Who's eligible: Individuals and families living within the 28 New York counties. Children and young adults can stay on a parent’s plan until age 26.
Financial assistance: Tax credits available for qualified individuals to help with premiums and out-of-pocket costs when enrolling on the NY State of Health Marketplace.
Contact Sales
866-230-1071
| Referralsinfo | Not required for specialist visits |
| Deductibleinfo | $800 individual/$1,600 family |
| Out-of-pocket maximuminfo | $6,200 individual/$12,400 family |
| Out-of-networkinfocoverage | No coverage for non-emergency services |
| Primary care physicianinfo | 3 free sick visits then $25 before deductible |
| Preventive carenfo | Fully covered |
| Specialist | $45 before deductible |
| Urgent care | $75 before deductible |
| Pharmacy | $0 generic drugs before deductible |
| Telemedicineinfo | Fully covered |
| Acupuncture | Fully covered |
| Gym | Reimbursement up to $400 per calendar year if qualified |
| Dental | Adult and pediatric dental care |
| Vision | Adult and pediatric vision benefits |