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The Essential Plan

 
nysoh-logo-mainnystateofhealth.ny.gov
1-855-355-5777 or TTY: 1-800-662-1220 (assistance is available in your language by phone and in-person)
Find an in-person enrolled here
 
The Essential Plan is a health plan for New Yorkers with no premium for those who qualify. It covers all of the essential health benefits covered under the Qualified Health Plans offered on the Marketplace
 
Eligibility
Adults may be eligible if they: are U.S. citizens or meet immigration status requirements, an adult who is 19 – 64 years of age, New York resident, and meet income eligibility criteria as shown below.

Household size Most you can make

1

$25,760

2

$34,840

3

$43,920

4

$53,000

 
Services
— Free preventive care
— Tests ordered by your doctor
— Prescription drugs, inpatient and outpatient care at a hospital
— Specialists’ visits.
 
Eligible consumers will pay either $20 monthly premium or nothing, depending on income. Some plans include additional benefits such as adult dental and vision coverage for an additional premium. Certified health plans vary by area. Locate eligible plans at info.nystateofhealth.ny.gov/EssentialPlanMap.
 
Enrollment
Enrollment is open all year long. Call 1-855-355-5777 to sign up and for details on plan coverage or visit an enrollment organization in your borough. Use the broker link here.
 
Find more information at info.nystateofhealth.ny.gov/essentialplan.
 
Updated on June 2, 2021