Calculate Your Eligibility
Welcome to Molina’s statewide eligibility calculator. Whether you are looking for a plan in New York through Affinity by Molina or through Molina NY, the following tool will help you determine if you qualify for one of our health insurance options. Please note you must live within our 29 county service area, and know that eligibility is based on household size and income requirements.

If you or a family member need healthcare coverage, please fill out the form below to see if you qualify for one of our plans.


Thank you for your interest in Molina Healthcare! Based on the information you provided, you and/or your family members may qualify for coverage.

Please fill in the information below so that an Molina Healthcare Representative can contact you to discuss plan options.
Thank you for your interest in Affinity by Molina Healthcare. You may not be eligible for coverage because it seems you may be over the age limit.* Please complete the form below so that an Molina Healthcare representative may call you to review your application.
Thank you for your interest in Affinity by Molina Healthcare. You may not be eligible for health coverage because it seems your income may be too high. Please complete the form below so that an Molina Healthcare representative may call you to review your qualifications.
Age Range No. of Members Eligibility Result

Tell us about your family size and household income
*If your answer is zero to any of the below, leave as is



# of family members including self by age group*
# of pregnant family members by age group

By clicking the submit button, I agree that Molina Healthcare may contact me.

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