NEW UHC NY Essential Plan
Open Enrollment 2019:
ALBANY, NY (October 11, 2018) — NY State of Health, the state’s official health plan Marketplace today announced Qualified Health Plan, Essential Plan, and other options that will be available to consumers in 2019. The 2019 Open Enrollment Period begins November 1, 2018 and will continue through January 31, 2019. Over 95 percent of Marketplace enrollees will see no cost increase in 2019, including those who are enrolled in Medicaid and the Essential Plan and those who are eligible to enroll in a Qualified Health Plan with financial assistance. And New York’s enrollment window is twice as long as the federal marketplace, giving consumers more time to shop for the best health coverage for themselves and their families.
New York has recently introduced a new insurance program for lower-income state residents that don’t qualify for Medicaid or the Child Health Plus Program. It is called the New York State Essential Plan. There are a total of 4 essential plan options and each option is based on your household income level. Two of those options include dental and vision coverage while the remaining two options offer you the opportunity to purchase dental and vision coverage as a rider. Monthly premiums range from $0 to $46 per month.
New York State (NYS) created this program to fill the coverage gap that many individuals and families have as they do not qualify for Medicaid but cannot afford full premium coverage.
Are You Eligible for the Essential Plan?
There are three qualifying elements for you to be eligible for the NY Essential Plan. They are:
- Income requirements
- Residency and Immigration Status
- Aging In and Aging Out
Essential Plan Family Size & Income Eligibility | |
| Household Size | Maximum Annual Income |
| 1* | $25,760 |
| 2 | $34,840 |
| 3 | $43,920 |
| 4** | $53,000 |
* Updated April 2021(150% to 200% FPL).
** Add $8,280 for each additional member of your family
Essential Plan 1 premiums are $20 per person per month and Essential Plan 2 costs $0, yet plan benefits are generous and provide you the ten essential health benefits mandated by the Affordable Care Act. Following are the different variations of the NYS Essential Plan:
Essential Plan 1 – Individuals with income greater than 150% and less than or equal to 200% of the FPL.
Essential Plan 2 – Individuals with income greater than 138% and less than or equal to 150% of the FPL.
Essential Plan 3 – Individuals with income equal to or greater than 100% and less than or equal to 138% of the FPL and not eligible for Medicaid due to immigration status.
Essential Plan 4 – Individuals with income below 100% of the FPL and not eligible for Medicaid due to immigration status.
Doctor Search: Click Here
Hospital Download: UHC Essential Plan NY Hospital March 2018
Drug Search: Click Here
Pharmacy Search: Click Here
FAQ: Click Here
BENEFITS SUMMARY & COST: Click Here
Enroll on NYS of Health Marketplace: How to Select a Broker on NYS of Health marketplace.
CLICK ABOVE: How to Select a Broker on NYS of Health marketplace
The Essential plan is a cost effective NYS health insurance plan available to those who earn too much to qualify for Medicaid, while providing all of the essential health benefits required by law. All year enrollment. Deadline is the 15th of the respective month.
Call (855) 667-4621 or