The Essential Plan includes comprehensive benefits with $0 monthly premiums and very low-cost sharing.
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To learn if you can get help paying for your insurance and to see which plans you are eligible for, use the "Compare Plans and Estimate Cost" tool on the Individuals and Families page. If your family has an offer of health insurance from an employer, use the Employer Health Insurance Affordability Calculator to estimate if you or your family members may be eligible for financial assistance through NY State of Health.
In addition, we have several more tools available to you for comparing plans by County of residence, participating hospitals, facilities, or providers.
If you need to report changes to your account information, you can make these updates in several ways:
If you have been asked to provide documentation regarding your account, you can upload the documents in several ways:
Please call the NY State of Health Customer Service Center at 1-855-355-5777 if you need additional information or if you would like to receive instructions regarding mailing or faxing your documentation.
After you enroll in a health plan through NY State of Health, you may have some questions about how to use your health plan coverage.
Our Using Your Insurance page includes many resources to help you.
If you have a specific question about your health plan, please call your health plan directly.
To do our job, the Marketplace must make many decisions about how your situation fits the rules for different health care programs. Sometimes, you will not agree with the eligibility determinations we make. When this happens, you can ask us to reconsider and change our determination.
A request to change our determination can be made by contacting the Marketplace through the informal review process and by requesting an appeal.
1095-A
If you or a family member enrolled in Qualified Health Plans (QHP) purchased through NY State of Health at the Bronze, Silver, Gold and Platinum levels for all or part of the year you will need Form 1095-A to complete your federal tax return.
Watch this video on how to access and use your 1095-A or you can view the 1095-A Support Topic.
1095-B
Form 1095-B is available by request for consumers who, were enrolled in Medicaid, Child Health Plus or EP during the past year. Please contact NY State of Health to request a Form 1095-B.
