Will New York State pay the premium on behalf of certain low-income New Yorkers who enroll in Qualified Health Plans through the Marketplace?
Yes. Beginning January 1, 2014, New York State will pay the premium on behalf of all parents with income between 138 to 150 percent of the Federal Poverty Level (FPL) who enroll in qualified health plans through the Marketplace. Individuals must enroll in Silver Level of coverage to be eligible for the premium assistance. Until December 31, 2013, parents at these income levels are eligible for Family Health Plus coverage (a Medicaid expansion program), but beginning in January 2014, they will be eligible to enroll in Marketplace coverage. Family Health Plus offers a commercial-like benefits package with no premium and modest co-payments.