Are you currently residing in New York?
What is your expected annual income for 2024?
Okay, may I know how old you currently are?
I’m sorry, it looks like we don’t currently have any plans for you. I would recommend checking your state insurance marketplace to see if you qualify
for any governmental programs, such as Medicaid.
What is your Citizenship status in the US?
What you need to provide in the application form:
- 1. Your New York State residence address
- 2. Your current status in U.S.
- I-94 Number
- I20
- Passport
- OPT Card
- Passport
- I-94 Number
- Passport
- Green Card
- Social Security Number
- 3. Employment status
It takes approximately 5 minutes to do this. After you submit your application, we will submit your application to NYSOH & contact you of your Status immediately. If we need more
information to complete your application, we will call you.
Retrieve an Application
You will be asked for your application number.
You will be asked for your application number.