Healthy New York Information

Overview

As a result of the Health Care Reform Act of 2000, the state of New York established Healthy NY. Healthy NY supports comprehensive and quality health care and insurance for employees and owners of small businesses (50 or fewer employees) in New York, their dependents and other qualified family members. Healthy NY also aids sole proprietors and those whose employers do not offer health insurance as part of an employment package in New York.

Download our Healthy New York Insurance Informational Guide. May require PDF Reader.

Healthy New York Coverage

All HMOs (health maintenance organizations) in New York State offer Healthy NY insurance coverage. Each group covered by Healthy NY (small employers, sole proprietors, and uninsured workers) has its own set of rules and eligibility criteria, much of which includes things like a maximum household income threshold and past employment history. The program includes standard insurance benefits like:

Inpatient hospital coverage
Outpatient hospital coverage
Physician services
Consultant and referral services
Surgical services
Maternity care
Adult preventive services
Preventive and primary health care services for children
Diabetes equipment, supplies, and self-management education
Diagnostic x-ray and laboratory services
Radiological, chemotherapy, and hemodialysis services

Several packages are available through the program, some with limited and some with no prescription coverage. There is a pre-existing condition limitation wherein if an applicant has been either treated for or diagnosed with in the previous six months, that condition may be excluded from coverage for up to a year. This period will be reduced or waived if the individual had prior insurance coverage and did not break that coverage for longer than 63 days.

Healthy New York does not cover:

Mental health services and medication
Chiropractic services
Physical therapy
Alcohol and substance abuse treatment or medication
Hospice care
Home health care

In order to determine which packages you're eligible for and what documentation you may/will need to submit, talk to a HMO provider in the state of New York.

The following are some of the carriers offering Healthy New York (Healthy NY) Insurance plans through Vista Health Solutions:
Aetna Healthy New York Empire Healthy New York Empire Healthcare Healthy New York BlueCross Healthy New York Oxford Healthy New York HIP Healthy New York Excellus Healthy New York	Atlantis Healthy New York Atlantis Health Insurance Atlantis Insurance GHI Healthy New York Emblemhealth Healthy New York Emblemhealth Univera Healthy New York

Here are a few resources related to the Healthy NY Program:

Healthy NY For New York State

Health Care Reform Act of 2000