How does Family Planning Benefit Program work?

With FPBP, you can get sexual and reproductive health services with providers who accept Medicaid. This includes pharmacies, primary care doctors, community and school-based health centers, family planning clinics, and hospitals. You can ask to keep your sessions with your provider confidential. FPBP is available if you are uninsured, privately insured, or covered by Child Health Plus. Here’s what FPBP covers: Covered services Services not covered Birth control including the pill, IUDs, condoms, and more Emergency contraceptive services (Plan B) STI testing Pregnancy counseling and testing pregnancy and pre-natal services abortions HPV vaccines fertility treatments

Am I eligible for Family Planning Benefit Program?

To be eligible, you need to meet these criteria: You’re a New York State resident. You’re a U.S. Citizen, National, or lawfully present. You cannot be enrolled in Medicaid . If you have Medicaid, confidential family planning is already included in your coverage. Your income is equal to or less than these income limits: Family size Monthly income 1 $2,909 2 $3,931 3 $4,953 4 $5,975 5 $6,997 6 $8,019 7 $9,041 8 $10,063 For each additional person, add: $1,023

What do I need in order to apply to Family Planning Benefit Program?

You will need documents to prove the following: Identity: such as a photo ID, driver’s license, passport, or other official photo ID Age: such as Birth certificate, adoption or foster care records, or official hospital or school records Citizenship or immigration status: such as your birth certificate, US passport, or green card Social Security Number Income (if any): such as a recent pay stub, letter from employer stating income, unemployment, child support, or alimony award letter Residency: such as a photo ID with your address, postmarked envelope, utility bill, or lease Health insurance: such as benefit card or policy statements (if you have health insurance).

How do I Apply to Family Planning Benefit Program?

Go to a family planning provider near you. Providers will screen you to see if you’re eligible and help you apply. When you get screened, you might be able to get immediate coverage if you appear to be eligible for FPBP. This is called presumptive eligibility. Presumptive eligibility starts from the day of the screening until the date your application is processed and you are found eligible for FPBP. You’ll get a Medicaid card and have full access to all FPBP-covered services.

Family Planning Benefit Program (FPBP)

1. How it Works

The Family Planning Benefit Program (FPBP) is health insurance for free, confidential reproductive health services. These include birth control, STI testing, and pregnancy counseling. FPBP is open to New Yorkers who meet income and residency requirements.

With FPBP, you can get sexual and reproductive health services with providers who accept Medicaid. This includes pharmacies, primary care doctors, community and school-based health centers, family planning clinics, and hospitals. You can ask to keep your sessions with your provider confidential.
FPBP is available if you are uninsured, privately insured, or covered by Child Health Plus.

Here’s what FPBP covers:

Covered services	Services not covered
Birth control including the pill, IUDs, condoms, and more Emergency contraceptive services (Plan B) STI testing Pregnancy counseling and testing	pregnancy and pre-natal services abortions HPV vaccines fertility treatments

Next section:

2. Determine Your Eligibility

2. Determine your eligibility

To be eligible, you need to meet these criteria:

You’re a New York State resident.
You’re a U.S. Citizen, National, or lawfully present.
You cannot be enrolled in Medicaid.
- If you have Medicaid, confidential family planning is already included in your coverage.
Your income is equal to or less than these income limits:

Family size	Monthly income
1	$2,909
2	$3,931
3	$4,953
4	$5,975
5	$6,997
6	$8,019
7	$9,041
8	$10,063
For each additional person, add:	$1,023

Next section:

3. What You Need to Include

3. What you need to include

You will need documents to prove the following:

Identity: such as a photo ID, driver’s license, passport, or other official photo ID
Age: such as Birth certificate, adoption or foster care records, or official hospital or school records
Citizenship or immigration status: such as your birth certificate, US passport, or green card
Social Security Number
Income (if any): such as a recent pay stub, letter from employer stating income, unemployment, child support, or alimony award letter
Residency: such as a photo ID with your address, postmarked envelope, utility bill, or lease
Health insurance: such as benefit card or policy statements (if you have health insurance).

Next section:

4. How to Apply

4. How to apply

Go to a family planning provider near you. Providers will screen you to see if you’re eligible and help you apply.

When you get screened, you might be able to get immediate coverage if you appear to be eligible for FPBP. This is called presumptive eligibility.

Presumptive eligibility starts from the day of the screening until the date your application is processed and you are found eligible for FPBP.
You’ll get a Medicaid card and have full access to all FPBP-covered services.

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