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New York health plans
Looking for low-cost or no-cost health insurance? We offer health insurance plans including dual health plans for people with both Medicaid and Medicare.
For general information about the plans in your state, visit New York's homepage.
On April 1, 2025, the New York State (NYS) Consumer Directed Personal Assistance Program (CDPAP) will transition to a Statewide Fiscal Intermediary (SFI), Public Partnership LLC (PPL).
Please support the NYS Department of Health’s ongoing effort to educate consumers and caregivers on the critical need to register with PPL, prior to the April 1, 2025 transition date. For an overview of the program and information on how to support consumers and caregivers through this transition, please refer to the PPL website and the NYSDOH Consumer Directed Personal Assistance Program (CDPAP) website.
Marketing materials to share with your respective stakeholder audiences have been attached. Electronic versions of these attachments can be found the provided links below:
- CDPAP Registration Flyer
- CDPAP Registration Flyer (Spanish)
- What to Know About: Differences Between the CDPAP and PCS
CDPAP consumers and caregivers must take action and register with PPL before April 1, 2025 to avoid any delays in worker compensation.
Contact information for PPL:
- Customer Support: 1-833-247-5346
- PPL website and Online Portal
- List of PPL physical locations
- List of PPL in person registration events
Questions regarding the program’s transition to a SFI should be directed to StatewideFI@health.ny.gov. Thank you for your ongoing support in this effort.
Recently, New York Attorney General Letitia James and the New York State Department of Health warned all New Yorkers with Medicaid, Child Health Plus, and the Essential Plan to be on the lookout for fraudulent requests targeting enrollees as they renew their coverage. Continuous coverage ended for these public health insurance programs on March 31, 2023. Starting in mid-March, renewal notices began going out to enrollees with detailed instructions on how to stay covered and their deadline to take action.
There have been reports of scammers taking advantage of this process, threatening New Yorkers that their Medicaid coverage is cancelled or at risk for cancellation unless they provide hundreds of dollars to reinstate or continue benefits. This is false. New York State will never charge Medicaid consumers to enroll or re-enroll.
In a recent consumer alert, Attorney General James and Acting Department of Health Commissioner Dr. McDonald shared tips on how to stay vigilant and spot potential abuse, and offered additional information on the renewal process.
Additionally, New Yorkers are encouraged to visit the New York State Department of Health website or its Medicaid information page for more information about public health insurance renewals.
To the extent required by Article 15 of the Executive Law (also known as the Human Rights Law) and all other State and Federal statutory and constitutional non-discrimination provisions, the Contractor will not discriminate against any employee or applicant for employment, nor subject any individual to harassment, because of age, race, creed, color, national origin, citizenship or immigration status, sexual orientation, gender identity or expression, military status, sex, disability, predisposing genetic characteristics, familial status, marital status, or domestic violence victim status or because the individual has opposed any practices forbidden under the Human Rights Law or has filed a complaint, testified, or assisted in any proceeding under the Human Rights Law. Furthermore, in accordance with Section 220-e of the Labor Law, if this is a contract for the construction, alteration or repair of any public building or public work or for the manufacture, sale or distribution of materials, equipment or supplies, and to the extent that this contract shall be performed within the State of New York, Contractor agrees that neither it nor its subcontractors shall, by reason of race, creed, color, disability, sex, or national origin.
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You may qualify for a dual health plan if:
- You are under age 65 and qualify on the basis of disability or other special situation OR you are at least 65 years old and receive extra help or assistance from your state.
- You're a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years.
- You live in the plan's service area.
Before selecting a specific dual health plan, review the plan’s full or partial Medicaid coverage requirements.
You may qualify for a dual health plan if:
- You are under age 65 and qualify on the basis of disability or other special situation OR you are at least 65 years old and receive extra help or assistance from your state.
- You're a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years.
- You live in the plan's service area.
Before selecting a specific dual health plan, review the plan’s full or partial Medicaid coverage requirements.
You may qualify for a dual health plan if:
- You are under age 65 and qualify on the basis of disability or other special situation OR you are at least 65 years old and receive extra help or assistance from your state.
- You're a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years.
- You live in the plan's service area.
Before selecting a specific dual health plan, review the plan’s full or partial Medicaid coverage requirements.
Medicare + Medicaid eligible plan
UHC Dual Complete NY-S002 (HMO-POS D-SNP) UHC Dual Complete NY-S002 (HMO-POS D-SNP)
H3387-014-001
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
UHC Dual Complete NY-S002 (HMO-POS D-SNP) UHC Dual Complete NY-S002 (HMO-POS D-SNP)
H3387-014-002
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
Medicare + Medicaid eligible plan
UHC Dual Complete NY-S001 (PPO D-SNP) UHC Dual Complete NY-S001 (PPO D-SNP)
H2001-063-001
Monthly premium:
$0.00*
* Your costs may be as low as $0, depending on your level of Medicaid eligibility.
Monthly premium:
$0.00*
* Your costs may be as low as $0, depending on your level of Medicaid eligibility.
UHC Dual Complete NY-S001 (PPO D-SNP) UHC Dual Complete NY-S001 (PPO D-SNP)
H2001-063-002
Monthly premium:
$0.00*
* Your costs may be as low as $0, depending on your level of Medicaid eligibility.
Monthly premium:
$0.00*
* Your costs may be as low as $0, depending on your level of Medicaid eligibility.
Medicare + Medicaid eligible plan
UHC Dual Complete NY-Y001 (HMO-POS D-SNP)
H3387-013-000
Monthly premium:
$0.00*
* Your costs may be as low as $0, depending on your level of Medicaid eligibility.
This plan is available in the following counties:
Erie, Genesee, Monroe, Niagara, Orleans, and Wyoming.
Monthly premium:
$0.00*
* Your costs may be as low as $0, depending on your level of Medicaid eligibility.
Medicare + Medicaid eligible plan
UHC Dual Complete NY-Q001 (HMO-POS D-SNP) UHC Dual Complete NY-Q001 (HMO-POS D-SNP)
H3387-015-001
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
UHC Dual Complete NY-Q001 (HMO-POS D-SNP) UHC Dual Complete NY-Q001 (HMO-POS D-SNP)
H3387-015-002
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
Medicare + Medicaid eligible plan
UHC Dual Complete NY-S4 (HMO-POS D-SNP)
H3387-017-000
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
This plan is available in the following counties:
Allegany, Cattaraugus, Cortland, Delaware, Hamilton, Montgomery, Otsego, Putnam, Saratoga, Schoharie, Schuyler, Steuben, Sullivan, and Washington.
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
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Answer a few quick questions to see what type of plan may be a good fit for you.
UnitedHealthcare Wellness4Me
The Wellness4me Plan is offered through UnitedHealthcare Community Plan. Wellness4Me is a Health and Recovery Plan, or HARP, approved by New York State. HARPs are a new kind of plan that provide Medicaid members with their health care, plus care for behavioral health, including Serious Mental Illness and Substance Use Disorders.
This plan is for New York residents age 21 and who qualify for Medicaid coverage.
Albany, Bronx, Broome, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Herkimer, Jefferson, Kings, Lewis, Livingston, Madison, Monroe, Nassau, New York, Niagara, Oneida, Onondaga, Ontario, Orange, Orleans, Oswego, Queens, Rensselaer, Richmond, Rockland, Schenectady, Seneca, St. Lawrence, Suffolk, Tioga, Ulster, Warren, Wayne, Westchester, Wyoming, and Yates.
Benefits & Features
UnitedHealthcare Community Plan
The New York State Medicaid Managed Care Plan is offered through UnitedHealthcare Community Plan. It’s for New York State residents who meet the income or disability requirements.
Albany, Bronx, Broome, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Herkimer, Jefferson, Kings, Lewis, Livingston, Madison, Monroe, Nassau, New York, Niagara, Oneida, Onondaga, Ontario, Orange, Orleans, Oswego, Queens, Rensselaer, Richmond, Rockland, Schenectady, Seneca, St. Lawrence, Suffolk, Tioga, Ulster, Warren, Wayne, Westchester, Wyoming, and Yates.
Benefits & Features
UnitedHealthcare Wellness4Me
The Wellness4me Plan is offered through UnitedHealthcare Community Plan. Wellness4Me is a Health and Recovery Plan, or HARP, approved by New York State. HARPs are a new kind of plan that provide Medicaid members with their health care, plus care for behavioral health, including Serious Mental Illness and Substance Use Disorders.
This plan is for New York residents age 21 and who qualify for Medicaid coverage.
Albany, Bronx, Broome, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Herkimer, Jefferson, Kings, Lewis, Livingston, Madison, Monroe, Nassau, New York, Niagara, Oneida, Onondaga, Ontario, Orange, Orleans, Oswego, Queens, Rensselaer, Richmond, Rockland, Schenectady, Seneca, St. Lawrence, Suffolk, Tioga, Ulster, Warren, Wayne, Westchester, Wyoming, and Yates.
Benefits & Features
Child Health Plus
The New York State Child Health Plus program from UnitedHealthcare Community Plan is for children up to age 19. Members must be residents of New York and are not eligible for Medicaid or enrolled in or access to NYSHIP benefits. You can choose your child’s doctor. And your child gets many services to stay healthy.
Albany, Bronx, Broome, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Dutchess, Erie, Essex, Fulton, Genesee, Herkimer, Jefferson, Kings, Lewis, Madison, Monroe, Nassau, New York, Niagara, Oneida, Onondaga, Ontario, Orange, Oswego, Queens, Rensselaer, Richmond, Rockland, Seneca, St. Lawrence, Suffolk, Tioga, Ulster, Warren, Wayne, and Westchester.
Benefits & Features
Essential Plan
The Essential Plan is offered through UnitedHealthcare Community Plan. It's for lower income individuals in New York who meet the income or citizenship status requirements.
Starting June 1, 2021, there will be no monthly premium for Essential Plan coverage and all Essential Plan enrollees will have dental and vision benefits with no premium or cost sharing for covered services.
Albany, Bronx, Broome, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Jefferson, Kings, Lewis, Livingston, Madison, Monroe, Nassau, New York, Niagara, Oneida, Onondaga, Ontario, Orange, Orleans, Oswego, Queens, Rensselaer, Richmond, Rockland, Saratoga, Schenectady, Seneca, St. Lawrence, Suffolk, Tioga, Ulster, Warren, Wayne, Westchester, Wyoming, and Yates.
Benefits & Features
To learn more about applying for health insurance, including Medicaid, Child Health Plus, Essential Plan, and Qualified Health Plans through NY State of Health, The Official Health Plan Marketplace, visit www.nystateofhealth.ny.gov or call 1-855-355-5777.
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