Did you know that if you enroll in a health plan before February 15, you would have health coverage beginning March 1?
NY State of Health, New York State’s Official Health Plan Marketplace, offers free, personalized help to guide you through the process and determine the best plan and financial assistance for which you are eligible. Enrollment Assistants are available to assist you over the phone and in some cases in person, keeping in mind the guidelines established during the COVID-19 pandemic.
You can enroll in a Qualified Health Plan during the annual open enrollment period or later if you are eligible for a special enrollment period.
At NY State of Health you may receive financial assistance to lower the cost of your coverage, depending on your income.
Enrollment is open year-round if you are eligible for Medicaid, Child Health Plus, or Essential Plan.
The NY State of Health Customer Service Center is ready to assist you with 170 Spanish-speaking bilingual representatives. All information is confidential.
NY State of Health provides one-on-one enrollment assistance free of charge.
There are three ways to enroll in a health insurance plan through the Marketplace:
1. Call for personalized assistance. You can find this help at info.nystateofhealth.ny.gov/findassitor.
2. Call the NY State of Health Customer Service Center at 1-855-355-5777.
3. You can apply online at NYStateOfHealth.ny.gov, and you can use the chat feature on the website to help complete your application, available during customer service center hours.
More than 6.6 million people – or one in three New Yorkers – are enrolled in health coverage through the Marketplace.
All health plans offered through the Marketplace provide preventive care, such as routine office visits and recommended screenings.
NY State of Health offers Qualified Health Plans (QHP) at four levels: platinum, gold, silver and bronze. Platinum plans generally have the highest premiums and the highest copays low. 12 insurers offer Qualified Health Plans in 2023.
All standard Bronze plans include three sick visits with no copays or deductibles. There are Gold and Silver plans in each county that also include three low-cost sick visits that are not subject to the deductible. Standard Platino plans have no deductible, so all covered services are already included without the need to satisfy a deductible.
The Essential Plan will continue to offer coverage with no monthly premium, no deductible, and low cost-sharing, and will include dental and vision benefits for all members. 12 insurers offer the Essential Plan in 2023.
You can compare QHP and Essential Plan options for 2023 at www.nystateofhealth.ny.gov.
NY State of Health also has resources available to help consumers shop and compare plan options, such as the Compare Plans and Estimate Costs tool is available to view plan options together.
Plan selection resources are available in more than 20 different languages.