Resources for Health Insurance Programs
Resource
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Medicare Cost Sharing
Download Here
Income Eligibility Guidelines for:
Medicaid (MAGI and Non-MAGI), Medicaid Buy-In, NYS Essential Plan, Child Health Plus, Medicare Savings Programs
Medicaid Spenddown
Best Practices for Medicaid Spenddown
Medical Bills Summary Chart
Documents related to Spenddown
Download here
MAP-2060: Budget explanation + Choice Letter
MAP- 931: Explanation of the Surplus Income Program
MAP-931a: Optional Pay-In Program for Individuals with Surplus Income
MAP-931b: Agreement to Participate in the Medicaid Pay-In Program
MAP-931y: Surplus fax Medical Bills (when using this form, be sure to indicate the month(s) of coverage that you want)
MAP-3107: Third Party payment form
MAP-2069N: Medical Expenses Paid or Incurred by a Public Program
If the links are not working, please email bplc@cssny.org.