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Apply for Programs Offered by New York State |
Purchase Insurance Coverage |
| Program |
Healthy NY |
Child Health Plus |
Family Health Plus |
HMO plan or HMO/POS plan |
| Who qualifies? |
Small employers, sole proprietors and working uninsured individuals. |
Children who are under 19 years of age and do not have other health insurance.
Governor Spitzer signed a law in 2007 that expanded the eligibility criteria, making this program
available to more children.
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Adults between 19 and 64 years of age who are uninsured and whose incomes
are too high to qualify for Medicaid.
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Uninsured adults and families who are not eligible for other coverage. |
| Cost |
Healthy NY benefits are the same for each HMO, but monthly premiums you
have to pay will vary. |
Depending on your family's gross income, you may have to pay a monthly
contribution to enroll in Child Health Plus. Families that insure a child through this program
do not have to pay copayments to receive services.
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There is no cost to participate in Family Health Plus. There are
no premiums or deductibles. Modest copayments apply to some services.
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You can purchase either of these benefit packages from HMOs operating
in your area. See the HMO Participation in NY Health Insurance Programs
to determine which HMOs operate in your area. Rates can be found
at www.ins.state.ny.us/ ihmoindx.htm
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| Enrollment |
Call this toll-free number: 866-HEALTHY-NY (866-432-5849), or visit
the Web site at www.HealthyNY.com.
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Call this toll-free number: 800-698-4KIDS (800-698-4543) or visit
the Website at
http://www.health.state.ny.us/ nysdoh/chplus/index.htm
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Contact your local Social Services district office about
Family Health Plus or visit the Web site at
http://www.health.state.ny.us/ nysdoh/fhplus/index.htm
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Individuals may enroll in either an HMO or HMO/POS plan at any time and
may not be denied coverage for health reasons
There are special considerations if you have a
pre-existing medical condition.
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