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Medicaid eligibility pre-check

Enter your state, household size, and annual income. The tool shows which Medicaid category you likely qualify for, using the 2025 Federal Poverty Guidelines and your state’s current income caps, then links you directly to apply.

Your household

Everyone who files taxes together counts as one household.

$

Before taxes. Include wages, tips, self-employment, and most Social Security. Don’t include SSI or child support.

Applicant age
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Results for New York

0% of the federal poverty level

For a household of 3 in New York, 100% of FPL equals $25,820/year. Enter your annual income to see where you fall against each category’s cap.

  • Adult (Medicaid expansion)

    Likely eligible

    Income cap: $35,632/year (138% FPL for a household of 3).

    Expansion adults qualify up to 138% of FPL ($35,632/year for a household of 3).

  • Pregnant women

    Not applicable

    Income cap: $57,579/year (223% FPL for a household of 3).

    Category only applies when the applicant is pregnant.

  • Children 0–5

    Not applicable

    Income cap: $104,571/year (405% FPL for a household of 3).

    Category applies only to children under 6.

  • Children 6–18

    Not applicable

    Income cap: $104,571/year (405% FPL for a household of 3).

    Category applies only to children 6–18.

  • Parent / caretaker relative

    Likely eligible

    Income cap: $35,632/year (138% FPL for a household of 3).

    Parent-only category covers up to 138% of FPL in New York.

  • Aged (65+) / Disabled

    Not applicable

    Income cap: $19,107/year (74% FPL for a household of 3).

    Category applies only to adults 65+ or adults with a qualifying disability.

How to apply in New York

Program

New York State Medicaid

Processing time

up to 45 days for MAGI-based categories, up to 90 days for disability-based determinations

Apply at New York portal Agency home

Community navigator help is available in New York through Community Service Society of New York. Navigators help with paperwork, appeals, and finding Black-serving providers once enrolled.

Next steps in New York

This is an informational estimate. Final eligibility is determined by New York State Medicaid based on your full application, including verification of income, assets (for some categories), immigration status, and household composition. The tool uses 2025 HHS Poverty Guidelines and New York’s published % FPL caps as of the last KFF State Health Facts update.