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New York State's Medicaid Funded Family Planning Benefit Program (FPBP)

What is the Medicaid Family Planning Benefit Program (FPBP)?

FPBP is a confidential New York State Medicaid program that provides family planning benefits to men and women of childbearing age with incomes up to 223% of the federal poverty level.

For example, a single person (with no children) applying on his or her own can make about $26,000/year to qualify for FPBP. 

If you don’t qualify for FPBP or decide not to apply, you may still be able to use PPNCNY’s free or low-cost services.  Planned Parenthood of the North Country New York will take care of you no matter what!
 

If I’m under 21, can I still apply on my own?

Yes. Adolescents (younger than 21 years of age) can apply for this program on their own. If you are under 21 years old, your eligibility will be based on your own income, not your parents’ income. Even if you are living at home with family, their income is not included. You do not need to bring in any information related to their income. Your application will be kept confidential.
 

What if I have health insurance through my parents or spouse, but I don’t want to use it. Can I still apply for FPBP?

Maybe. If you have commercial health insurance (i.e., Aetna, Oxford, etc.) through your parents or spouse or if you have Child Health Plus, but do not want to use it for confidentiality reasons, you can still apply for FPBP. 
 

What’s covered?

  •    All types of birth control
  •    Emergency contraception (the "morning-after" pill) and follow-up
  •    GYN exams, including Pap tests
  •    Pregnancy testing and counseling*
  •    Male and female sterilization
  •    STD testing, counseling, and treatment*
  •    HIV counseling and testing* 
  •    Colposcopy, cryotherapy, and LEEP*

   *when part of a family planning visit 
 

What is not covered?

Abortion services and pregnancy services are not covered under this program. Other services that are not family planning-related, such as dental care, are also not covered under FPBP.  PPNCNY partners with other local agencies to help you enroll in other public or private insurance plans that do cover abortion services and/or all pregnancy-related services. To find out more,  call 1 (800) 230-PLAN.
 

Where can I get services?

Once you are enrolled in FPBP, you can visit any Medicaid provider for family planning and gyn services. There are no managed health care plans attached to FPBP, so you don’t have to join a plan. There is no limit to the number of visits. Your visit will be covered as long as the provider offers family planning services and accepts Medicaid. 

You will not have to pay when you go to the pharmacy for your birth control prescriptions – including Ortho-Evra, the birth control patch – as long as the pharmacy accepts Medicaid.
 

What documents do I need to bring in?

Some information is needed in order to process the full application for FPBP. That documentation includes:

1. Social Security Number: Bring your Social Security card, or at least bring your number (If you were born in the United States and provide a valid Social Security Number, a match with Social Security Administration will verify your SSN, date of birth/age and U.S citizenship. If SSA verifies this information, no further proof is needed. The SSA match cannot verify birth information for a naturalized citizen or immigrant. If not born in the U.S., bring proof of U.S. citizenship or lawfully present immigration status.)

2. Photo ID (bring one): Driver's license, Passport, School ID, Other official photo ID

3.  Proof of age (bring one): Birth certificate, Adoption or foster care records, Official hospital or school records (You don’t have to bring this if you are born in the U.S. and bring your Social Security Number)

4.  Proof of citizenship or immigration status (bring one): Birth certificate, Passport, Naturalization certificate, INS form -- "Green" card (You don’t have to bring this if you are born in the U.S. and bring your Social Security Number)

5. Proof of residency (dated within the LAST 6 MONTHS -- bring one): Photo ID with address; Postmarked envelope, bill, magazine, etc.; Utility bill; Letter or lease agreement 

6. Proof of recent, monthly income (bring all that provide income for you):
   Four recent, consecutive pay stubs
   Unemployment or Social Security award letter or check stub
   Worker’s compensation award letter or check stub
   Alimony letter or check stub
   Letter from employer
   Letter of support from family member (if you can get a letter)
   If you are self-employed or freelancing, most recent signed and dated
   tax return if it shows your current income