Public Programs
Medicare
Terminology +
Eligibility
65 and Over
100

Medicaid, Including Institutional Care in a Nursing Home (Chronic Care), Medicaid Buy-in for Working People with Disabilities (MBI-WPD), Medicaid Excess Income Program, Medicare Savings Programs (MSP)

What are Medicaid Programs?

100

Part A, Part B, and Part D

What is original Medicare?


100

An undocumented adult can get this coverage

What is Medicaid and Medicaid for the treatment of a medical emergency condition or "Emergency Medicaid"?

100

Medicaid process that pays for medical bills three months prior to application date

What is retroactive coverage?

100

This program helps New Yorkers who are 65 years or older renew Medicaid, enroll in Medicaid and Medicare Savings Programs

What is the Facilitated Enrollment for the Aged Blind and Disabled Program?

200

Undocumented immigrants 65 and over are eligible for this coverage

What is Medicaid and Medicaid for the treatment of an emergency medical condition aka as Emergency Medicaid?

200

3 months before your birthday

1 month of your birthday

3 months after your birthday

What is the Initial Enrollment Period (IEP) - the 7 months surrounding month of eligibility (your birthday when you turn 65)

200

Immigrants in the United States with the knowledge and permission of the USCIS can be Medicaid eligible

What is PRUCOL- permanently residing under the color of law

200

The income eligibility level for this program is $22,025 per year for adults 65+

What is Medicaid?

200

QMB and QI

What are Medicare Savings Programs?

300

Where New Yorkers can go to get medical care on a sliding fee basis

What are H+H facilities and Community Health Centers?

300

Late enrollment penalty is for a lifetime

What is enrolling late into Medicare Part B?

300

This system is intended for organizations authorized by the Medical Assistance Program (MAP), and those who assist consumers with Medicaid applications and renewals.

What is MARC- Medicaid Authorization Resource Center?

300

Former Foster Care children under 26, Waiver Adults and Children, Medicaid-Medicare Eligible, SSI related (blind or disabled if beneficial) Medically needy

What is Non-MAGI populations? Who are people assisted by HRA?

300

If you make more than $1,836 per month and need medical care, you may qualify for this program.

What is the Medicaid Spenddown, Medicaid Excess or Medicaid Surplus Program?

400

under age 21, age 65 or older, certified blind or certified disabled, parent/caretaker relative of a child under age 21


What are the criteria for the Medicaid Surplus/Excess/Spenddown Program?

400

People who don’t have to meet the 24-month requirement Medicare requirement

Who are people with people with Lou Gehrig’s Disease (ALS) or End-Stage Renal Disease (ESRD) ?

400

A component of the NYSDoH continuous Medicaid Eligibility Modernization Initiative

What is the Medicaid Eligibility and Client Management System (MECM)?

400

Residency, Identity, Citizenship/Immigration Status (does not apply to undocumented immigrants), Income, Resources, Medicare – proof of application (does not apply to undocumented immigrants)

What are the eligibility criteria for Medicaid Eligibility 65 and Older?

What is the required Documentation for Applying for Medicaid?

400

Couples can have up to $44,796 in resources for this program

What is Medicaid and Medicaid Buy in for Working People with Disabilities?

500

I am 39 and need health insurance. I have a savings account with $11,922.48, a CD with $5,000, an IRA with $10,500, and a checking account with $1,578. I work at Macy's and use a hearing aid. This program is for me

What is the Medicaid Buy-in Program for People with Disabilities?

500

The Medicare Part B premium for a person retiring this year who has a modified gross income of $175,000 in 2024

What is $527.50 premium per month?

500

Medicaid with coverage end date June 30, 2026 renewal due date

What is May 10, 2026?

500

These individuals Medicaid eligibility is determined by the Human Resources Administration

Who are people over 65 years old, living with a disability or visual impairment?

500

Immigrants in the United States with the knowledge and permission of the USCIS can be Medicaid eligible

What is PRUCOL-permanently residing under the color of law?