

• Need to  be enrolled in or eligible for Medicare Part A and meet the resources and income guidelines (Income limits differ  by program; resource levels are the same for QMB, SLMB, and QI but not the same for QDWI)

To be eligible for QDWI, you:

•  have to be disabled.

For Additional Information be sure to call TEL: 800-541-2831

It provides prescription coverage to those who are themselves at risk of an overdose, or their family members or friends.

This program provides the following benefits:

• Co-payments for Naloxone (a drug that reverses overdoses) up to the amount of $40 for each prescription ( billed directly to N-CAP)
• The ability to acquire naloxone using a patient-specific prescription, or through a standing order at over 2000 pharmacies in New York State
• No need for individual enrollment
• Eligibility of pharmacies participating in the New York State AIDS Drug Assistance Program to also participate in N-CAP.
• No or lower out-of-pocket expenses when obtaining Naloxone at a participating pharmacy.

For a list of participating pharmacies: see the link on Naloxone Co-Payment Assistance Program (N-CAP) to Naloxone Pharmacy Directory.

For Additional Information be sure to call TEL: 800-233-7432

Help includes evaluation of current needs, options of how to meet those needs, and follow-up sessions to ensure the needs are then met.

The center’s staff members receive training and knowledge about programs/agencies that are specifically for older adults and the disabled. Potential issues that may involve this population group include health issues related to nutrition; management of long-term medical conditions; adaptive equipment; assistive technology; long term care options; low-income housing; assisted living; financial issues; elderly and disability benefits; resources related to community and adult protective services.

Help in completing applications for public and private benefits programs such as Social Security, SSI, Medicare, Medicaid can also be provided. ADRC-NY is a federal/state program.

For Additional Information on this New York Health Insurance service be sure to call TEL: 800-342-9871

It provides all the nursing care and services offered by Medicaid and Medicare including and not limited to primary & specialty medical care, emergency treatment, prescription medicine, physical therapy, and adult daycare. The program has no copays or deductibles but, for those that aren’t on Medicaid, there is a premium you have to pay for the long-term care part. The program is not mandatory which means you can leave it at any time you wish.

For most persons enrolled, you must:

• Use PACE doctors
• Be 55 years or over
• Require a nursing facility  (defined by NY State’s Medicaid office)
• Be able to reside safely in the neighborhood at the time of initial enrollment
• Live in the service region of a PACE organization.

*For those on this New York health insurance program, you’re allowed to be on Medicaid or Medicare or be dual-eligible; and you may pay privately if you are in either program.

For additional information be sure to call TEL: 800-505-5678

In New York, the 12 Regional TRAID Centers (RTCs) offer services such as information, training, demonstration, and loan of devices, technical assistance, and advice on how to obtain & use services and devices related to assistive technology. Additionally, the TRAID-IN Equipment Exchange program can be used for persons wanting to sell, donate, or obtain previously-used assistive devices for disabled people. The TRAID Program is funded by various NYS agencies.

This program is available for New York residents of all ages with disabilities, members of their families, service providers, employers, and educators, among others.

For Additional Information be sure to call  TEL: 800-624-4143

In NYC, if your a child up to the age of 18 that meets any of the conditions listed to qualify  for publicly-funded vaccines:

• Medicaid eligible
• Uninsured
• Under-insured: A child has a private New York health insurance plan but the insurance doesn’t cover children for vaccines or a child whose NY health insurance only covers certain vaccines or a child whose health plan only partly-covers the cost for vaccines.
• Native-American or Alaskan Native
• Enrolled in Child Health Plus B (CHPlus B)

The following children are NOT considered under-insured:

• Children whose New York health insurance plan does covers a part of the cost of the vaccine. As such,  it’s the responsibility of the child’s provider to renegotiate the contract with the insurance carrier
• Children whose insurance plan covers the cost of vaccines but who have high deductibles that have not been met.

Vaccines can be provided for diseases such as Diphtheria, hepatitis, influenza, measles, pneumococcal, mumps pertussis, polio, and tetanus.

A child is eligible for this program if he/she is under 19 and  meets at least any of the following:

• The child is Medicaid eligible; or uninsured
• The child is American Indian or Alaska Native
• The child is qualified as under-insured

For further details see Vaccines for Children Program (VFC) – New York City and VFC | Parents Questions Answered | Vaccines for Children Program for details such as the maximum admin. fee by state. Or call TEL: 212-447-2574

These publicly-funded vaccines include:

• The federal-funded VFC vaccine
• The New York State-funded vaccine
• The New York State Child Health Plus (CHP) vaccine funded by the children’s health insurance plan

Vaccines can be provided for diseases such as Diphtheria, hepatitis, influenza, measles, pneumococcal, mumps pertussis, polio, and tetanus.

A child is eligible for this program if he/she is younger than 19 and  meets at least one of the following:

• The child is Medicaid eligible; or uninsured
• The child is American Indian or Alaska Native
• The child is qualified as under-insured

For more information, see Vaccines for Children Program (VFC) – NY State and for details including maximum admin. fee by state: VFC | Parents Questions Answered | Vaccines for Children Program  or call TEL: 800-543-7468

Services are free and include an initial appointment for health screening of all family members who apply; nutritional foods; nutrition education; assistance in finding health care and breastfeeding support.

New York residents eligible for WIC include those on a low income and those nutritionally at risk. They must also meet one of the following conditions: be pregnant, breast-feeding a baby under the age of 1, recently had a baby, or have an infant or child under the age of 5.

See Women Infants & Children’s Program (WIC) (NY) for further detail or call TEL: 800-522-5006