Health Insurance Plan
Health Insurance doesn't have to cost a lot anymore. That's why NY State of Health was created, to make sure all New Yorkers can get this important benefit. Even though enrollment for 2015 has ended, you still may be able to enroll and get financial assistance. You can still enroll if you are eligible for Medicaid or Child Health Plus, if you are an American Indian or Alaska Native, or it you tell us within 60 days of a life-changing event, like you:
- Moved to New York State
- Got married or divorced
- Had or adopted a child
- Became a citizen, national or lawfully present individual
- Lost employer insurance
- Are no longer eligible to be on a parent's plan
If you don't qualify, the next time you can enroll in a health plan through NY State of Health is November 15, 2015 for coverage that begins in January 2016. Small businesses can enroll at any time during the year.
There are eight health plans available through the NY State of Health Marketplace:
- Empire BlueCross/Empire Blue Cross Blue Shield
- Fidelis Care
- Health Republic Insurance (NY CO-OP)
- MVP Health Plan, Inc
- Oscar Insurance Corporation
- United Healthcare
New York State has a health insurance plan for kids, called Child Health Plus.
Depending on your family's income, your child may be eligible to join Medicaid or Child Health Plus for free or at a low cost, regardless of immigration status.
- Physician Services
- Inpatient and Outpatient Hospital Care
- Prescription Drugs and Smoking Cessation Products
- Lab Tests and X-rays
- Vision, Speech and Hearing Services
- Rehabilitative Services (some limits apply)
- Durable Medical Equipment
- Emergency Room and Emergency Ambulance Services
- Drug, Alcohol and Mental Health Treatment (some limits apply)
- Diabetic Supplies and Equipment
- Radiation Therapy, Chemotherapy and Hemodialysis
- Dental Services (if offered by the health plan).
Provided through five participating managed care plans in your area:
Empire Health Choice, Fidelis Care New York, Wellcare, Affinity Health Plan and Hudson Health Plan.
Sign up either:
- Online: www.nystateofhealth.ny.gov or
- By phone: (toll-free) at 1-855-355-5777 or
- In-person: RC DOH Navigator Assistor Enrollment Locations and Site Schedule
- Fast Facts On Why It Is Now Easier to Pay for Health Insurance
- Fast Facts On Health Insurance for Immigrants
- Fast Facts On Health Insurance for Small Businesses
- NY State of Health resources
For more information email firstname.lastname@example.org or call:
Nancy Haggerty 845-364-3394
Program Director/Navigator Assistor, English/Creole Speaking
Daddy Paul 845-364-3312
Navigator Assistor, English/Creole Speaking
Christina Duncan 845-364-2773
Navigator Assistor, English/Spanish Speaking
No matter how much you earn, every uninsured child under age 19 qualifies for Child Health Plus.
There is no monthly premium for families whose income is less than 1.6 times the poverty level. Families with somewhat higher incomes pay a monthly premium of $9, $15, $30, $45, or $60 per child per month, depending on their income and family size. For larger families, the monthly fee is capped at three children.
If the family's income is more than 4 times the poverty level, they pay the full monthly premium charged by the health plan. There are no co-payments for services under Child Health Plus, so you don't have to pay anything when your child receives care through these plans. The full premium varies, depending on the health plan chosen by the family.
Medicaid coverage is provided through five participating managed care plans in your area:
Fidelis Care New York
Affinity Health Plan
Hudson Health Plan
United Health Care