Erie County Government - Official website of the Erie County, NY Government
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Erie County Department of Social Services
Erie County Department of Social Services
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Banner Photo Credits: Photographs by the U.S. Census Bureau, Public Information Office (PIO).
More Information:
Medicaid
Family Health Plus
Individuals between 21 and 64 years of age who are above the traditional Medicaid income limits may qualify for an insurance program called Family Health Plus.
What is Family Health Plus?
Family Health Plus is a new program which provides health coverage to adults who do not have insurance through their employers, but have income too high for Medicaid.
Who can join?
Effective October 1st 2009, public employees are eligible to apply for Family Health Plus and Family Health Plus Premium Assistance Program benefits.
Any individuals or families that have applied in the past and were not eligible because they were public employees may reapply by submitting an application on or after October 1, 2009.
Parents and childless adults ages 19 through 64 are eligible if they live in New York State, have no health insurance coverage and have income at or below the following levels:
2009 Family Health Plus Income Levels:
Parents with children under 21 in their household; Blind/Disabled adults, and 19-20 year olds residing with their parents
| Family Size | 2 | 3 | 4 | 5 | 6 | 7 | 8 |
| Monthly Income | $1,822 | $2,289 | $2,757 | $3,224 | $3,692 | $4,149 | $4,627 |
| Resource Limit | $20,100 | $23,115 | $26,130 | $29,145 | $32,160 | $35.175 | $38,190 |
Non-Disabled Adults without children under 21 in their household, and 19-20 year olds living alone
| Family Size | 1 | 2 |
| Monthly Income | $903 | $1,215 |
| Resource Limit | $13,800 | $20,100 |
What does Family Health Plus cost?
There is no cost to participate in Family Health Plus.
What services are covered?
- Physician services
- Inpatient and outpatient health care
- Prescription drugs and smoking cessation products
- Lab tests and x-rays
- Vision, speech and hearing devices
- Rehabilitative services [some limits apply]
- Durable medical equipment
- Emergency room and emergency ambulance services
- Drug, alcohol and mental health treatment [some limits apply]
- Diabetic supplies and equipment
- Radiation therapy, chemotherapy and hemodialysis
- Dental services [if offered by plan]
How is care provided?
Family Health Plus health care is provided through managed health care plans.
How does a person enroll in Family Health Plus?
In Erie County, enrollment facilitators and the Erie County Department of Social Services will help people enroll, answer their questions, and also assist people choose a health plan.
Participating Insurers/Enrollers:
Blue Cross/Blue Shield of Western N.Y.
1901 Main Street
Buffalo, New York 14208
1-800-888-5407
[716] 887-7520
http://www.bcbswny.com
Univera Community Health
205 Park Club Lane
Buffalo, New York 14221
[716] 504-0560
800-494-2215
http://www.univeracommunityhealth.org/pm.asp
Fidelis Care of N.Y.
40 John Glen Drive
Amherst New York 14228
1-888-343-3547
[716] 564-3630
http://www.fideliscare.org
If my children are in Child Health Plus, does that mean I'm eligible for Family Health Plus?
Not necessarily - Family Health Plus has maximum income levels depending on household size, Child Health Plus does not.
Will children who are in Child Health Plus have to transfer to Family Health Plus?
No. Children will still be covered under the Child Health Plus Program. Child Health Plus is a program for children, and Family Health Plus is a program for adults. Family Health Plus will do its best to help parents enroll in the same plan as their children.
What if my income is too high for Family Health Plus?
You may be eligible for the HEALTHY NEW YORK Program. For information, call: 1-866-HEALTHYNY [1-866-432-5849] or visit http://www.ins.state.ny.us/website2/hny/english/hny.htm
If you have more questions, please call Family Health Plus Information at: 1-877-9-FHPlus [1-877-934-7587]
Family Health Plus LINKS:
New York State Insurance Department http://www.health.state.ny.us/
New York State Family Health Plus http://www.health.state.ny.us/nysdoh/fhplus/index.htm
Erie County Department Of Health http://www.erie.gov/health/enrollment.asp
Independent Health
511 Farber Lane Dr.
Buffalo, NY 14221
(716) 631-3001
http://www.independenthealth.com
Your information resource from the government of Erie County, New York
