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.
This report was submitted to the NYS Legislature as required by Subdivision 1 of Section 206 of New York State Public Health Law enacted as part of the 2013-14 State Budget. The report outlines the progress and preparedness for the State of New York to begin accepting applications for insurance from individuals and small businesses starting on October 1, 2013 for coverage effective on January 1, 2014.
We are pleased that many organizations have expressed an interest in co-branding marketing and education materials with the Marketplace. Attached is guidance detailing the permissible uses and review process for co-branding.
NY State of Health submitted the following documents to HHS in advance of its Operational Readiness Review/Implementation Review in August 2013. These documents supplement and update the previously posted Blueprint Documents.
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.
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.
Marketplace Customer Service Center Representatives and In-Person Assistors/Navigators, who guide consumers through the process of shopping for and enrolling in health insurance, are available to help consumers in their language. Customer Service Center Representatives, who are available by phone, can accommodate more than 170 languages through staff and translation assistance. In-Person Assistors/Navigators speak the languages spoken in the communities they serve.
This analysis, based upon the Urban Institute’s Health Insurance Policy Simulation Model (HIPSM), was prepared as a supplement to the earlier analyses prepared by the Urban Institute. This report highlights demographic characteristics of individuals who will enroll in Qualified Health Plans in the Individual Exchange and in the Small Business Health Options Program (SHOP) in the New York Health Benefit Exchange. For reference, the same information is provided for the entire nonelderly New York population.