Section XI APPENDIX and FORMS - Health NY - New 2025

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Essential Benefits Plans (EBP) are a type of health insurance plan designed to cover all necessary health services a person might need. These plans are typically mandated to include a base level of coverage to ensure that individuals have access to comprehensive healthcare services.
The Essential Plan has demonstrated since its inception that individuals will enroll in health insurance if it is affordable, easy to access and provides comprehensive benefits. The Essential Plan was first available through NY State of Health beginning November 1, 2015 for coverage beginning January 1, 2016.
Meet with an enrollment assistor to receive assistance with updating your account. Call the NY State of Health Customer Service Center at 1-855-355-5777 (TTY: 1-800-662-1220).
We offer the Essential Plan to New York State residents with low or moderate incomes who dont qualify for Medicaid Managed Care or Child Health Plus. The Essential Plan has a $0 monthly premium and offers the same essential benefits as other health plans. Learn more about the Essential Plans.
Overview. NY State of Healths Essential Plan includes comprehensive benefits with $0 monthly premiums and very low-cost sharing. The Essential Plan: Has no deductible, so the plan starts paying for your health care right away.
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