Essential Plan program

E377746

The Essential Plan program is a New York State health insurance option that offers low-cost or no-cost coverage to eligible lower-income residents who do not qualify for Medicaid.

All labels observed (2)

How this entity was disambiguated

Statements (48)

Predicate Object
instanceOf health insurance program
public health coverage option
administeredThrough qualified health plans contracted with the state
appliesToJurisdiction New York State
country United States of America
surface form: United States
covers doctor visits
emergency care
hospital care
lab tests
maternity care
mental health services
pediatric services
prescription drugs
preventive care
substance use disorder services
x-rays
eligibilityCriterion New York State residency
citizenship or satisfactory immigration status
income below a specified threshold
not eligible for Medicaid
enrollmentMethod by phone through NY State of Health
in person with enrollment assistors
online through NY State of Health
excludesEligibility people eligible for Medicaid
fundedBy Government of the State of New York
surface form: New York State government

federal government
goal increase access to affordable health coverage
reduce the number of uninsured low-income adults
hasCostSharing low copayments
low premiums
no deductible for most enrollees
hasPlanType managed care plans
hasWebsite https://nystateofhealth.ny.gov
language English
Spanish
other common languages in New York State
legalBasis Essential Plan program self-linksurface differs
surface form: Affordable Care Act Basic Health Program option
monitoredBy New York State Department of Health
offers low-cost health insurance coverage
no-cost health insurance coverage
operatedBy New York State
New York State Department of Health
partOf New York State public health insurance programs
regulates benefit standards for participating plans
relatedTo health insurance marketplace
surface form: New York State of Health Marketplace
similarTo Basic Health Program options in other states
startTime 2016
targetPopulation lower-income residents of New York State

How these facts were elicited

Referenced by (2)

Full triples — surface form annotated when it differs from this entity's canonical label.

Office of Health Insurance Programs administers Essential Plan program
Essential Plan program legalBasis Essential Plan program self-linksurface differs
this entity surface form: Affordable Care Act Basic Health Program option