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.
These summaries show the benefits or health services that are covered by 2014 "standard" health plans offered in NY State of Health. Standard plans must have 10 Essential Health Benefits required by NY State of Health.
Summaries also show the amount you may pay (deductibles, copays) for those services.
Your best protection against fraud is being informed! Starting October 1, 2013, you can apply for health insurance through NY State of Health, The Official Health Plan Marketplace, on nystateofhealth.ny.gov. This document describes ways you can protect yourself from fraud.
Introducing New York's Official Health Plan Marketplace, NY State of Health™. It's your place to shop, compare and enroll in a low-cost quality health plan that is right for you. And it is the only place you can receive financial assistance based on your income, to lower your costs even more.
