Now that you’ve enrolled in a health plan through NY State of Health, you may have some questions about how to use your health plan coverage on or after January 1, 2014. Please see the attachment below for answers to some frequently asked questions about using your coverage.
There are two ways to find out if your health care providers (like doctors) and facilities (like hospitals) participate in Marketplace plans. Anyone can search here. Use the links in the attachment to access the provider networks of each health plan offered on NY State of Health. These links will bring you to the websites of NY State of Health plans. From there, you can search for your providers. Or, as part of the application process, you can search for plans that your health care providers and facilities p
NY State of Health is a new Health Plan Marketplace. Individuals, families, and small businesses can use it to buy health insurance. It lets you shop and compare many health plans. It is the only place to get help lowering the cost of health coverage.
NY State of Health is a state-of-the-art website. It lets you shop for, compare, and buy a health plan online, in person or over the phone. Small employers can set a fixed amount to pay toward employee health plans. They can also provide a choice of health plans. We offer expert “helpers” for every step of the process. The Marketplace is the only place you can get tax credits to help lowering the cost of a health plan.
Health plans offered in the Marketplace will fall into categories called metal tiers. The metal tiers are bronze, silver, gold and platinum, and are associated with an actuarial value. Actuarial value is the percentage of total average costs for covered benefits that a plan will cover. For example, if a plan has an actuarial value of 70%, the consumer would be responsible for, on average, 30% of the costs of all covered benefits.
You can choose from many Qualified Health Plans at NY State of Health. We provide you with all the facts about each one. This helps you choose a plan that is best for you and your family. We also let you know which providers (like doctors and hospitals) are part of each health plan.
All health plans offered by New York State of Health are licensed and approved by New York State. These plans are called Qualified Health Plans. New Yorkers can also apply for public programs such as Medicaid and Child Health Plus. If you qualify for one of these programs, you can sign up right away.