Benefit Program

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

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Covers comprehensive benefits, including dental and vision, inpatient and outpatient hospital care, prescription drugs, and more.

Covers free preventive care like routine exams and screenings.

No deductible - the plan starts paying for your health care right away.

Has continuous open enrollment, meaning you can enroll at any time during the year through NY State of Health.

You may be eligible if you're:

An adult who is 19 - 64 years of age.

Not eligible for Medicaid or Child Health Plus

Not eligible for employer and other coverage

A New York State resident.

A U.S. citizen or meet immigration status requirements.

Meet these income eligibility requirements based on your household size:

Household size|Yearly income|Monthly income|Weekly income

1|$39,125|$3,261|$753

2|$52,875|$4,407|$1,017

3|$66,625|$5,553|$1,281

4|$80,375|$6,698|$1,546

5|$94,125|$7,844|$1,810

6|$107,875|$8,990|$2,075

7|$121,625|$10,136|$2,339

8|$135,375|$11,282|$2,604

Each additional person, add:|$13,750|$1,121|$259

You will need this information for each member of your family:

Birth dates

Social security numbers (for immigrantst numbers if you have them

)Employment, income, and health insurance information

You can enroll in the Essential Plan any time of year. Here are your options:

Find an in-person enroller near you.

You can enroll in the Essential Plan any time of year. Apply online at the NY State of Health (http://www.nystateofhealth.ny.gov/) .

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.