Health NY Health Insurance Program Income Guidelines

You must meet income guidelines.

2009 Healthy NY Income Guidelines
Family Size Monthly Gross Household Income
1 Up to $2,257
2 Up to $3,036
3 Up to $3,815
4 Up to $4,594
5 Up to $5,373
Each Additional Person Add $780
Income levels are updated annually.
Pregnant women count as two people for the purpose of determining family size.

What is Income?

Income Includes:

  • Salary, wages, commissions, and royalties
  • Alimony received
  • Self-employment and rental income
  • Interest and dividends from investments and accounts
  • Government, civilian, and military retirement or pension
  • Social Security income
  • Unemployment and workers' compensation benefits

Income Does Not Include:

  • Public assistance
  • Supplemental Security Income (SSI)
  • Child support or foster care payments made to you
  • Profits from the sale of your residence
  • Account withdrawals or capital gains

Your total gross (before taxes are taken out) household income must not go above the program's household income limitations. Income guidelines are based on your current income, which is your income over the past 4-6 weeks. You will be asked to submit proof of income with your application.

Sole proprietors may deduct documented business expenses from income. Please see page 8 for more information for sole proprietors.

When listing household income, you are only required to list your income and that of your spouse, if your spouse lives in the household.

College students do not have to list their parents' or roommates' income. See page 9 for more information for students, recent graduates, and young adults.

For purposes of calculating your household size, count yourself, your spouse if your spouse lives with you, and dependent children, whether they live with you or not. Count all of these people, even if you are not going to include them on your Healthy NY policy. Do not count parents, roommates, or those not dependent on you for support.

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