Family Planning Benefit Program

You may be eligible for low-cost or free services

You may be eligible for low-cost or free services through the Family Planning Benefit Program, a confidential New York State program that provides family planning health care to men and women of childbearing age with incomes up to 223% of the federal poverty level.

Do I qualify?

You may be eligible for the program if:

  • You are a female or male of childbearing age
  • You are a New York State resident
  • You are a U. S. citizen, national, Native American, or lawfully present
  • You meet certain income requirements (currently under 223% of the Federal Poverty Level)
  • You are not already enrolled in Medicaid.
  • You may still be eligible for the FPBP if you are already covered by other health insurance (including Child Health Plus) but you wish to apply only for Family Planning Services coverage.
You may choose to apply only for the Family Planning Benefit Program and not to apply for Medicaid/Child Health Plus comprehensive public health insurance coverage.

How do I know if my income qualifies me?

The chart below shows how much income you can receive in a month and still qualify for FPBP. The income levels depend on the number of your family members who live with you.

Gross income refers to the income before any taxes or deductions are taken. Only the income of the person applying will be used in the eligibility determination.

2017 Income Levels*

Number in FamilyMonthly Gross Income
1$2,242
2$3,018
3$3,795
4$4,572
5$5,349
6$6,126
7$6,902
8$7,679
For each additional person add$777
*Income levels are subject to yearly adjustments

Do you think you may qualify?

If so, make an appointment at one of our health centers. Tell the receptionist you want to apply for the Family Planning Benefit Program.

Then, bring the information below to your appointment:

1. Social Security Number:

Bring your Social Security card, or at least bring your number (If you were born in the United States and provide a valid Social Security Number, a match with Social Security Administration will verify your SSN, date of birth/age and U.S citizenship. If SSA verifies this information, no further proof is needed. The SSA match cannot verify birth information for a naturalized citizen or immigrant. If not born in the U.S., bring proof of U.S. citizenship or lawfully present immigration status.)

2. Photo ID (bring one):

Driver’s license, Passport, School ID, Other official photo ID

3. Proof of age (bring one):

Birth certificate, Adoption or foster care records, Official hospital or school records (You don’t have to bring this if you are born in the U.S. and bring your Social Security Number)

4. Proof of citizenship or immigration status (bring one):

Birth certificate, Passport, Naturalization certificate, INS form — “Green” card (You don’t have to bring this if you are born in the U.S. and bring your Social Security Number)

5. Proof of residency (dated within the LAST 6 MONTHS — bring one):

Photo ID with address; Postmarked envelope, bill, magazine, etc.; Utility bill; Letter or lease agreement

6. Proof of recent, monthly income (bring all that provide income for you):
  • Four recent, consecutive pay stubs
  • Unemployment or Social Security award letter or check stub
  • Worker’s compensation award letter or check stub
  • Alimony letter or check stub
  • Letter from employer
  • Letter of support from family member (if you can get a letter)

What if I don’t qualify?

You could earn more than the allowable income, not be a New York State resident, not a legal resident of the United States, or medically unable to have children because of sterilization, hysterectomy or menopause. But we are still here to help — and you still have options.

Remember: We never turn any one away for an inability to pay, ever.

Questions? Ask us, we’re here to help. Just give us a call:

Or email us at: fpscny@fpscny.org

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