Family Planning Benefit Program (FPBP)

1. How it Works

This program helps New Yorkers who need family planning, but may not be able to afford it.

FPBP services include:

Birth control (including birth control pills and condoms)
Emergency contraception
Advice about family planning

When you visit a provider for family planning help, you can ask to keep the session private
People who don’t have insurance, have private insurance, or are enrolled in Child Health Plus can apply
Financial resources (like bank statements) are not needed to determine eligibility
People who have Medicaid are not eligible
Undocumented immigrants and people on short-term visas who are not in the process of applying for permanent status are not eligible

Next section:

2. Determine Your Eligibility

2. Determine your eligibility

To be eligible, you should be able to answer yes to these questions:

Do you live in New York State?
Are you a US citizen, national, Native American, or have satisfactory immigration status?
Do you have insurance (or no insurance) other than Medicaid?
- If you have Medicaid, confidential family planning is already included in your coverage
Is your income equal to or less than program income requirements?

Family size	Income in a year	Income in a month	Income in a week
1	$27,072	$2,257	$521
2	$36,706	$3,059	$706
3	$46,339	$3,862	$891
4	$55,973	$4,665	$1,077
5	$65,607	$5,468	$1,262
6	$75,240	$6,271	$1,447
7	$84,874	$7,073	$1,632
8	$94,507	$7,876	$1,818
For each additional person, add:	$9,634	$803	$185

Take a short survey to see if you might be eligible for this or 30 other programs.

Am I Eligible?

Next section:

3. What You Need to Include

3. What you need to include

It’s important to include the right documents when you apply. Your documents show whether the program is right for you.

This page can help you choose the right documents for your application.

For each person applying, any one document:

Driver license
Birth certificate
Official photo ID
Passport
School ID or records
Naturalization certificate
Adoption records
Official hospital or birth records

Provide your social security card or be prepared to verbally provide your social security number.

For the household, any one document:

Current letter, lease, or rent receipt with home address from landlord
Driver license issued within past 6 months
Utility bill (gas, electric, or water)
Correspondence from a government agency with your name and street address (not a P.O. Box)
Postmarked envelope postcard or magazine label with name and date (cannot use if sent to a P.O. Box)

For each income source of each income earner, any one document:

Wages & Salary

Pay stub
Letter from employer on company letterhead signed and dated
If you do not have proof of income you must write a letter indicating that you receive food and shelter or financial support from your family member

Child Support or Alimony

Alimony check stub
Child support check stub
Letter from court
Letter from person providing support

Unemployment Income

Award letter or certificate
Award letter or certificate with benefit amount
Benefit statement (on the internet)

Social Security Benefits (SSI Dependent Disability Survivor’s Retirement)

Correspondence from Social Security Administration
Current award letter or certificate
Current benefit check

Worker’s Compensation

Current award letter
Current check stub

For each person applying, any one document:

US birth certificate
US passport
Green card (make a copy of the front and back)
Naturalization certificate

Next section:

4. How to Apply

4. How to apply

Here are your options.

Apply in person

Find a family planning provider near you.
Gather your personal documents and bring them with you to the program site.
Complete the in-person screening and submit the application. You can print and fill out the application before you go in, or complete it at the providers office.

Find a location

Come back to it later.
We can send you a link to this page to help you get back to it when you’re ready.

Confidential family planning services