How Do I Qualify?
- Be a woman or man of childbearing age
- Be a New York state resident
- Have satisfactory immigration status
- Not be currently enrolled in Medicaid or Family Health Plus
- Meet the income guidelines below
Maximum income allowed to get free services: (updated 1/24/2011)
| # in Family | Annual income | # in Family | Annual income |
| 1 | $21,780 | 6 | $59,980 |
| 2 | $29,420 | 7 | $67,620 |
| 3 | $37,060 | 8 | $75,260 |
| 4 | $44,700 | 9 | $82,900 |
| 5 | $52,340 | 10 | $90,540 |
Do you think you qualify? If YES, just follow these easy steps to apply for the new Family Planning Benefit Program:
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Make an appointment to see the Family Planning Benefit Program specialist along with your next clinic appointment.
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Bring the information listed below to your next appointment:
1. IDENTITY (proof of who you are). Bring ONE:
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Driver's License
- Passport
- Green Card (proof of legal U.S. residency)
- Student I.D. (with photo)
- Sheriff's I.D.
2. RESIDENCY (proof of physical address received during the last three months — not a P.O. Box). Bring ONE:
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Driver’s License (issued in last 3 months)
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Utility Bills (gas, electric or cable)
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Bank Statement
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Postmarked dated envelope with your name, address and date printed on the envelope. No window envelopes accepted.
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Lease
3. SOCIAL SECURITY
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Social Security card OR just knowing your Social Security number is
If you received any income during the past month, you must show proof of income. Bring all that apply:
WAGES/SALARY. Bring
- Pay check stubs (4 most recent weeks: 2 if paid bi-weekly or 4 if paid weekly)
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Letter from employer on company stationary (signed & dated) stating last 4 weeks gross pay.
UNEMPLOYMENT BENEFITS. Bring ONE (if applies):
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Award letter or printout of unemployment statement
CHILD SUPPORT. Bring ONE (if applies):
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Award letter from court stating amount of support ordered
MILITARY PAY. Bring ONE (if applies):
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Award letter
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Check stub - 1 month's worth
WORKER’S COMPENSATION. Bring ONE (if applies):
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Award letter
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Check stubs - 1 month's worth
HEALTH INSURANCE. (Bring if applies):
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If you have any other insurance, please provide a copy of the front and back of your insurance card, even if you do not wish to use it at Planned Parenthood for confidentiality reasons.
What if I don't qualify? You could earn more than the allowable income, not be a New York State resident, not a legal resident of the United States, or medically unable to have children because of sterilization, hysterectomy or menopause. But Planned Parenthood is still here to help, and you still have options!
Have questions? Call Planned Parenthood
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In Broome County 607-723-8306
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In Chenango County 607-334-6378
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In Delaware or Otsego County 607-432-2250
- Or write to ppscny@ppfa.org
