How Do I Apply?

Starting January 1, 2014, you can apply for Child Health Plus coverage through the New York State of Health Marketplace: https://nystateofhealth.ny.gov/ Paper, fax, or email applications for Child Health Plus will not be accepted by Child Health Plus Health Plans after December 31, 2013.

Call this toll-free number: 1-800-698-4KIDS (1-800-698-4543), and ask about Child Health Plus. (If you are hearing impaired, call the TTY number, 1-877-898-5849.) If you are eligible for Children's Medicaid (see "Who is eligible?"), ask for organizations in your community who can help you enroll. Or you can enroll through your local Department of Social Services. The address and phone number for your local Department of Social Services is here. If your income is above Children's Medicaid levels, you can enroll with a Child Health Plus insurer directly. Participating Child Health Plus insurers are listed by county here on this web site. Each insurer offers health care through many providers. The insurer will send you an application and give you a list of providers in your area.

If you would like someone to assist you in applying for either Children's Medicaid or Child Health Plus, there are enrollers in your community who can help. These enrollers will help you fill out the application, collect the necessary documents, and select a health plan. In many cases, assistance is available during evenings and weekends. To learn the nearest location where application assistance is available, please call 1-800-698-4KIDS (1-800-698-4543), or check the list on this web site.

Application Forms

The following paper application may only be printed and completed if you are applying at a local department of social services (LDSS) for Medicaid because you are over the age of 65 or an individual in your household is deemed certified blind or disabled. Children eligible for Child Health Plus cannot use this application to apply for health insurance coverage. You need to apply for coverage online using the New York State of Health Marketplace: https://nystateofhealth.ny.gov/

Application

Supplement A