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More New Yorkers can now enroll in the Essential Plan!

The Essential Plan includes comprehensive benefits with $0 monthly premiums and very low-cost sharing.

Learn more here

 

How can we help?

Top Answers

Where can I find information on expanded 2025 cost savings?

On March 1, 2024, the federal government approved New York’s Essential Plan (EP) expansion waiver for populations with incomes 250 percent of FPL who would otherwise be ineligible for the Essential Plan. Over 1.5 million low-income consumers are enrolled in EP coverage. Under the amended waiver, New York will extend cost-sharing subsidies to Qualified Health Plan program enrollees starting in 2025.

More information about the cost-sharing initiatives for 2025 can be found here.

How do I enroll or renew?
  • Online through the NY State of Health website
  • By phone at 1-855-355-5777 (TTY: 1-800-662-1220)
  • With the free help of a trained and certified Enrollment Assistor or Broker

Learn more about renewing your health insurance.

How can I compare plans & estimate my costs?

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.

Learn more...

How do I report changes to my income, family, or contact info?

If you need to report changes to your account information, you can make these updates in several ways:

  • Log into your NY State of Health account at nystateofhealth.ny.gov.
  • Meet with an enrollment assistor to receive assistance with updating your account.
  • Call the NY State of Health Customer Service Center at 1-855-355-5777
How do I submit documents to NY State of Health?

If you have been asked to provide documentation regarding your account, you can upload the documents in several ways:

  • Log into your NY State of Health account at nystateofhealth.ny.gov.
  • Meet with an enrollment assistor to receive assistance in uploading the documentation.
  • Use NY State of Health’s new Mobile upload app through App Store® and Google Play™ to easily and securely submit documents right from your phone or tablet to NY State of Health.

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.

How do I use my insurance?

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.

What if I disagree with a decision made by the Marketplace? (Appeals)

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.

Learn more...

Form 1095-A and Form 1095-B

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.

  • Phone: 1-800-541-2831
  • E-mail: 1095B@health.ny.gov
  • Mail: NY State of Health P.O. Box 11774, Albany, NY 12211

Learn more...

Resources

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Tool Kits, Guides & Forms
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  • Instructions to Complete Broker Certification Courses
  • Instructions for Assistor Certification and Account Registration
Latest Webinars
  • Spring Training for Enrollment Assistors
  • 2023 Webinar Training: Tax Credits, Form 1095A and Form 1095B
  • Assistor Training on Social Media

See all Webinars

NY State of Health Assistor Training Webinar on Social Media
Outreach
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Feature Videos
  • Get More For Less (30 seconds)
  • Easier Than You Think (30 seconds)
  • The Essentials on the Essential Plan (30s)

See all Videos

We're Here to Help You Keep Yourself and Your Family Insured
Latest Reports & Data
  • PHE Unwind Reports
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See all Reports & Data

 
  • Health Insurance Coverage Update - April 2023
  • County Fact Sheets: Unwinding the Public Health Emergency
  • Health Insurance Coverage Update: Impact of ARPA Subsidies
 
Topics of Interest
  • Appeal & Informal Review Process
  • Health Plan Resources
  • Information for Taxes
  • Information on Individual Coverage Health Reimbursement Arrangement
  • NYS Comments on Proposed Rules
Special Topics
  • Enhanced Tax Credits
  • Section 1332 Waiver
  • Renewing Medicaid, Child Health Plus, or the Essential Plan

See All Policies

News & Events

  • 2025 Broker Open Enrollment Webinar
    November 8, 2024
  • Assistor Training: Qualified Health Plan (QHP) Coverage for Deferred Action for Childhood Arrivals (DACA)
    November 6, 2024
  • Press Release: State Health Department's NY State of Health Announces Approval of State's Innovation Waiver Amendment in Time for 2025 Enrollment Period
    October 2, 2024

See All News & Events

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Feeling stuck? We're here to help.

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TTY: 1.800.662.1220

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