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Qualified Health Plans (QHP) | NY State of Health

1. How it Works

Qualified Health Plans are private health insurance plans where you pay a certain monthly amount for coverage. There are also out of pocket expenses including copayments, deductibles, and coinsurance.

  • You might be able to get financial help if you enroll through NY State of Health.
      • To get insurance coverage for 2025, enroll between November 1, 2024 – January 31, 2025. This is the only time of the year that you can enroll in private health insurance through the marketplace, unless you have a qualifying event like moving to another county or state, getting married, or turning 26 and losing coverage through a parent’s plan.
    • To change your current plan for 2025, do so between November 16, 2024 – January 31, 2025.
    • If you have limited income or children, you might qualify for free or low-cost public health insurance plans like Medicaid, Child Health Plus, and the Essential Plan. You can enroll in these anytime during the year.
  • You can also buy private insurance directly from an insurance company but you won’t be eligible for financial help.

2. Determine your eligibility

Anyone can enroll in a Qualified Health Plan.

  • Most immigrants can enroll on the NY State of Health Marketplace. Financial help is available.
  • Anyone can purchase private health insurance directly from an insurance company by calling the insurance company or visiting their website.

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3. How to Apply

3. How to apply

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More ways to get help with this program

Learn more about health insurance options

Learn more about your options through HRA’s Office of Citywide Health Insurance Access .

Request enrollment help

GetCoveredNYC helps New Yorkers enroll in health insurance. Dedicated specialists can assist you in your language for free.

Request a counselor call

Complete a Health Insurance Enrollment Assistance Inquiry Form to receive a call from an enrollment counselor. Free enrollment assistance is available regardless of immigration status and in many languages. Your information will be kept private.

Call 311

For general questions on health insurance and to find an in-person assistor.

Last Updated November 4, 2024