Who qualifies for the Essential Plan?

New York State residents who are lawfully present in the U.S., 19–64 years old, not eligible for Medicaid or Child Health Plus, and not eligible for employer or other coverage, may qualify for the Essential Plan if they meet the income requirements.

  • Starting April 1, 2024, the Essential Plan income requirement will expand to cover higher income New Yorkers. More people currently uninsured or insured through Qualified Health Plans will now qualify for
    the Essential Plan.
Persons in family/household200% FPL250% FPL (Expanded EP)
1$29,160$37,650
2$39,440$51,100
3$49,720$64,550
4$60,000$78,000
last updated: April 2, 2024

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