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Essential Plan Information

NY State of Health’s Essential Plan includes comprehensive benefits with $0 monthly premiums and very low-cost sharing.

The Essential Plan:

Has no deductible, so the plan starts paying for your health care right away. Covers comprehensive benefits, including dental and vision, inpatient and outpatient hospital care, prescription drugs and more. It covers free preventive care like routine exams and screenings. It has continuous open enrollment, meaning you can enroll anytime during the year through the NY State of Health.

Eligibility

  • Individuals are eligible for the Essential Plan if they are:
  • New York State residents
  • 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

Able to meet the Essential Plan annual income requirements listed in the table below

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