NY State of Health

Thursday, March 18th:

Launching a new special-enrollment period – Covered California will open a new special-enrollment period – which will start on Monday, April 12 and run through the end of the year – to give uninsured and unsubsidized Californians time to sign up for coverage that starts as soon as May 1 and continue the outreach and enrollment effort to have marketing pay-off over time.

4:35pm this afternoon:

Today, President Biden announced that the Centers for Medicare & Medicaid Services (CMS) is extending access to the Special Enrollment Period (SEP) until August 15 – giving consumers additional time to take advantage of new savings through the American Rescue Plan. This action provides new and current enrollees an additional three months to enroll or re-evaluate their coverage needs with increased tax credits available to reduce premiums.

In previous years, New York State of Health has typically been pretty good about providing timely Open Enrollment reports, so I was mildly irritated by their total radio silence on the issue throughout the 2021 Open Enrollment Period (OEP).

My suspicion was that, like many other states which have expanded Medicaid, New York likely saw a significant drop in on-exchange Qualified Health Plan (QHP) enrollment this season due to the massive job & income loss caused by the COVID-19 pandemic last year, as people "downshifted" from QHPs over to Medicaid. In addition, New York is one of only two states which has the ACA's Basic Health Program (BHP) in place; BHP (called the Essential Plan in NY), is sandwiched in between QHPs and Medicaid, for residents earning between 138 - 200% FPL.

Late last night, NYSoH finally got around to releasing their 2021 OEP numbers. Sure enough, my suspicions were correct:

As I've expected, though I'm pretty irritated that they still haven't released any enrollment data to date. Via NY State of Health:

Press Release: Governor Cuomo Announces Open Enrollment for New Yorkers is Extended to May 15 as Federal Marketplace Reopens for Millions of Americans

  • New Yorkers Can Apply Now For Health Coverage Through NY State of Health or Directly Through Insurers
  • Aligns New York with the Federal Marketplace and Numerous State Marketplaces Extending Enrollment

As COVID-19 Response and Vaccine Distribution Continues Statewide, High-Quality Health Insurance More Important Than Ever

Not entirely unexpected, though I'm pretty irritated that they still haven't released any enrollment data to date. Via NY State of Health:

Press Release: Governor Cuomo Press Release: As Part of New York’s Ongoing Response to the COVID-19 Panedmic, Governor Cuomo Announces Open Enrollment for New Yorkers Extended Through March 31

As part of New York's ongoing response to the COVID-19 pandemic, Governor Andrew M. Cuomo today announced that the Open Enrollment Period for uninsured New Yorkers will be extended through March 31, 2021. New Yorkers can apply for coverage through NY State of Health, New York's Official Health Plan Marketplace, or directly through insurers.

via NY State of Health:

ALBANY, N.Y. (January 06, 2021) – NY State of Health, the state’s official health plan Marketplace, wants New Yorkers to know it is not too late to get health insurance coverage for 2021, even if they have missed the December 31 enrollment deadline. The Marketplace is reminding consumers to enroll in a Qualified Health Plan (QHP) by January 15 for coverage effective February 1. 

“NY State of Health remains steadfast in our commitment to getting uninsured New Yorkers the coverage they deserve,” said NY State of Health Executive Director, Donna Frescatore. “The marketplace continues to provide affordable, comprehensive health care options during the COVID-19 public health emergency, and we encourage anyone who needs health insurance to enroll now.”

The Marketplace offers many quality, low-cost health insurance options, with a choice of insurers in every county. Free enrollment assistors are available by phone to help individuals find the best plan for themselves and their families.

via NY State of Health:

Press Release: As Key Enrollment Deadline Approaches, NY State of Health is Urging Consumers to Sign up Today for Health Coverage Starting January 1

ALBANY, N.Y. (December 29, 2020) - NY State of Health, New York’s official health plan Marketplace today is reminding New Yorkers who are applying for Qualified Health Plan coverage, there is still time to enroll for health coverage effective January 1, 2021. In response to the COVID-19 pandemic, NY State of Health is giving New Yorkers more time to enroll in Qualified Health Plan Coverage – consumers who sign up by December 31, 2020, will have coverage starting January 1, 2021.

“High-quality, affordable health coverage is more important than ever as the pandemic continues to surge,” said NY State of Health Executive Director, Donna Frescatore. “With the December 31 deadline quickly approaching we encourage anyone who needs coverage to view their options, sign up today and start the New Year with appropriate coverage.”

Earlier this week California bumped out their "soft" enrollment deadline for January coverage from 12/15 to 12/30. Yesterday Colorado bumped theirs out to 12/18, and Connecticut tacked on an entire extra month to their Open Enrollment Period (though enrollees there won't start coverage until February at this point).

Today New York continues the trend:

Press Release: NY State of Health Reminds New Yorkers There is Still Time to Sign up for Coverage that Begins on January 1, 2021

Dec 17, 2020

(ALBANY, N.Y) December 17, 2020-- NY State of Health, New York’s official health plan Marketplace today announced New Yorkers applying for Qualified Health Plan coverage have until December 31 to sign up for health coverage starting January 1, 2021. Individuals who were unable to enroll by the December 15 deadline should enroll now by visiting the NY State of Health website.

Me, June 16th, after several months of various state-based ACA exchanges bumping out their COVID-19 Special Enrollment Period deadlines by a month, then another month, then another month:

At a certain point I'm guessing at least one of the state exchanges will just say "screw it" and open 2020 enrollment up for the full year.

The point of a deadline is a) to prevent people from trying to game the system by deliberately waiting until they're sick/injured before enrolling in coverage (thus driving up premiums for everyone else) and b) to goad people into actually taking action (deadlines do have a clear positive impact on enrollment). With the COVID-19 pandemic having thrown the entire healthcare system into disarray, neither of those seem to be much of a factor this year.

Maryland Connect, August 7th:

Just a few days after the previous COVID-19 Special Enrollment Period expired, NY Governor Andrew Cuomo has ordered NY State of Health to reopen their SEP through September 15th:

Governor Andrew M. Cuomo today announced that the Special Enrollment Period for uninsured New Yorkers will be extended for another 30 days, through September 15, 2020, as the State continues to provide supportive services during the COVID-19 public health crisis. New Yorkers can apply for coverage through NY State of Health, New York State's health insurance marketplace, or directly through insurers.

"While we've crushed the curve of the virus, we are still in challenging times for hard-working families throughout the state who need access to quality, affordable health care," Governor Cuomo said. "The state has maintained low infection rates and is moving in the right direction, but we know we're not out of the woods yet. By offering this special enrollment period, we're making sure New Yorkers who need affordable and at times live-saving health care coverage can get it."

Hardly surprising...again.

via the New York State government website:

Special Enrollment for Uninsured New Yorkers Will Extend for Additional 30 days and Remain Open Through August 15, 2020

Governor Andrew M. Cuomo today announced that the Special Enrollment Period for uninsured New Yorkers will be extended for another 30 days, through August 15, 2020, as the State continues to provide supportive services during the COVID-19 public health crisis. New Yorkers can apply for coverage through NY State of Health, New York State's health insurance marketplace, or directly through insurers.

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