Financial Assistance Eligibility by Annual Income Level*
Annual Income Eligibility for Cost Sharing
Annual Income Eligibility for Tax Credits**
$29,161 - $36,450
$29,161 & up
Family of two
$39,441 - $49,300
$39,441 & up
Family of three
$49,721 - $62,150
$49,721 & up
Family of four
$60,001 - $75,000
$60,001 & up
Family of five
$70,281 - $87,850
$70,281 & up
Family of six
$80,561 - $100,700
$80,561 & up
If you qualify for financial assistance, you must apply through the NY State of Health.
* Source: 2023 Federal Income Guidelines: Department of Health and Human Services. A full calculator is available on the Health and Human Services Poverty Guidelines page. Tax credits are available when premiums exceed 8.5% of income.
**Some individuals and families with household incomes below these limits may qualify for a Premium Tax Credit in certain circumstances where Medicaid is unavailable. See the full calculator for more information.
Modal for Eligibility Criteria for Young Adults through Age 29
Eligibility Criteria for Young Adults through Age 29
If you selected ‘self + children’ or ‘family coverage,’ your young adult child will be eligible for coverage until the end of the month in which he or she turns 30 years of age, when the young adult:
Is not insured by or eligible for coverage under an employer-sponsored health benefit plan covering him or her as an employee or member, whether insured or self-insured, and
Lives, works or resides in New York State or Our Service Area.
To be covered under this rider, your young adult does NOT need to:
Live with or be financially dependent upon you, nor
Be a student