This questionnaire is designed to help enrollment assistors and consumers better assess their potential eligibility for Marketplace coverage based on immigration status, age and income.

This questionnaire is not an official assessment of eligibility.  To receive an official determination of eligibility contact the New York State of Health Marketplace at http://www.nystateofhealth.ny.gov or 1-855-355-5777

This tool was created jointly by the Children's Defense Fund - New York, the Empire Justice Center, and the Community Service Society through their work in the Health Care for All New York coalition.

The information in this tool is a representation of the Empire Justice Center's Immigrant Eligibility Crosswalk, which can be found here: http://www.empirejustice.org/assets/pdf/publications/reports/health-coverage-crosswalk.pdf.