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New York Low Income

Health Insurance

The #1 Most Affordable Health Plan in New York

  • $0 Premium
  • New York State Sponsored Program 
  • Dental & Vision Available
  • GYM Reimburse
See if you Qualify!

Get Coverage for You and 
Your Loved Ones

$0 a month
Enroll in the Essential Plan at any time of the year

See if you Qualify

What are the Requirements of the Plan?

The Essential plan offers quality health insurance to those who have lower incomes, but do not qualify for Medicaid as well as those with a valid visa.

 

Eligible people include:

  • NY state residents
  • Those who fit the income requirements of the Essential Plan
  • Are lawfully present in the U.S.
  • 19-64 years old
  • Not eligible for Medicaid or Child Health Plus
  • Not eligible for employer and other coverage

The Essential plan offers quality health insurance to those who have lower incomes, but do not qualify for Medicaid as well as those with a valid visa.

 

Eligible people include:

  • NY state residents
  • Those who fit the income requirements of the Essential Plan
  • Are lawfully present in the U.S.
  • 19-64 years old
  • Not eligible for Medicaid or Child Health Plus
  • Not eligible for employer and other coverage

Income Requirements by Plan and Household Size

click an image to see the costs & co-pays for each plan

Individual

Family of 2

Family of 3

Family of 4

$19,320 - $25,760

$26,130 - $38,840

$32,940 - $43,920

$39,750 - $53,000

$17,774 - $19,320

$24,040 - $26,130

$30,305 - $32,940

$36,570 - $39,750

$12,880 - $17,774

$17,420 - $24,040

$21,960 - $30,305

$26,500 - $36,570

< $12,880

< $17,420

< $21,960

< $26,500

Essential Plan Costs & Copays

click an image to see the costs & co-pays for each plan

Income Requirements by Household Size

Essential Plan 1 Essential Plan 2 Essential Plan 3 Essential Plan 4
Individual $19,320 - $25,760 $17,774 - $19,320 $12,880 - $17,774 < $12,880
Family of 2 $26,130 - $38,840 $24,040 - $26,130 $17,420 - $24,040 < $17,420
Family of 3 $32,940 - $43,920 $30,305- $32,940 $21,960 - $30,305 < $21,960
Family of 4 $39,750 - $53,000 $36,570 - $39,750 $26,500 - $36,570 < $26,500

The Benefits of the Essential Plan

There are four different types of Essential Plans, but they all include the essential health benefits mandated by the Affordable Care Act including:


  • Free preventive care
  • Inpatient and Outpatient Care
  • Emergency Services
  • Lab and Imaging (ex. X-rays, CAT scans, ultrasounds)
  • Prescription Drugs
  • Rehabilitative and Habilitative Services (ex. Physical Therapy)
  • Mental Health and Substance use Disorder Services
  • Wellness and Chronic Disease Management Services
  • Pediatric Services, Including Oral and Vision Care
Enroll Now

Essential Plan Plus (Only Essential Plan 1 or 2)

Include vision and dental services for citizens who live in New York (these features can be added to your basic coverage).

Dental Benefits

Vision Care Benefits

  • Two Cleanings per year
  • Oral Exams including X-rays
  • Fillings
  • Extractions
  • Emergency care
  • Orthodontics
  • Dentures
  • Fixed bridges
  • One annual eye exam per year
  • Other diagnostic exams performed by an eye doctor
  • Lenses or contacts once a year (more often if medically necessary)
  • Frame one time per year unless there is a medical need.

Need Help? 

Frequently Asked Questions
  • How else does it save me money?

    The plan has NO DEDUCTIBLE, so the plan starts paying for your health care right away.

  • What information is required to apply?
    • Your basic personal information (name, date of birth, contact, etc.)
    • Home address
    • Passport
    • Visa information.
  • Is it an annual contract?

    Yes, it is an annual contract that can be renewed each year.

  • What qualifies for Gym Reimbursement?

    You can get a refund for a $200 payment within a 6 month period. (Annual Max $400) You must visit the gym at least 50 times within 6 months. Receipts (or any proof of visitation) must be provided to the insurance provider in order to claim your refund.

  • What is the difference between Essential Plan and Essential Plan Plus?

    Essential Plan Plus provides vision and dental benefits

  • I applied, when does the policy go into effect?

    The policy effective date will depend on your application submission date.

  • Who is the insurance provider?

    UnitedHealthCare

  • Is Essential Plan considered a Public Charge?

    No

  • What is the difference between Essential Plan and Medicaid?

    The Essential Plan is a health insurance plan in New York for people who have limited income, but don't qualify for Medicaid.

Apply Now!

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