New York Health Insurance Guide 2025

Everything you need to know about health coverage in the Empire State

Medicaid Expanded

Key Facts

Medicaid Status Expanded (Early Adopter)
Marketplace NY State of Health (State-Based)
Open Enrollment Nov 1 - Jan 31
Uninsured Rate 5.2%

Medicaid in New York

New York was an early adopter of Medicaid expansion, providing comprehensive coverage to low-income adults well before the ACA. NY Medicaid offers robust benefits and the state also created the unique Essential Plan for residents earning slightly more than Medicaid limits.

Who Qualifies for NY Medicaid?

  • Adults ages 19-64 with income up to 138% FPL ($20,783/year for individuals)
  • Pregnant women with income up to 223% FPL
  • Children under 19 with income up to 405% FPL (Child Health Plus)
  • Seniors and people with disabilities meeting income requirements
  • Parents/caretakers meeting income requirements
Essential Plan - Unique to New York: If you earn 138-200% FPL, you may qualify for the Essential Plan with premiums of just $0-20/month. This bridges the gap between Medicaid and marketplace plans, offering comprehensive coverage at minimal cost.

NY Medicaid Benefits

  • Preventive care and wellness visits
  • Doctor visits and specialist care
  • Hospital inpatient and outpatient services
  • Prescription drug coverage
  • Mental health and substance abuse treatment
  • Dental services (comprehensive for adults)
  • Vision care including eyeglasses
  • Transportation to medical appointments

How to Apply

You can apply for NY Medicaid through:

  • Online at nystateofhealth.ny.gov
  • By phone: 1-855-355-5777
  • In person at your local Department of Social Services
  • Through a certified navigator or enrollment counselor
Year-round enrollment: Medicaid and Essential Plan enrollment is open year-round in New York. You don't need to wait for Open Enrollment to apply.

Health Insurance Marketplace

New York operates its own state-based marketplace, NY State of Health. This gives residents access to qualified health plans, the Essential Plan, Medicaid, and Child Health Plus all through one portal.

Available Plan Types

  • Bronze: Lower premiums, higher out-of-pocket costs (60% coverage)
  • Silver: Moderate premiums and costs (70% coverage) - best for subsidies
  • Gold: Higher premiums, lower out-of-pocket costs (80% coverage)
  • Platinum: Highest premiums, lowest out-of-pocket costs (90% coverage)
  • Catastrophic: Available for under-30 or hardship exemption
Strong carrier competition: New York has numerous insurance carriers participating in the marketplace, including Empire BlueCross BlueShield, Oscar, Fidelis Care, MVP Health Care, and others, giving consumers many choices especially in the NYC metro area.

Enrollment Periods

Open Enrollment: November 1, 2024 - January 31, 2025 (extended deadline)

Medicaid, Essential Plan, and Child Health Plus accept applications year-round. You can also qualify for a Special Enrollment Period if you have a qualifying life event.

Average Costs in New York

Health insurance costs in New York vary based on your age, location, plan type, and whether you qualify for the Essential Plan. New York premiums tend to be higher than national averages but subsidies help reduce costs significantly.

Plan Type Individual (Age 40) Family of 4
Bronze $450 - $550 $1,400 - $1,750
Silver $550 - $680 $1,700 - $2,100
Gold $620 - $750 $1,900 - $2,400
Essential Plan $0 - $20 $0 - $20 per person
NY Medicaid $0 $0
Subsidies make coverage affordable: Most New York marketplace enrollees receive premium tax credits. The Essential Plan is an exceptional value at $0-20/month for those who qualify, covering doctor visits, prescriptions, and hospital care with minimal copays.

Frequently Asked Questions

Has New York expanded Medicaid?

Yes, New York was an early Medicaid expansion state. Adults with household incomes up to 138% of the Federal Poverty Level qualify for Medicaid, and those up to 200% FPL may qualify for the Essential Plan.

What is NY State of Health?

NY State of Health is New York's official health insurance marketplace where residents can compare and enroll in Medicaid, the Essential Plan, Child Health Plus, and qualified health plans with potential subsidies.

What is the Essential Plan in New York?

The Essential Plan is a low-cost health insurance option unique to New York for residents earning up to 200% of the Federal Poverty Level who don't qualify for Medicaid. Premiums are $0-20/month with low or no copays.

When can I enroll in health insurance in New York?

NY State of Health has year-round enrollment for Medicaid, the Essential Plan, and Child Health Plus. Qualified health plans have open enrollment from November 1 through January 31, extended compared to other states.

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