Health
Name of File | Download |
|---|---|
| Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) |
|
| Elderly Pharmaceutical Insurance Coverage Program (EPIC) |
|
| Healthy NY |
|
| Medicaid Personal Care Services | |
| Medicaid/PCAP/Family Health Plus/Child Health Plus (Acess NY Health Care) DOH-4220 | Access NY Application for Public Health Insurance Benefits
*For those disabled, aged, or blind (not certified disabled but chronically ill) and those in need of long-term care services (including home care). **Para personas 65 años o más, ciega o discapacitada (no es discapacitada certificada pero es enferma crónica). Está institucionalizada y solicita la cobertura de la atención en un hogar de ancianos. Esto incluye atención hospitalaria que sea equivalente a la atención en un hogar de ancianos. |
| Medicare Part D Extra Help (Low Income Subsidy) | |
| Medicare Saving Program - DOH-4328 |
|
| TRICARE |
|
| Veteran’s Health Care | Option to process an online application or print out a blank application.
|
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