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)
| Label | Occurrences |
|---|---|
| Affordable Care Act Basic Health Program option | 1 |
| Essential Plan program canonical | 1 |
How this entity was disambiguated
This entity first appeared as the object of triple T3656890 — resolving that mention is where its identity was fixed. The disambiguator weighed these candidate entities and picked the highlighted one (or “None”, minting a new entity). This is how homonymy is resolved: the same surface form can point to different entities.
Target entity: Essential Plan program Context triple: [Office of Health Insurance Programs, administers, Essential Plan program]
-
A.
Children's Health Insurance Program
The Children's Health Insurance Program (CHIP) is a U.S. federal-state initiative that provides low-cost health coverage to uninsured children and, in some states, pregnant women in families with incomes too high to qualify for Medicaid but too low to afford private insurance.
-
B.
Medicaid
Medicaid is a U.S. government health insurance program that provides medical coverage to low-income individuals and families, jointly funded by federal and state governments.
-
C.
Medicare Part C
Medicare Part C, also known as Medicare Advantage, is a program through which private insurance plans provide Medicare-covered benefits and often additional services to eligible beneficiaries.
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D.
MultiPlan
MultiPlan is a U.S.-based healthcare cost management and analytics company that provides network-based and data-driven solutions to insurers, payers, and other healthcare organizations.
-
E.
Lifeline program
The Lifeline program is a U.S. federal initiative that provides discounted phone and broadband services to low-income consumers to help ensure affordable access to communications.
- F. None of above. chosen
- G. Unsure - the case is ambiguous/there is not enough information to decide.
Target entity: Essential Plan program Target entity description: 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.
-
A.
Children's Health Insurance Program
The Children's Health Insurance Program (CHIP) is a U.S. federal-state initiative that provides low-cost health coverage to uninsured children and, in some states, pregnant women in families with incomes too high to qualify for Medicaid but too low to afford private insurance.
-
B.
Medicaid
Medicaid is a U.S. government health insurance program that provides medical coverage to low-income individuals and families, jointly funded by federal and state governments.
-
C.
Medicare Part C
Medicare Part C, also known as Medicare Advantage, is a program through which private insurance plans provide Medicare-covered benefits and often additional services to eligible beneficiaries.
-
D.
MultiPlan
MultiPlan is a U.S.-based healthcare cost management and analytics company that provides network-based and data-driven solutions to insurers, payers, and other healthcare organizations.
-
E.
Lifeline program
The Lifeline program is a U.S. federal initiative that provides discounted phone and broadband services to low-income consumers to help ensure affordable access to communications.
- F. None of above. chosen
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
The pipeline generated the facts above by prompting gpt-5.1 with this entity's name + description and the instruction below.
You are a knowledge base construction expert. Given a subject entity and a description of it, return factual statements that you know for the subject as a JSON list of dictionaries(triples), where keys must be "subject", "predicate" and "object". The number of facts may be very high, between 25 to 50 or more, for very popular subjects. For less popular subjects, the number of facts can be very low, like 5 or 10. # Requirements - If you don't know the subject at all, return an empty list. - If the subject is not a named entity, return an empty list. - Include at least one triple where predicate is "instanceOf". - Do not get too wordy. - Separate several objects into multiple triples with one object.
Subject: Essential Plan program Description of subject: 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.
Referenced by (2)
Full triples — surface form annotated when it differs from this entity's canonical label.