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Public Health Insurance

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Medicaid

The patient must be a US citizen or legal resident to be eligible for Medicaid. Pregnant women do not have to be legal residents or US citizens to be eligible for Medicaid.

The criteria below indicate the patient may be eligible for Medicaid.

Review required documents with the patient.
REAP documentation Checklist - English
REAP documentation Checklist - Spanish

Call the REAP Office to schedule an appointment.

Medicare

Check for eligibility.The patient is eligible for Medicare if any of the cases below apply.

Review required documents with the patient.
REAP documentation Checklist - English
REAP documentation Checklist - Spanish

Call the REAP Office to schedule an appointment.

NYS Health Exchange

Only US citizens and legal residents are eligible for insurance through the exchange. People with incomes under 400% of FPL may be eligible for cost sharing subsidies and premium tax credits to make their healthcare more affordable. Those with incomes under 138% are eligible for Medicaid.

Patients may apply for insurance by making an appointment with REAP, or by coming to EHHOP when an Exchange counselor is in clinic (February 8th, March 8th).

Counsel the patient to bring the following documents when applying for insurance.

In the case of naturalized citizens, bring naturalization documents with C-file number
Legally married patients filing taxes separately are not eligible to receive tax credit for Exchange insurance

REAP documentation Checklist - English
REAP documentation Checklist - Spanish

The following information should also be brought to the appointment to chose the best plan for the patient.

To make an appointment for the patient, call the REAP Office.

If the patient would like to explore the Exchange on their own, direct them to the websites below.

Federal Poverty Level Determination

Description for 1

For more information on the Federal Poverty Level click here.

REAP Office Contact information

REAP Office
1403-5 Madison Avenue,
New York, NY 10029

(East side of Madison Ave. between 97th and 98th)
Call: 212-423-2800

REAP Referral Process

Effective July 5th, 2017 please use the new REAP Referral Line (212-423-2813) when referring patients to REAP.
During business hours (M-F, 9am-5pm), REAP will respond to referrals in real time & make appointments as needed.
Outside of business hours, REAP referral forms can still be faxed or emailed.
If you leave a detailed voicemail with your name, phone number, and email, you will be contacted appropriately.

Whenever possible, please have the patient with you when you call the REAP Referral Line.
Before calling, please take note of the following items:

Counsel the patient to bring the following documents when attending their first REAP appointment:

Basic Documentation List:
Please note that this is not a comprehensive list and additional documents may be requested at the end of an appointment.

REAP Referral Call Guide (.docx)
REAP Referral Call Guide (Google Doc)
To make make a REAP referral, please call 212-423-2813. REAP Referral Line