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Homeβ€ΊNew Yorkβ€ΊSuffolk Countyβ€ΊMedicaidβ€ΊSetauket
HEALTH β€” NY

πŸ₯ Medicaid in Setauket, Suffolk County, New York β€” 2026

Eligibility, income limits, local offices and how to apply for Setauket residents

Full coverageMax Benefit
1-800-318-2596Helpline
NYState
138% FPLFPL Threshold
πŸ“Š 2026 Income Limits β€” Setauket, New York
Household SizeMonthly LimitAnnual Limit
1 person$1,632/mo$19,578/yr
2 people$2,215/mo$26,572/yr
3 people$2,798/mo$33,566/yr
4 people ← typical$3,482/mo$41,782/yr
5 people$4,065/mo$48,778/yr
6 people$4,648/mo$55,774/yr
7 people$5,231/mo$62,770/yr
8 people$5,814/mo$69,766/yr

Source: HHS Federal Poverty Guidelines 2026. Effective January 2026.

πŸ“ How to Apply β€” Setauket, New York
1
Check Eligibility
Income at or below 138% FPL. Family of 4 in Setauket: $3,482/month in 2026.
2
Apply Online β€” Fastest
3
Apply by Phone β€” 1-800-318-2596
Call Mon–Fri business hours for Setauket residents.
4
Apply In-Person β€” Suffolk County Office
Visit offices near Setauket. Walk-ins accepted.
πŸ“‹ Documents Required β€” Setauket
  • Photo ID
  • Proof of income
  • Proof of state residency
  • Social Security number
  • Immigration docs if applicable
❓ FAQs β€” Medicaid in Setauket
Who qualifies for Medicaid in Setauket, New York?
Residents of Setauket, Suffolk County, New York with income at or below 138% FPL. Family of 4: $3,482/month. Call 1-800-318-2596.
How to apply for Medicaid in Setauket?
Apply online at www.healthcare.gov/medicaid-chip/getting-medicaid-chip/, call 1-800-318-2596, or visit Suffolk County office.
Is there a Medicaid office in Setauket?
The nearest office is in Suffolk County. Visit office locator for exact address and hours.
πŸ”” New York Alerts 2026
Free alerts when Medicaid changes in New York.