Essential Plan

Health |

The Essential Plan provides comprehensive health insurance benefits with $0 monthly premiums and low cost-sharing.

Heads Up

  • Covers dental and vision benefits, inpatient and outpatient hospital care, prescription drugs, preventive care like routine exams and screenings, and more
  • No deductible — the plan starts paying for your healthcare right away
  • There's no enrollment period — you can enroll at any time during the year through NY State of Health

    • Eligibility

    You may qualify if you're:

  • A New York State resident and meet immigration status requirements
  • Ages 19 to 64
  • Not eligible for Medicaid or Child Health Plus
  • Not eligible for employer and other coverage
  • Meet these income requirements based on your household size:
  • Household size|Yearly income|Monthly income
  • 1|$31,920|$2,660
  • 2|$43,280|$3,606.67
  • 3|$54,640|$4,553.33
  • 4|$66,000|$5,500
  • 5|$77,360|$6,446.67
  • 6|$88,720|$7,393.33
  • 7|$100,080|$8,340
  • 8|$111,440|$9,286.67
  • Each additional person:|+$11,360|+$946.67

  • Required Documents

    You'll need the following for each member of your household:

  • Birth dates
  • Social security numbers
  • Employment, income, and health insurance information

    How to Apply

    Enroll any time of year in one of the following ways:

  • Visit the NY State of Health (http://www.nystateofhealth.ny.gov/)
  • Call 855-355-5777 (https://nystateofhealth.ny.gov/agent/hx_brokerSearch?fromPage=INDIVIDUAL) or 311.
  • Find an in-person enroller near you.

    Online

    Enroll at the NY State of Health (http://www.nystateofhealth.ny.gov/) .

    Apply online

    Get Help

    GetCoveredNYC (https://www1.nyc.gov/nyc-resources/get-covered.page) helps New Yorkers enroll in health insurance. Dedicated specialists can assist you in your language for free.

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