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    • SUPPORT TOPICS
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    • COMPARE PLANS AND ESTIMATE COSTS
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    • TRAINING FOR ASSISTORS & BROKERS
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  • Individuals & Families
    • SUPPORT TOPICS
      • Enrollment
      • Appeals
      • Reporting Changes
      • Submitting Documents
      • Using My Insurance
      • Tax Information
      • Find Local Help
      • Frequently Asked Questions
    • COMPARE PLANS AND ESTIMATE COSTS
      • Find Plans by County
      • Find Plans by Zip Code
      • Find Plans by Participating Facility or Provider
      • Find Plans by Participating Hospital
      • Compare Plans and Estimate Cost
      • Estimate Out of Pocket Cost
      • Compare Dental Plans
    • RESOURCES
      • Glossary of Terms
      • Materials (English)
      • Materials (Other Languages)
      • Medicaid Information
      • Child Health Plus Information
      • Essential Plan Information
      • Qualified Health Plans Information
  • Employers
    • SUPPORT TOPICS
      • Enrollment, Eligibility, & Tax Credits
      • Find Local Help
      • Frequently Asked Questions
    • COMPARE PLANS & ESTIMATE COSTS
      • Find Small Business Marketplace Plans by Zip Code
  • Assistors & Brokers
    • TRAINING FOR ASSISTORS & BROKERS
      • Spring Training
      • Social Media Usage Training
      • Webinars
      • Instructions for Assistor Certification and Account Registration
      • Instructions to Complete Broker Certification Courses
    • RESOURCES
      • Assistor Tool Kit
      • Broker Tool Kit
      • Broker User Guides
      • Broker of Record Designation Form: Individual
      • Broker of Record Designation Form: Small Business
  • Info & Events
    • NEWS & NYSOH INFORMATION
      • History and Development
      • Press Releases
      • Updates
      • Webinars
      • SPECIAL TOPICS
      • American Rescue Plan
      • Coronavirus (COVID-19)
    • REPORTS & DATA
      • 2022
      • Enrollment Data
      • Appeal Decision Archive
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      • OUTREACH
        • Events Map
        • Outreach Tool Kit
      • Consumer Materials Order Form
    • RULES, POLICY & PROCESS
      • Appeal & Informal Review Process
      • Health Plan Resources
      • Information for Taxes
      • Information on Individual Coverage Health Reimbursement Arrangement
      • NYS Comments on Proposed Rules
      • Special Enrollment Periods
  • Language Support

How can we help?

Top Answers

How do I enroll?
  • Apply 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...
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...
 

Important changes are coming soon to Medicaid, the Essential Plan, and Child Health Plus.  Update your contact information so you know when to renew!

Learn more here

 

Resources

  • Assistors & Brokers
  • Outreach & Videos
  • Reports & Data
  • Rules, Policy & Process
Tool Kits, Guides & Forms
  • Assistor Tool Kit
  • Broker Tool Kit
  • Broker User Guides
  • Broker of Record Designation Form
  • Instructions to Complete Broker Certification Courses
  • Instructions for Assistor Certification and Account Registration
Latest Webinars
  • Spring Training for Enrollment Assistors
  • 2022 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
  • Events Map
  • Outreach Toolkit
  • Materials and Publications Order Form
Feature Videos
  • Big News (30 seconds)
  • Have It When You Need It (30 seconds)
  • Don't Forget to Sign Up for Text Alerts (30 Seconds)
See all Videos
Important Changes Are Coming to New York Medicaid, Child Health Plus and the Essential Plan
Latest Reports & Data
  • Enrollment Data
  • Marketplace Audit Reports
  • 2020 Health Plan Enrollment Fact Sheets
See all Reports & Data
 
  • 2021 Health Plan Enrollment Fact Sheets
  • 2020 Open Enrollment Report
  • 2019 Open Enrollment Report
 
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
  • American Rescue Plan
  • Coronavirus (COVID-19)
  • 1332 Waiver
See All Policies

News & Events

  • Press Release: New York State Department of Health Encourages New Yorkers to Prepare for Public Health Insurance Renewals
    March 23, 2023
  • 2023 Webinar Assistor Training Update: Change to Medicaid Pharmacy Benefits
    February 27, 2023
  • Press Release: NY State of Health Helps New Yorkers Access Affordable Health Insurance While Filing Their Taxes
    February 24, 2023

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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