Essential Plan program

E377746

The Essential Plan program is a New York State health insurance option that offers low-cost or no-cost coverage to eligible lower-income residents who do not qualify for Medicaid.

All labels observed (2)

How this entity was disambiguated

Statements (48)

Predicate Object
instanceOf health insurance program ⓘ
public health coverage option ⓘ
administeredThrough qualified health plans contracted with the state ⓘ
appliesToJurisdiction New York State ⓘ
country United States ⓘ
covers doctor visits ⓘ
emergency care ⓘ
hospital care ⓘ
lab tests ⓘ
maternity care ⓘ
mental health services ⓘ
pediatric services ⓘ
prescription drugs ⓘ
preventive care ⓘ
substance use disorder services ⓘ
x-rays ⓘ
eligibilityCriterion New York State residency ⓘ
citizenship or satisfactory immigration status ⓘ
income below a specified threshold ⓘ
not eligible for Medicaid ⓘ
enrollmentMethod by phone through NY State of Health ⓘ
in person with enrollment assistors ⓘ
online through NY State of Health ⓘ
excludesEligibility people eligible for Medicaid ⓘ
fundedBy New York State government ⓘ
federal government ⓘ
goal increase access to affordable health coverage ⓘ
reduce the number of uninsured low-income adults ⓘ
hasCostSharing low copayments ⓘ
low premiums ⓘ
no deductible for most enrollees ⓘ
hasPlanType managed care plans ⓘ
hasWebsite https://nystateofhealth.ny.gov ⓘ
language English ⓘ
Spanish ⓘ
other common languages in New York State ⓘ
legalBasis Affordable Care Act Basic Health Program option ⓘ
monitoredBy New York State Department of Health ⓘ
offers low-cost health insurance coverage ⓘ
no-cost health insurance coverage ⓘ
operatedBy New York State ⓘ
New York State Department of Health ⓘ
partOf New York State public health insurance programs ⓘ
regulates benefit standards for participating plans ⓘ
relatedTo New York State of Health Marketplace ⓘ
similarTo Basic Health Program options in other states ⓘ
startTime 2016 ⓘ
targetPopulation lower-income residents of New York State ⓘ

How these facts were elicited

Referenced by (2)

Full triples — surface form annotated when it differs from this entity's canonical label.

Office of Health Insurance Programs → administers → Essential Plan program ⓘ
Essential Plan program → legalBasis → Affordable Care Act Basic Health Program option ⓘ
linked to: Essential Plan program