Eligibility check

See if you qualify

Four questions, about a minute. There is no application fee and nothing to pay. We do not ask about your health here — someone from MBD Care will call you to go through that in private and explain the next step.

About you

So we know who to call back.

Full name *

Phone number *

Email (optional)

Preferred language

Best time to call

Can we text you?

Where you live

We deliver in Brooklyn, Queens and Manhattan. In the Bronx, we help connect you with services through SOMOS.

Street address *

Borough *

ZIP code

Your Medicaid

This benefit comes through New York Medicaid.

Do you have New York Medicaid? *

What kind?

Long-term care plans (MLTC and MAP) cannot get food through this program, but other help may be possible. With Medicare and Medicaid, it depends on how your Medicaid is set up. We will check with you.

No plan yet? Most people can join a Medicaid health plan for free. Call New York Medicaid Choice at 1-800-505-5678, or NY State of Health at 1-855-355-5777 if your Medicaid case is with NY State of Health. You can still send this form and we will talk it through.

Not sure which kind you have? See our Medicaid card guide (opens in a new tab) It opens in a new tab, so your answers here are kept.

Anything else

Optional. Please don’t include medical details here — we will go through your health needs with you on the call, in private.

Notes for the person calling you

Or call 718-737-2252 — we can do this over the phone in any of our languages.

Not sure your health condition qualifies?

Many conditions can qualify, not only diabetes, heart or kidney disease and pregnancy, and so can people who use Medicaid services often, such as frequent emergency room visits or hospital stays. These usually need a short attestation from your doctor. We provide the attestation paperwork for your doctor to sign.

How qualifying with a doctor’s attestation works →

It looks like this benefit is not available to you right now

If something changes — you move into one of the boroughs we serve, or your Medicaid coverage starts — please come back, or call us on 718-737-2252 and we will point you toward other food programmes in your area.

Thank you — we have your information

Based on what you told us, you may qualify. Someone from MBD Care will call you as soon as possible to confirm and walk you through what happens next.

Please answer when we call. Our call may come from a number you don’t recognise — it’s MBD Care, calling about your request.

If you would rather not wait, call us on 718-737-2252.

Something went wrong

We could not send your answers. Please call us on 718-737-2252 or email info@mbd.care and we will take your details that way.