Get Care. Get Covered.

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Get Care. Get Covered.

Family Planning Benefit Program & More

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Contents

What is the Family Planning Benefit Program?...

What are the benefits?...

Who is eligible? ...

How do I apply for FPBP?...

Where do I go to apply for FPBP

and receive services that the program covers?...

Does coverage last forever? ...

How can I learn more about FPBP? ...

And More Health Insurance Options ...

Public Health Insurance Options ...

How do I apply for public health insurance? ...

What other options to get medical care do I have

if I am not eligible for Public Health Insurance?...

What about Private Health Insurance? ...

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The Family Planning Benefit Program (FPBP) is a free, 100% confidential New York State health insurance program that exclusively provides sexual and reproductive health services to teens, women, and men who meet certain eligibility requirements. The program is available to you if you are uninsured, privately insured or covered by Child Health Plus and want to keep your sexual and reproductive health needs and services confidential.

What is the Family

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Note: You cannot get FPBP if you are covered by Medicaid or Family Health Plus because you can already obtain confidential sexual and reproductive health services through these programs.

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Free Services Covered by FPBP:

 All forms of birth control: (the pill, condoms, diaphragms, the patch, IUD (intrauterine device), Depo-Provera, NuvaRing and more) and help choosing the birth control method that fits your needs  Emergency contraceptive services (Plan B) and follow-up  Preventive screenings

 Other Services directly related to family planning like:  STI (sexually transmitted infections) and HIV (human

immunodeficiency virus) counseling and testing  Pregnancy counseling and testing

Services not covered by FPBP:

 Pregnancy and Pre-Natal services  Abortions

 HPV (human papillomavirus) vaccinations  Fertility Treatments

 Services not related to a family planning visit

* If you are seeking to keep your services confidential, you can apply on your own

Who is eligible?

What are the benefits?

You can obtain coverage through FPBP if:

 You are a teen, young adult, woman or man of childbearing age  You are a New York State resident

 You are a U.S. citizen or immigrant with satisfactory status

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Applying for FPBP requires

you to complete a one page

application and submit the

following documents with

your application:

How do I apply for FPBP?

Photo ID (bring one): such as School ID, driver’s license, passport, or other official photo ID

Proof of age (bring one): such as Birth certificate, adoption or foster care records, official hospital or school records

Proof of citizenship (bring original of one document): such as Birth certificate, passport, naturalization certificate, “green” card Proof of address (dated within the last 6 months - bring one): such as Photo ID with address, postmarked envelope, utility bill, magazine, letter or lease agreement

Social Security Card, or be prepared to verbally provide number Proof of income (bring all that apply): such as pay stubs; letter from employer stating income; unemployment, child support, alimony award letter or pay stubs; if no income, letter written by you stating that you receive financial support from a family member Documentation of any childcare expenses (bring only if this applies)

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You can apply for FPBP at select providers. To receive sexual and reproductive health services, visit any provider who accepts Medicaid. This includes pharmacies, primary care doctors, community and school-based health centers, family planning clinics and hospitals.

Where do I go to apply for

FPBP and receive services

that the program covers?

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Below is a partial listing of FPBP providers

and enrollment sites that serve the 5 boroughs:

*Please call to confirm whether provider has on-site FPBP assistance Provider

For a complete list of providers and enroll-ment sites, visit: www.nyc.gov/ healthstat/famplan

Telephone Number &

Website Borough Site Locations for Providers

Community Health

Care Network 866-246-8259www.chnnyc.org Bk, Bx, M, Q Institute for Family

Health 212-206-5200www.institute2000.org Bx, M MIC-Women’s Health

Services 866-642-5589www.healthsolutions.org/mic Bk, Bx, Q Montefiore Medical

Center 800-MD-MONTEwww.montefiore.org Bx Morris Heights Health

Center 718-716-4400www.mhhc.org Bx Mount Sinai

Adoles-cent Health Center 212-423-3000www.mountsinai.org M NYC Health and

Hospi-tals Corporation Multiple sites-check website for a complete listing www.nyc.gov/hhc

Bk, Bx, M, Q Planned Parenthood

of NYC 800-230-PLANwww.ppnyc.org Bk, Bx, M, SI Staten Island

Univer-sity Hospital 718-226-9000www.siuh.edu SI The Door Adolescent

Health Center 212-941-9090 ext. 3222www.door.org M

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Every year, you must renew your FPBP coverage. If you do not renew, you can lose your coverage, so make sure you renew every year. You will receive a renewal package in the mail. Fill it out. Mail it back. It’s that easy.

For more information regarding FPBP or other health insurance programs, please contact:

HRA: Office of Citywide Health Insurance Access at www.nyc.gov/healthstat or call 929-221-6777

Access NYC at www.nyc.gov/accessnyc

Planned Parenthood of NYC at www.ppnyc.org or call 212-965-7000

The New York State Department of Health at www.health.state.ny.us or call 800-541-2831

Does coverage

last forever?

How can I learn

more about FPBP?

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No matter how old you are, health insurance

helps to pay for things that you need, like: Doctor Visits

Dental Care

Mental Health Services X-Rays & Lab Tests Immunizations Eye Exams & Glasses Prescription Drugs Hospital Care

Sexual and Reproductive Health

Why do I need health

insurance? I’m still

young and I feel fine.

And More Health

Insurance Options

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Medicaid provides free health insurance for children, teens and adults who qualify.

Child Health Plus provides free or low-cost health insurance for individuals under the age of 19 who are not eligible for Medicaid. New York State residents under 19 years of age are eligible for Child Health plus regardless of immigration status, or that of their parents, if they meet the other program requirements.

Family Health Plus provides free health insurance for uninsured individuals, age 19-64, who are not eligible for Medicaid and who meet other program requirements.

Prenatal Care Services through Medicaid provides complete pregnancy care and other health services to women and teens that live in New York State and meet income guidelines. All pregnant women are eligible for this program regardless of their immigration status as long as they meet all other eligibility requirements.

In addition to FPBP, there are

a number of other public health

insurance options available:

Public Health

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The next page contains a list of organizations that you can go to for assistance with enrollment into public health insurance. Facilitated enrollment organizations are authorized by the New York State Department of Health to enroll New Yorkers into coverage in nontraditional settings, including your home, office, or other location.

For the documents required to apply, please see the “How do I Apply for FPBP” section of this brochure. For Medicaid and Family Health Plus, if you are under 21 years old and residing with your parents, they must submit the application on your behalf and their income will be used to see if you qualify.

How Do I Apply for

Public Health Insurance?

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Facilitated Enroller Telephone Number

& Website Boroughs Served

Affinity Health Plan (718) 794-5794

www.affinityplan.org All Alianza Dominicana,

Inc. (917) 258-3708; 3636www.alianzadom.org Upper Manhattan Brooklyn Perinatal

Network (718) 643-8258 *819www.bpnetwork.org Northern Brooklyn The Children’s Aid

Society (212) 503-6804www.childrensaidsociety.org All Manhattan NYC Department of

Health and Mental Hygiene

(718) 953--8234

www.nyc.gov/health All Fidelis Care New York (888) 343-3547

www.fideliscare.org All Healthfirst, PHSP (917) 331-4926

www.healthfirstny.com All Health Plus

Amerigroup (347) 834-6843www.healthplus-ny.org All Health Insurance Plan

of New York (HIP) (800) 542-2412www.hipusa.com All Hispanic Federation (212) 233.8955 Ext. 127

www.hispanicfederation.org Lower Manhattan and the South Bronx

Jewish Community

Center of Staten Island (718) 981-1400www.sijcc.org Staten Island If you would like more information or enrollment assistance with these public health insurance options, please visit www.nyc.gov/healthstat.

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Facilitated Enroller Telephone Number &

Website Boroughs Served

MetroPlus Health Plan (212) 908-3619

www.metroplus.org Bk, Bx, M, Q Metropolitan Council

on Jewish Poverty (212) 453-9532www.metcouncil.org Southern Brooklyn Morris Heights Health

Center (718) 483-1260www.mhhc.org Bronx Neighborhood Health

Providers (917) 542-8086www.getnhp.com All Public Health Solutions (646) 619-6400

www.healthsolutions.org All Ridgewood Bushwick

Senior Citizens Council (718) 366-1830www.rbscc.org Bushwick and Lower Ridgewood Safe Space (718) 785-9050 ext. 39

www.safespacenyc.org Northern and South-ern Queens Structured Employment

Economic Develop-ment Corporation, DBA SEEDCO

(917) 338-9215; 9251

www.seedco.org Bronx and Manhattan UnitedHealthcare

Community Plan (888) 617-8979www.uhccommunityplan.com All WellCare of New York,

Inc (347) 221-4585www.wellcare.com Bk, Bx, M, Q Yeled v’ Yalda (718) 686-2188, 2189

www.yeled.org Brooklyn and Staten Island

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There are a number of programs and resources available to you if you are not eligible for public health insurance, yet have limited resources. Some available health care resources are:

NYC Health and Hospitals Corporation

The NYC Health and Hospitals Corporation makes health care services affordable for all New Yorkers through a financial screening system called HHC Options, visit www.nyc.gov/html/hhc/html/ access/hhc_options.shtml

Community Health Centers

Community Health Care Centers provide comprehensive and cost effective primary care and supportive services that promote access to health care. For more information, go to www.chcanys.org DOHMH Clinics

The Department of Health and Mental Hygiene offers individuals and families free health services including immunizations, sexually transmitted disease testing, tuberculosis services, and flu shots. For a listing of sites throughout the city, visit http://www.nyc.gov/ html/doh/html/imm/immclin.shtml

School-based Health Centers

Some NYC public schools have school-based health centers (SBHC). A SBHC provides medical care for any child enrolled in that school at no cost to the child’s family. Many of the organizations that run SBHCs can also help children in public health insurance programs. Learn more at http://schools.nyc.gov/Offices/Health/SBHC/SBHC.htm

What other options to

get medical care do I

have if I am not eligible for

Public Health Insurance?

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What about Private

Health Insurance?

Healthy NY is available to individuals 18-64 years old who

are not eligible for the public health insurance programs listed in this brochure. You can apply on your own even if you live with your parents. Please visit www.healthyny.org for more information or call 1-866-432-5849.

You can also find out more about private health insurance options available in New York City that may fit your needs by visiting NYC Health Insurance Link at www.nyc.gov/hilink. The site will also help you learn how health insurance works and the changes you can expect with federal health care reform.

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For further information, training or workshops regarding the Family Planning Benefit Program or other health insurance programs, please contact HRA’s Office of Health Insurance Access at OCHIA@hra.nyc.gov

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© Copyright 2012, The City of New York Human Resources Administration/ Department of Social Services. For permission to reproduce all or part of this material contact the New York City Human Resources Administration

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