Income Eligibility Chart New York State Marketplace Coverage
Family Size
2017 Federal Poverty Levels
same FPLs in 48 contiguous states; higher
in Alaska and Hawaii FPLs effective until December 31, 2017
100% FPL
Medicaid
Adults 19 - 64 years old effective until
December 31, 2017 up to 138% FPL
Annual Monthly Annual Monthly
Income Eligibility Chart New York State Marketplace Coverage Effective 4th Open Enrollment through October 31, 2017
Medicaid
Medicaid
Medicaid
Child Health Plus
Essential Plan
children 1-18 years old eligible
effective until December 31, 2017
19-20 year olds living with parents
effective until December 31, 2017
FPBP, pregnant women and infants under 1 years
old effective until December 31, 2017
Children under 19 years old regardless of immigration status effective until December 31, 2017
up to 154% FPL
up to 155% FPL
up to 223% FPL
up to 400% FPL
Annual Monthly Annual Monthly Annual Monthly Annual Monthly
Essential Plan 19 - 64 year olds 150 - 200% FPL effective until October 31, 2017 (using 2016 FPLs)
up to 150% FPL
up to 200% FPL
Annual Monthly Annual Monthly
Qualified Health Plans Qualified Health Plans
effective for APTC and CSR until October 31, 2017 (using 2016 FPLs)
up to 250% FPL
Annual Monthly
effective for APTC until October 31, 2017 (using 2016 FPLs)
up to 400% FPL
Annual Monthly
1
$ 12,060 $ 1,005 $ 16,643 $ 1,387 $ 18,573 $ 1,548 $ 18,693 $ 1,558 $ 26,894 $ 2,242 $ 48,240 $ 4,020 $ 17,820 $ 1,485 $ 23,760 $ 1,980 $ 29,700 $ 2,475 $ 47,520 $ 3,960
2
$ 16,240 $ 1,354 $ 22,411 $ 1,869 $ 25,010 $ 2,085 $ 25,172 $ 2,098 $ 36,216 $ 3,018 $ 64,960 $ 5,414 $ 24,030 $ 2,003 $ 32,040 $ 2,670 $ 40,050 $ 3,338 $ 64,080 $ 5,340
3
$ 20,420 $ 1,702 $ 28,180 $ 2,349 $ 31,447 $ 2,621 $ 31,651 $ 2,638 $ 45,537 $ 3,795 $ 81,680 $ 6,807 $ 30,240 $ 2,520 $ 40,320 $ 3,360 $ 50,400 $ 4,200 $ 80,640 $ 6,720
4
$ 24,600 $ 2,050 $ 33,948 $ 2,829 $ 37,884 $ 3,157 $ 38,130 $ 3,178 $ 54,858 $ 4,572 $ 98,400 $ 8,200 $ 36,450 $ 3,038 $ 48,600 $ 4,050 $ 60,750 $ 5,063 $ 97,200 $ 8,100
5
$ 28,780 $ 2,399 $ 39,716 $ 3,310 $ 44,322 $ 3,694 $ 44,609 $ 3,718 $ 64,180 $ 5,349 $ 115,120 $ 9,594 $ 42,660 $ 3,555 $ 56,880 $ 4,740 $ 71,100 $ 5,925 $ 113,760 $ 9,480
6
$ 32,960 $ 2,747 $ 45,485 $ 3,791 $ 50,759 $ 4,230 $ 51,088 $ 4,258 $ 73,501 $ 6,126 $ 131,840 $ 10,987 $ 48,870 $ 4,073 $ 65,160 $ 5,430 $ 81,450 $ 6,788 $ 130,320 $ 10,860
7
$ 37,140 $ 3,095 $ 51,253 $ 4,272 $ 57,196 $ 4,767 $ 57,567 $ 4,798 $ 82,823 $ 6,902 $ 148,560 $ 12,380 $ 55,095 $ 4,592 $ 73,460 $ 6,122 $ 91,825 $ 7,653 $ 146,920 $ 12,244
8
$ 41,320 $
For each
add'l person $ add
4,180 $
3,444 $ 57,022 $ 349 $ 5,768 $
4,752 $ 63,633 $ 481 $ 6,438 $
5,304 $ 64,046 $ 537 $ 6,479 $
5,338 $ 92,144 $ 540 $ 9,322 $
7,679 $ 165,280 $ 13,774 $ 61,335 $ 777 $ 16,720 $ 1,394 $ 6,240 $
5,111 $ 81,780 $ 520 $ 8,320 $
6,815 $ 102,225 $ 694 $ 10,400 $
8,519 $ 163,560 $ 13,630 867 $ 16,640 $ 1,387
APTC: Advanced Premium Tax Credit - help paying for your monthly private health insurance premium - available to individuals with incomes between 200% 400% FPL
CSR: Cost-sharing reduction - help paying for deductibles, co-insurance and co-payments - available to individuals with incomes between 139% - 250% FPL, if not eligible for the Essential Plan. Individuals must take the Essential Plan if eligible or pay full cost for a qualified health plan
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