Plans offered in NY State of Health are available in four easy-to-compare metal tiers (platinum, gold, silver and bronze). Plans on the Marketplace cover doctor’s visits; hospital stays; emergency care; maternity and newborn care; mental health and substance abuse disorder services; prescription drugs; rehabilitative and habilitative services and devices; laboratory services; preventive and wellness services, chronic disease management and pediatric dental and vision. Some plans offer additional benefits such as adult dental and vision coverage.
This document contains a list of commonly used health insurance terms and their definitions to help consumers better understand how health insurance coverage works. Additional terms are available through the Glossary page.
These terms and definitions are available in additional languages via this page.
"Certified brokers" are licensed professionals that have been certified by the Marketplace to provide enrollment assistance to individuals and small businesses about the health insurance options available through Marketplace. You won't pay extra for coverage if you use a broker for help applying and enrolling in a plan. Click here to find a broker who is suited specifically to your business or family's needs.
Are you a small business owner? Once you've taken the first steps towards providing quality, low-cost health insurance to your employees through NY State of Health, use this video to learn how to create a plan enrollment for your employees.