Questions About Healthy NY
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Questions about Healthy NY
Yes. Once a year, you will be asked to send us a “re-certification” form that proves you still qualify for the Healthy NY program. We will notify you when this form is due, and provide you with the forms you need.
You will need to give us the following documents:
- A certification form;
- Proof of employment status, or status as a sole proprietor;
- Proof of New York State residency;
- Proof of income for the last 4-6 weeks.
Examples of documents we will accept include:
|Employment Status||New York State Residence||Current Income|
Yes. If your insurance covers only medical benefits or only hospital benefits, you may qualify for Healthy NY. If your insurance covers both medical AND hospital benefits, you will not qualify for Healthy NY.
Not sure? Call us and we can tell you if you may qualify for Healthy NY.
My employer offers insurance to other employees and contributes to the premium. But I am not eligible for the coverage because of my hours or job duties. Can I still enroll in Healthy NY?
Yes, you can still enroll in Healthy NY.
My adult child is applying for Healthy NY. Does he or she have to count my income when listing his/her household income?
Adult children who are 18 years of age or older do not have to include their parents’ income. They are only required to list their income. Also, if they live with a spouse, they must list the spouse's income.
My children are eligible or are currently covered by the Child Health Plus program. Can I qualify for Healthy NY?
Yes. If the Child Health Plus program covers your child, you can still qualify for Healthy NY. It may even save you money to enroll your child in Child Health Plus, while you and your spouse enroll in Healthy NY.
To learn more about Child Health Plus, please call us at 1-800-698-4543.
Yes, you will still be covered. Changes in household income and employment status during an enrollment year do not mean you will lose your coverage.
However, at the end of the year, there will be a “re-certification” process. Your eligibility will be reviewed. If you no longer qualify, you will not be able to continue in the Healthy NY program.
Note: Household income requirements change every year. This is to account for inflation. Please call us if you have questions about income requirements or re-certification.
Will the money I have spent towards my deductible reset when the new High Deductible Health Plan (HDHP) deductible amount goes into effect?
No. You have 1 full year to meet the deductible before it resets. The year begins on the date you start coverage, and continues to reset every year on that date.
Any money you have spent towards your deductible will count. But once the new deductible amount goes into effect you will need to meet that increased amount before regular coverage for services begins.
One of the requirements for Healthy NY is that my employer does not "provide" health insurance. What does this mean?
Your employer provides health insurance if they arrange for you to have comprehensive group health insurance (covering medical and hospital benefits) and contribute toward the cost of the insurance.
I have had coverage through Medicaid, Family Health Plus, or Child Health Plus in the last 12 months. Can I still enroll in Healthy NY?
If you have had coverage from one of these programs, you can still enroll in Healthy NY.
Yes. You can get coverage for certain dependents. This includes dependent children up to age 26.
Medicaid provides health insurance to low-income children and adults. They may or may not have jobs.
Family Health Plus provides health insurance to low-income adults ages 19-64. These adults do not have health insurance, but make too much money to qualify for Medicaid.
Child Health Plus offers health insurance to children under age 19. These children’s families are at higher income levels than those required under Medicaid or Family Health Plus.
- Healthy NY offers health insurance to adults who have jobs, but do not have insurance. These adults have higher income levels than those required under Medicaid or Family Health Plus.