3. Contents
What is the Family Planning Benefit Program?..................
What are the benefits?.........................................................
Who is eligible? ....................................................................
How do I apply for FPBP?......................................................
Where do I go to apply for FPBP
and receive services that the program covers?..................
Does coverage last forever? ................................................
How can I learn more about FPBP? ....................................
And More Health Insurance Options ...................................
Public Health Insurance Options ...................................
How do I apply for public health insurance? ...............
What other options to get medical care do I have
if I am not eligible for Public Health Insurance?...........
What about Private Health Insurance? ........................
4. The Family Planning Benefit Program (FPBP) is a free, 100% confidential
New York State health insurance program that exclusively provides
sexual and reproductive health services to teens, women, and men who
meet certain eligibility requirements. The program is available to
you if you are uninsured, privately insured or covered by Child Health
Plus and want to keep your sexual and reproductive health needs and
services confidential.
What is the Family
Planning Benefit Program?
2
5. Note: You cannot get FPBP if you are
covered by Medicaid or Family Health
Plus because you can already obtain
confidential sexual and reproductive
health services through these programs.
3
6. Free Services Covered by FPBP:
All forms of birth control: (the pill, condoms, diaphragms, the patch,
IUD (intrauterine device), Depo-Provera, NuvaRing and more) and
help choosing the birth control method that fits your needs
Emergency contraceptive services (Plan B) and follow-up
Preventive screenings
Other Services directly related to family planning like:
STI (sexually transmitted infections) and HIV (human
immunodeficiency virus) counseling and testing
Pregnancy counseling and testing
Services not covered by FPBP:
Pregnancy and Pre-Natal services
Abortions
HPV (human papillomavirus) vaccinations
Fertility Treatments
Services not related to a family planning visit
* If you are seeking to keep your services confidential, you can
apply on your own
Who is eligible?
What are the benefits?
You can obtain coverage through FPBP if:
You are a teen, young adult, woman or man of childbearing age
You are a New York State resident
You are a U.S. citizen or immigrant with satisfactory status
Your income is equal to or less than program income requirements*
4
7. Applying for FPBP requires
you to complete a one page
application and submit the
following documents with
your application:
How do I apply for FPBP?
Photo ID (bring one): such as School ID, driver’s license,
passport, or other official photo ID
Proof of age (bring one): such as Birth certificate, adoption or
foster care records, official hospital or school records
Proof of citizenship (bring original of one document): such as
Birth certificate, passport, naturalization certificate, “green” card
Proof of address (dated within the last 6 months - bring one):
such as Photo ID with address, postmarked envelope, utility bill,
magazine, letter or lease agreement
Social Security Card, or be prepared to verbally provide number
Proof of income (bring all that apply): such as pay stubs; letter
from employer stating income; unemployment, child support,
alimony award letter or pay stubs; if no income, letter written by you
stating that you receive financial support from a family member
Documentation of any childcare expenses (bring only if
this applies)
35
8. 6
You can apply for FPBP at select providers. To receive
sexual and reproductive health services, visit any provider
who accepts Medicaid. This includes pharmacies, primary
care doctors, community and school-based health centers,
family planning clinics and hospitals.
Where do I go to apply for
FPBP and receive services
that the program covers?
9. Below is a partial listing of FPBP providers
and enrollment sites that serve the 5 boroughs:
*Please call to confirm whether provider has on-site FPBP assistance
Provider
For a complete list of
providers and enroll-
ment sites, visit:
www.nyc.gov/
healthstat/famplan
Telephone Number &
Website
Borough Site
Locations for
Providers
Community Health
Care Network
866-246-8259
www.chnnyc.org
Bk, Bx, M, Q
Institute for Family
Health
212-206-5200
www.institute2000.org
Bx, M
MIC-Women’s Health
Services
866-642-5589
www.healthsolutions.org/mic
Bk, Bx, Q
Montefiore Medical
Center
800-MD-MONTE
www.montefiore.org
Bx
Morris Heights Health
Center
718-716-4400
www.mhhc.org
Bx
Mount Sinai Adoles-
cent Health Center
212-423-3000
www.mountsinai.org
M
NYC Health and Hospi-
tals Corporation
Multiple sites-check website for
a complete listing
www.nyc.gov/hhc
Bk, Bx, M, Q
Planned Parenthood
of NYC
800-230-PLAN
www.ppnyc.org
Bk, Bx, M, SI
Staten Island Univer-
sity Hospital
718-226-9000
www.siuh.edu
SI
The Door Adolescent
Health Center
212-941-9090 ext. 3222
www.door.org
M
7
10. 8
Every year, you must renew your
FPBP coverage. If you do not renew,
you can lose your coverage, so
make sure you renew every year.
You will receive a renewal package
in the mail. Fill it out. Mail it back.
It’s that easy.
For more information regarding FPBP or other health
insurance programs, please contact:
HRA: Office of Citywide Health Insurance Access
at www.nyc.gov/healthstat or call 212-331-4205
Access NYC at www.nyc.gov/accessnyc
Planned Parenthood of NYC at www.ppnyc.org or
call 212-965-7000
The New York State Department of Health at
www.health.state.ny.us or call 800-541-2831
Does coverage
last forever?
How can I learn
more about FPBP?
11. 9
No matter how old you are, health insurance
helps to pay for things that you need, like:
Doctor Visits
Dental Care
Mental Health Services
X-Rays & Lab Tests
Immunizations
Eye Exams & Glasses
Prescription Drugs
Hospital Care
Sexual and Reproductive Health
Why do I need health
insurance? I’m still
young and I feel fine.
“
“
And More Health
Insurance Options
12. Medicaid provides free health insurance for children, teens and
adults who qualify.
Child Health Plus provides free or low-cost health insurance for
individuals under the age of 19 who are not eligible for Medicaid.
New York State residents under 19 years of age are eligible for
Child Health plus regardless of immigration status, or that of their
parents, if they meet the other program requirements.
Family Health Plus provides free health insurance for uninsured
individuals, age 19-64, who are not eligible for Medicaid and who
meet other program requirements.
Prenatal Care Services through Medicaid provides complete
pregnancy care and other health services to women and teens
that live in New York State and meet income guidelines. All pregnant
women are eligible for this program regardless of their immigration
status as long as they meet all other eligibility requirements.
In addition to FPBP, there are
a number of other public health
insurance options available:
Public Health
Insurance Options
10
13. The next page contains a list of organizations that you can go
to for assistance with enrollment into public health insurance.
Facilitated enrollment organizations are authorized by the
New York State Department of Health to enroll New Yorkers
into coverage in nontraditional settings, including your home,
office, or other location.
For the documents required to apply, please see the “How do I
Apply for FPBP” section of this brochure. For Medicaid and Family
Health Plus, if you are under 21 years old and residing with your
parents, they must submit the application on your behalf and
their income will be used to see if you qualify.
How Do I Apply for
Public Health Insurance?
11
14. Facilitated Enroller Telephone Number
& Website
Boroughs
Served
Affinity Health Plan (718) 794-5794
www.affinityplan.org
All
Alianza Dominicana,
Inc.
(917) 258-3708; 3636
www.alianzadom.org
Upper
Manhattan
Brooklyn Perinatal
Network
(718) 643-8258 *819
www.bpnetwork.org
Northern
Brooklyn
The Children’s Aid
Society
(212)503-6804
www.childrensaidsociety.org
All Manhattan
NYC Department of
Health and Mental
Hygiene
(212) 788-5788
www.nyc.gov/health
All
Fidelis Care New York (888) 343-3547
www.fideliscare.org
All
Healthfirst, PHSP (917) 331-4926
www.healthfirstny.com
All
Health Plus
Amerigroup
(347) 834-6843
www.healthplus-ny.org
All
Health Insurance Plan
of New York (HIP)
(800) 542-2412
www.hipusa.com
All
Hispanic Federation (212) 233.8955 Ext. 127
www.hispanicfederation.org
Lower
Manhattan
and the South
Bronx
Jewish Community
Center of Staten Island
(718) 981-1400
www.sijcc.org
Staten Island
If you would like more information or enrollment assistance with these
public health insurance options, please visit www.nyc.gov/healthstat.
A list of facilitated enrollers is below:
12
15. Facilitated Enroller Telephone Number &
Website
Boroughs
Served
MetroPlus Health Plan (212) 908-3619
www.metroplus.org
Bk, Bx, M, Q
Metropolitan Council
on Jewish Poverty
(212) 453-9532
www.metcouncil.org
Southern
Brooklyn
Morris Heights Health
Center
(718) 483-1260
www.mhhc.org
Bronx
Neighborhood Health
Providers
(917) 542-8086
www.getnhp.com
All
Public Health Solutions (646) 619-6400
www.healthsolutions.org
All
Ridgewood Bushwick
Senior Citizens Council
(718) 366-1830
www.rbscc.org
Bushwick
and Lower
Ridgewood
Safe Space (718) 785-9050 ext. 39
www.safespacenyc.org
Northern
and South-
ern Queens
Structured Employment
Economic Develop-
ment Corporation, DBA
SEEDCO
(212) 204-1384
www.seedco.org
Bronx and
Manhattan
UnitedHealthcare Com-
munity Plan
(888) 565-8170
www.uhccommunityplan.com
All
WellCare of New York,
Inc
(347) 221-4585
www.wellcare.com
Bk, Bx, M, Q
Yeled v’ Yalda (718) 686-2188, 2189
www.yeled.org
Brooklyn
and Staten
Island
13
17. There are a number of programs and resources available to you
if you are not eligible for public health insurance, yet have limited
resources. Some available health care resources are:
NYC Health and Hospitals Corporation
The NYC Health and Hospitals Corporation makes health care
services affordable for all New Yorkers through a financial screening
system called HHC Options, visit www.nyc.gov/html/hhc/html/
access/hhc_options.shtml
Community Health Centers
Community Health Care Centers provide comprehensive and cost
effective primary care and supportive services that promote access
to health care. For more information, go to www.chcanys.org
DOHMH Clinics
The Department of Health and Mental Hygiene offers individuals
and families free health services including immunizations, sexually
transmitted disease testing, tuberculosis services, and flu shots.
For a listing of sites throughout the city, visit http://www.nyc.gov/
html/doh/html/imm/immclin.shtml
School-based Health Centers
Some NYC public schools have school-based health centers (SBHC).
A SBHC provides medical care for any child enrolled in that school at
no cost to the child’s family. Many of the organizations that run SBHCs
can also help children in public health insurance programs. Learn
more at http://schools.nyc.gov/Offices/Health/SBHC/SBHC.htm
What other options to
get medical care do I
have if I am not eligible for
Public Health Insurance?
15
18. What about Private
Health Insurance?
Healthy NY is available to individuals 18-64 years old who
are not eligible for the public health insurance programs
listed in this brochure. You can apply on your own even if
you live with your parents. Please visit www.healthyny.org
for more information or call 1-866-432-5849.
You can also find out more about private health insurance
options available in New York City that may fit your needs by
visiting NYC Health Insurance Link at www.nyc.gov/hilink.
The site will also help you learn how health insurance works and
the changes you can expect with federal health care reform.
16
19. For further information, training or workshops regarding the
Family Planning Benefit Program or other health insurance programs,
please contact HRA’s Office of Health Insurance Access
at OCHIA@hra.nyc.gov
