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Financial Assistance Eligibility by Annual Income Level*
Family Size Annual Income Eligibility for Cost Sharing Annual Income Eligibility for Tax Credits**
Single person $16,221 - $29,175 $16,221 - $46,680
Family of two $21,865 - $39,325 $21,865 - $62,920
Family of three $27,508 - $49,475 $27,508 - $79,160
Family of four $33,152 - $59,625 $33,152 - $95,400
Family of five $38,795 - $69,775 $38,795 - $111,640
Family of six $44,438 - $79,925 $44,438 - $127,880

If you qualify for financial assistance, you must apply through the NY State of Health.

* Source: 2014 Federal Income Guidelines: Department of Health and Human Services. Full calculator available at http://aspe.hhs.gov/poverty/14poverty.cfm.

**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.

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