{"id":254396,"date":"2026-06-03T22:36:08","date_gmt":"2026-06-03T22:36:08","guid":{"rendered":"https:\/\/www.newsbeep.com\/us-ny\/254396\/"},"modified":"2026-06-03T22:36:08","modified_gmt":"2026-06-03T22:36:08","slug":"changes-coming-to-new-york-states-essential-plan-for-health-insurance-2","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us-ny\/254396\/","title":{"rendered":"Changes coming to New York State&#8217;s Essential Plan for health insurance"},"content":{"rendered":"<p class=\"mb-4 text-lg md:leading-8 break-words\">There are<a href=\"https:\/\/www.wgrz.com\/article\/news\/local\/new-york\/new-york-rolling-out-new-health-care-laws\/71-f84eba7f-2073-4294-b0ad-bbf8a2c5978c\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"elm:link;elmt:article_link;slk:\u00a0big changes;itc:0;sec:content-canvas\" data-yga=\"{&quot;yLinkElement&quot;:&quot;context_link&quot;,&quot;yModuleName&quot;:&quot;content-canvas&quot;,&quot;yLinkText&quot;:&quot;&amp;nbsp&quot;}\" class=\"link \">\u00a0big changes<\/a> coming to <a href=\"https:\/\/info.nystateofhealth.ny.gov\/news\/press-release-new-york-state-department-health-provides-update-federal-approval-preserve\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"elm:link;elmt:article_link;slk:health care plans offered in New York State;itc:0;sec:content-canvas\" data-yga=\"{&quot;yLinkElement&quot;:&quot;context_link&quot;,&quot;yModuleName&quot;:&quot;content-canvas&quot;,&quot;yLinkText&quot;:&quot;health care plans offered in New York State&quot;}\" class=\"link \">health care plans offered in New York State<\/a> this summer.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">The changes involve anyone with the Essential Plan 200-250. It is ending June 30, and you have until June 15 to sign up for a new plan to avoid a gap in health coverage. 450,000 people in New York State who are currently enrolled in the Essential Plan 200-250 will now be eligible for Qualified Health Plans in the individual marketplace.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">The state confirmed these changes in March, and they go into effect July first.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Changes at the federal level prompted this, and Megan Woodward from <a href=\"https:\/\/www.fideliscare.org\/\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"elm:link;elmt:article_link;slk:Fidelis Care;itc:0;sec:content-canvas\" data-yga=\"{&quot;yLinkElement&quot;:&quot;context_link&quot;,&quot;yModuleName&quot;:&quot;content-canvas&quot;,&quot;yLinkText&quot;:&quot;Fidelis Care&quot;}\" class=\"link \">Fidelis Care<\/a> told 2 On Your Side Wednesday afternoon that it is important to take action now so you don&#8217;t lose coverage.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">&#8220;The choices people will have are really contingent on their information being updated with the state. Their income, their household size, the address, if you&#8217;ve moved or had any changes in your income or in your household, certainly over the last few months, it&#8217;s really important that that information gets communicated to the state, and they are then the ones that determine the eligibility,&#8221; said Woodward, who is the Vice President of Member Experience. &#8220;Some people will still qualify for low, or no cost, health insurance through another program like Medicaid or other versions of the Essential Plan.&#8221;<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">According to the state, your new options could have higher premiums, deductibles, and out-of-pocket costs. If you are impacted, the state started sending out notices April first.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">&#8220;This affects people who are specifically in that EP version, which corresponds to how much income people make. The 200 to 250-percent is a percent of the federal poverty limit. If this affects you, you got a letter from the state, and this does not affect anyone else in any other versions of the Essential Plan,&#8221; Woodward said.<\/p>\n","protected":false},"excerpt":{"rendered":"There are\u00a0big changes coming to health care plans offered in New York State this summer. The changes involve&hellip;\n","protected":false},"author":2,"featured_media":254397,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[19208,25615,99137,9,11,10,49,51,50,99138],"class_list":["post-254396","post","type-post","status-publish","format-standard","has-post-thumbnail","category-new-york","tag-fidelis-care","tag-health-coverage","tag-megan-woodward","tag-new-york","tag-new-york-headlines","tag-new-york-news","tag-new-york-state","tag-new-york-state-headlines","tag-new-york-state-news","tag-qualified-health-plans"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/posts\/254396","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/comments?post=254396"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/posts\/254396\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/media\/254397"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/media?parent=254396"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/categories?post=254396"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/tags?post=254396"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}