On this page you can find:
- What you need to have with you at your enrollment appointment
- What services your program covers
- How you can tell if you are elligible for a program
To access the Family Planning Benefit Program application and application instructions in English and in Spanish, click here.
What You Need to Bring to Your Enrollment Appointment
Different programs require different documentation for enrollment. Please check the grid below to determine what documents you must provide at the time of your appointment. You must provide all of the documentation necessary for your application before you can use your coverage.
| Required Documents | Family Planning Benefit Program (FPBP) | Medicaid | Sliding Fee Scale | Healthy Women Partnership |
| Proof of Identity | X | X | ||
| Proof of Residency | X | X | ||
| Proof of Citizenship/Alien Status | X | |||
| Social Security Number | X | X | ||
| Proof of Individual Income (for the past 4 weeks) | X | X | X | |
| Proof of Household Income (for the past 4 weeks) | X | X | ||
| Medicaid Card |
Services Covered
Each program covers a specific range of services. See the chart below to determine what services are covered under your program.
| Services | Family Planning Benefit Program (FPBP)* | Medicaid | Sliding Fee Scale | Healthy Women Partnership |
| Birth Control | X | X | X | |
| Annual Exam | X | X | X | |
| Emergency Contraception | X | X | X | |
| Pap Test | X | X | X | |
| Cancer Screening, Colposcopy, Cryotherapy and LEEP | X | X | X | |
| Abortion (surgical and medication) | X |
*Some other services, including STI testing and treatment, may also be covered depending on the details of your visit. Call (518) 434-5678 for more information.
Qualifying for a Program
Each program has its own eligibility criteria. Check the chart below to see if you might qualify.
| Qualifications | Family Planning Benefit Program (FPBP) | Medicaid | Sliding Fee Scale | Healthy Women Partnership |
| NYS Resident | X | X | X | |
| US Citizen or Legal Immigrant | X | X | ||
| Dependant Upon Individual Income Level** | X | X | X | |
| Dependant Upon Household Income Level** | X | X | ||
| Previous Enrollment in Medicaid^ |
|
**Enrollment in the Family Planning Benefit Program and Medicaid, and placement on our sliding fee scale, depends partly on income levels. Please call (518) 434-5678 for more information.
^If you were recently pregnant, and had Medicaid when your pregnancy ended, you may qualify for the Family Planning Extension Program (FPEP). Call (518) 434-5678 for more information.
