Affordable Health Insurance Plans in NYC: free quotes & best providers

Updated: November 9, 2022
affordable health insurance in nyc
Category:

If you’re looking for affordable health insurance in NYC, you’ve come to the right place. Our website (newhealthinsurance.com) provides free quotes from the best providers in the area to find the perfect plan for your needs. To get affordable health insurance plans in NYC, you can start by comparing free quotes from the best providers. 

Affordable Health Insurance in NYC: What You Should Know About?

Open Enrollment The period of New York’s open enrollment is from November 16, 2021, to January 31, 2022. Only during this time period are you able to enroll in health insurance unless a significant change in your circumstances makes you eligible for special enrollment.
Buying insurance You can buy individual health insurance coverage in New York City if you are not in prison, lack affordable employer-based insurance, do not require nursing home care, are a citizen of the United States, or an immigrant with legal status.
Special Enrollment The following life-altering occurrences may be eligible for special enrollment periods: pregnancy, marriage, childbirth, loss of current health insurance, change of immigration status, job loss, and move.
The New York State of Health The only location where you can receive financial aid to reduce the cost of your plan is the New York State of Health, the state’s official health insurance marketplace.
Tax credits The American Rescue Plan Act insured that subscribers wouldn’t pay more than 8.5% of their income on health insurance by increasing premium tax credits through the NY insurance marketplace in March 2021.
Non-exchange plans In New York, you can also buy non-exchange health insurance policies straight from the insurance providers, but you won’t be qualified for any financial aid.
Types of plans The majority of New Yorkers have access to health insurance through their employers. Nearly 26% of locals have Medicare coverage, 13% have Medicaid, 6% have non-group coverage obtained straight from an insurance provider, and less than 0.5% have military benefits. 5% or so of New Yorkers lack health insurance.

Best Health Insurance Companies in NYC 2022

Now that you are aware of how health insurance functions, let’s look at some of the tops, reasonably priced health insurance plans in New York. Find the health insurance in NYC that is the most affordable and provides the best value by doing your research. 

Fidelis Care If you need cheap health insurance in NYC and you are eligible for both Medicare and Medicaid, Fidelis Care might provide a suitable plan option. With nearly no out-of-pocket expenses, Fidelis Care’s Dual Advantage plan assists policyholders in seamlessly bridging the Medicare and Medicaid coverage gaps. Because of this, it’s a great option for anyone who has a disability or relies on a fixed income.
Empire BlueCross If you’re young and in reasonably good health, you may frequently save money by implementing a catastrophic plan. Empire BlueCross has comprehensive catastrophic policies, and you can quickly check your eligibility and request a quotation on their website. If you want to manage your own health care and save money, Empire Blue Cross is a great option. Empire can provide a wealth of knowledge on everything from care scheduling to preventive therapies.
United Healthcare If you value wide networks, United Healthcare may be the right hospital for you. One of the biggest health insurance companies in the country, the United offers affordable HMO plans with a wide range of medical specialists.
Univera Healthcare The Essentials plan from Univera Healthcare has monthly costs as low as $0 and offers additional deductible discounts to low-income families.No matter where you are in New York, Univera Healthcare has plans available, so you should be able to locate an office nearby. 

Additionally, free preventative care, including vaccinations, tests, and screenings, is included with every Univera plan.

Types of Health Coverage

Different kinds of health insurance policies exist. Depending on your needs, knowing the differences between each plan type can help you choose the best provider. Let’s examine four of the most prevalent categories of health insurance coverage.

Health maintenance organization (HMO) plans It would help if you stuck to the provider network that the insurance company has established for HMOs. HMO plans provide the least amount of paperwork but allow the slightest degree of control over the healthcare providers you work with. HMO plans are frequently among the least expensive options.
Preferred provider organization (PPO) plan PPO plans have a preferred provider network that is part of the organization’s network, similar to an HMO plan. You are allowed to visit doctors and specialists who are not in the network of your insurance plan, but you will be charged more. PPO plans offer discounts if you visit healthcare providers in their network, but they also demand a little more paperwork if you go outside of their network. Plans with PPOs cost more than those with HMOs.
Point-of-service (POS) plan A POS plan is comparable to a PPO or an HMO combined. You can visit any primary care physician you choose if you have a POS plan. Similar to a PPO plan, you’ll save money by selecting an in-network healthcare provider, but you may have to pay more to see a physician who practices outside the network. In contrast to a PPO plan, an HMO requires a reference from your primary care physician before you can see a specialist. Compared to PPOs, POS plans allow you a little more discretion in terms of provider selection and cost control.
Catastrophic plan Perhaps you can obtain catastrophic insurance plan coverage if you are younger than 30. High deductibles are present in catastrophic plans, but you are entitled to three primary care visits before the deductible kicks in. Even if your deductible has not been reached, you will still receive free preventative care. 

affordable health insurance in nyc

Average Cost of Health Insurance in NYC

In NYC, there are four cost-sharing tiers or metal levels for health insurance policies. Each tier shares the cost of care between the plan and beneficiary using a percentage and costs a different premium for the coverage it offers.

New York’s typical insurance rates 2018 2019 2020 2021 2022
Gold Plan $581 $638 $706 $709 $724
Sliver Plan $492 $558 $588 $588 $569
Bronze Plan $403 $402 $418 $430 $429

 

Gold Plan Plans also charge greater premiums each month and cover 80% of the cost of medical care while you cover 20%. The lowest-cost monthly premium for Gold plans in New York was $724 on average in 2022, which is just $20 more than the $709 observed in 2021. However, compared to the $581 reported in 2018, this was a sizable rise.
Sliver Plan Despite having lower monthly rates, plans nonetheless have higher premiums than Bronze policies. However, a Silver plan can be less expensive than a Bronze plan if you are eligible for financial aid. 

These plans cover 70% of the cost of health care, with you footing the remaining 30%. In NYC, the average lowest-cost premium for Silver plans was $569 in 2022, over $20 less than in 2021.

Bronze Plan Plans have the greatest annual deductibles but the lowest monthly costs. 

While you might be tempted to choose a Bronze plan in order to reduce your monthly expenses, if you frequently require medical attention, your total out-of-pocket expenses might be more than you think. 

Your coinsurance is 40% and these plans cover 60%. In New York, the average lowest-cost premium for Bronze plans in 2022 was $429, which is essentially unchanged over the previous three years.

Platinum Plans with the lowest out-of-pocket expenses have the highest monthly premiums. With these plans, you are responsible for the remaining 10% of the cost of care. These plans are perfect if you can pay the premium for those who need frequent medical attention.

How Do I Enroll in NYC Health Insurance?

NYC allows you to sign up for health insurance on its own website, unlike most states that force you to utilize HealthCare.gov.

 The official state marketplace, NY State of Health, is where you can purchase Qualified Health Plans, which are plans run by independent insurance providers. 

Individuals, families, and small businesses with 100 or fewer employees can use the website to compare and purchase health plans. 

You can also accomplish this well over the phone or in person. You must provide your name and email address to create an online account before accepting an email invitation to activate it. 

Once activated, you must submit Social Security numbers, financial data, birthdates, and information on any employment-related insurance coverage for you and other family members.

These facts assist in determining the sort of insurance you require and your eligibility for financial assistance with your medical insurance.

  • Excellus BlueCross BlueShield
  • BlueShield of Northeastern New York
  • Emblem Health
  • Healthfirst
  • Capital District Physicians’ Health Plan
  • HealthPlus
  • MetroPlus Health Plan
  • United HealthCare
  • Univera Healthcare
  • MVP Health Care
  • Independent Health
  • Oscar
  • Fidelis Care
  • BlueCross BlueShield of Western New York

NYC Medicare Options for seniors and People with Disabilities?

If you are eligible for Medicare, you have two options: you can either sign up for Original Medicare through the federal government directly, or you can enroll in a Medicare Advantage Plan through an insurance company.

  • Both Part A hospital insurance, which covers inpatient hospital stays, and Part B medical insurance, which covers outpatient care at a doctor’s office, are included in Original Medicare. Add Part D, a kind of supplement plan, if you want coverage for prescription medications.
  • To cover out-of-pocket costs like deductibles, coinsurance, and copays, you can also buy Medigap insurance, a type of Medicare supplement insurance, from insurance companies.
  • Part D prescription medication coverage and other benefits that Original Medicare does not, such as dental, best vision insurance, and hearing care, are sometimes included in Medicare Advantage Plans, commonly known as Medicare Part C. Medicare Advantage Plans also contain Parts A and B.

Unemployment Health Insurance in NYC

With discounts based on your income and household size, you might be able to get health insurance during unemployment through the Marketplace. Medicaid or the Children’s Health Insurance Program may also be able to provide you with free or affordable coverage (CHIP). Your eligibility for health care and the amount of financial assistance you’ll receive is determined by the size of your household and your income, not by your employment situation.

Affordable Health Insurance in NYC: Can You Get Cheap Option?

Medicaid may be available to New York citizens with low incomes. Residents may be eligible for an Essential Plan for adults or Child Health plus for children if their incomes are too high for Medicaid but too low for them to buy private insurance. You can apply at any time since none of these programs have a specific enrollment period.

Child Health Plus in New York Regardless of immigration status, any kid under the age of 19 who is not eligible for Medicaid and does not have any other health insurance coverage may be eligible for Child Health Plus in NYC. 

Residents of New York who fulfill the income eligibility requirements based on household size are eligible for this free or inexpensive health insurance. Child Health Plus applications must be submitted on the NY Health Insurance Marketplace by parents or other caregivers. Proof of identity, domicile, citizenship, age, household income, and, in some situations, immigration status, are all needed for applications.

Medicaid in New York Suppose their income and family size fulfill eligibility conditions. In that case, kids, single individuals, and families with or without children who reside in New York and are citizens of the United States—or who meet immigration status requirements—may be eligible for free Medicaid health care. Medicaid applications are made through the New York Health Insurance Marketplace by children, people under the age of 65, or pregnant women; however, those who are over 65 without minor children, have Medicare, or need Medicaid because of a disability must do so through the Human Resources Administration of New York City. Those applying for Medicaid for the first time must provide proof of their citizenship and immigration status.
Essential Plan in New York For adults in New York aged 19 to 64 with modest incomes who are not Medicaid-eligible, there is the Essential Plan. Candidates must live in NYC, be citizens of the United States or meet immigration restrictions, and also meet income qualifying standards based on household size. Depending on their income, approved members either pay a $20 monthly premium or nothing. The same 10 essential benefits are covered by an essential plan as they are by any qualified health plan, and some plans also offer additional benefits for a fee. You can submit an application in person or online.

 

Get A Free Affordable Health Insurance Quote