Affinity by Molina Healthcare Medicaid Managed Care (MMC) Eligibility
Need health insurance or know someone who does?
To apply for coverage over the phone, or if you are an existing member looking to renew your coverage, call (866) 694-9815 (TTY 711). You may also call the NY State of Health at (855) 355-5777 or visit www.nystateofhealth.ny.gov.
For any other questions, call our Customer Service line at (866) 247-5678 (TTY 711) Monday to Friday, from 8:30 a.m. to 6:00 p.m. Calls may be monitored for quality assurance.
How much does the program cost?
In general, Medicaid coverage is provided at no cost to the member. However, some services, such as pharmacy, may have a small copayment. A member cannot be denied care or services because of their inability to pay a copayment. A provider has the right to ask for the copayment at each visit and can choose to bill members for any unpaid copayments. Visit the SDOH website to learn more about copayments and copayment exemptions.
The NYSDOH income limits chart below shows the level at which you may qualify for Medicaid. The limit varies depending on the size of your family. Use the eligibility calculator to check if your income falls within the limits for Medicaid.
2021 Income & Resource Levels*
| Family Size | Medicaid for Income Level for Single People & Couples without Children | Net Income for Individuals who are: Blind, Disabled or Age 65+ | Resource Level (Individual who are Blind, Disabled or Age 65+ ONLY) | ||
|---|---|---|---|---|---|
| Anual | Monthly | Annual | Monthly | ||
| 1 | $17,609 | $1,468 | $10,600 | $884 | $15,900 |
| 2 | $23,792 | $1,983 | $15,600 | $1,300 | $23,400 |
| 3 | $29,974 | $2,498 | $17,940 | $1,495 | |
| 4 | $36,156 | $3,013 | $20,280 | $1,690 | |
| 5 | $42,339 | $3,529 | $22,620 | $1,885 | |
| 6 | $48,521 | $4,044 | $24,960 | $2,080 | |
| 7 | $54,704 | $4,559 | $27,300 | $2,275 | |
| 8 | $60,886 | $5,074 | $29,640 | $2,470 | |
| 9 | $67,068 | $5,589 | $31,980 | $2,665 | |
| 10 | $73,251 | $6,105 | $34,320 | $2,860 | |
| For each additional person, add: | $6,183 | $516 | $2,340 | $195 | |
To learn more about applying for health insurance, including Medicaid, Child Health Plus, Essential Plan, and Qualified Health Plans through NY State of Health, The Official Health Plan Marketplace, visit nystateofhealth.ny.gov or call (855) 355-5777.