Health Insurance Scams Related to Renewals Are Increasing
Health Commissioner and Attorney General Offer Tips to Avoid Scams
ALBANY, NY. (November 16, 2023) State Health Commissioner Dr. James McDonald and Attorney General Letitia James today cautioned New Yorkers about health insurance enrollment scams as 2024 enrollment through the NY State of Health is set to begin on November 16.
The NY State of Health, New York’s Health Plan Marketplace, offers one-stop health insurance shopping for both public health programs, Medicaid, Child Health Plus, and the Essential Plan, and commercial health insurance, Qualified Health Plans. Earlier this year, after the pandemic’s continuous coverage rules expired, New York State resumed the practice of reviewing and renewing eligibility for those enrolled in the public health programs. Health insurance scams regarding these renewals are increasing.
New Yorkers Who Enroll by December 15 Will Have Health Insurance in Place for January 1
Enhanced Health Insurance Premium Tax Credits Remain Available in 2024
NY State of Health Makes Available Certified Enrollment Assistors to Offer Free Help, Plan Comparisons, and Cost Estimates to Consumers Across the State
ALBANY, NY. (November 16, 2023) – NY State of Health, the state’s Official Health Plan Marketplace, today announced the beginning of its eleventh annual open enrollment period for health insurance. New Yorkers shopping for coverage through the Marketplace are offered a wide selection of high-quality comprehensive health plans, with the support of certified enrollment assistors to guide them through the enrollment process, establish eligibility, and determine any potential financial assistance. Beginning today, consumers have until December 15, 2023, to renew or enroll in a Qualified Health Plan for health insurance starting January 1, 2024.
The letter I received had the Essential Plan at 250%. My Navigator told me it was a mistake and pending approval? DM me for specifics
This is definitely cause for concern, since New York's Essential Plan is only available to NY residents who earn between 138 - 200% of the Federal Poverty Level ($29,160/yr for a single adult, $60,000/yr for a family of four).
Sure enough, they sent me the full letter they received from New York State of Health (personal info redacted, of course):
Consumers Can Preview 2024 Plan Options Now, Enroll Starting November 16, 2023
Marketplace Helps New Yorkers Stay Covered Throughout Pivotal Renewal Process of State Public Health Programs
State’s Uninsured Rate Drops to Record Low of Less than 5 Percent
Enhanced Federal Financial Assistance Will Remain Available for 2024 Health Coverage
ALBANY, N.Y. (October 4, 2023) – NY State of Health, the state’s official health plan Marketplace, today announced the health and dental insurance plans offered through the Marketplace for the 2024 coverage year.
Marketplace Hosts Informational Campus Events, Enrollment Assistors Help Eligible New Yorkers Maintain Health Coverage as Renewal Deadlines Approach
ALBANY, N.Y. (August 28, 2023) – NY State of Health, the state’s official health plan Marketplace, today announced a state-wide college campaign, with informational events taking place on campuses as students return. Certified enrollment assistors will be available in popular spots on campus to educate students on affordable, quality health insurance through the Marketplace, and help current enrollees renew their coverage.
Enrollment Assistors Attend YMCA Kids Day Events Throughout the State to Help Consumers Renew or Enroll in Health Coverage
Eligibility Redeterminations will be Resuming for Over 9 Million New Yorkers in Medicaid, Child Health Plus and the Essential Plan
ALBANY, N.Y. (April 27, 2023) – NY State of Health, the state’s official health plan Marketplace, today announced it will participate in the YMCA’s annual Healthy Kids Day, a national initiative featuring free community events with family-friendly activities that promote wellness. Certified enrollment assistors will be available at select YMCAs statewide on April 29, 2023, to provide free help to New Yorkers. They will provide information about upcoming changes to their health insurance, answer questions about renewals, and provide information to uninsured New Yorkers about enrolling in coverage through the Marketplace.
As Eligibility Redeterminations Resume, New York Gets Ready to Renew Coverage for Over 8 Million Enrollees in Medicaid, Child Health Plus and the Essential Plan
Enrollment Assistors Available at Kinney Drugs, ShopRite and Rite Aid to Educate Consumers About Insurance Through the Marketplace
ALBANY, NY (April 26, 2023) – NY State of Health, the state’s official health plan Marketplace, is teaming up with retail pharmacies across the state to educate New Yorkers enrolled in public health insurance programs about upcoming changes to their coverage. With federal rules now requiring the state to resume eligibility redeterminations for nearly 9 million enrollees in Medicaid, Child Health Plus and the Essential Plan this spring, the Marketplace is increasing outreach to ensure consumers don’t risk a gap in their coverage. Certified enrollment assistors will be available on-site at pharmacies to answer current enrollees’ questions about renewals, as well as provide information to uninsured New Yorkers about enrolling in health insurance through NY State of Health.
As I noted this morning, while the 2023 ACA Open Enrollment Period has now officially ended in all states, there's still a lot of Special Enrollment Period (SEP) exceptions for people who have Qualified Life Experiences (QLEs) such as losing their current coverage, turning 26, moving, getting married/divorced, giving birth and so forth.
There's also year-round enrollment available for members of Native American tribes, as well as those eligible for Medicaid and the Children's Health Insurance Program (CHIP).
Finally, in most states, residents are eligible to enroll year-round as long as their income is below a certain threshold--usually 150% of the Federal Poverty Level (FPL), somewhat higher in some states, including New York, where residents earning. up to 200% FPL can enroll in the Essential Plan year-round.
Enrollment Assistors Will Be Available to Educate Shoppers on Their Health Plan Options and Help Them Enroll
Consumers Who Enroll by January 15th Will Have Coverage on February 1st
ALBANY, N.Y. (January 11, 2023) – NY State of Health, the state’s official health plan Marketplace, today announced it is once again partnering with the New York State Department of Agriculture and Markets to educate New Yorkers about enrolling in quality, affordable health insurance at select winter farmers’ markets across the state. Throughout January and February, certified enrollment assistors will provide in-person support by helping market shoppers compare health plan options, answering questions, scheduling appointments, and walking them through the enrollment process.
Consumers Must Renew or Enroll by December 15 for January 1 Coverage
Several Events Scheduled Statewide with Enrollment Assistors on Site to Help Consumers Enroll
Expanded Federal Tax Credits Continue for 2023 Health Plans
ALBANY, NY. (December 14, 2022) – NY State of Health, the state’s official health plan Marketplace, today announced the December 15 deadline is quickly approaching for New Yorkers who want their coverage in a Qualified Health Plan (QHP) effective by January 1, and urges consumers to take action now to avoid a gap in health insurance coverage.