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Essential Plan: Welcome to better health with Molina Healthcare!
Why choose Essential Plan?
Benefits:
- Affordable Care: Low costs so you can get the care you need without worrying about bills.
- Full Coverage: Includes doctor visits, emergency care, maternity care, and prescription drugs.
- Extra Benefits: Free dental and vision for 360 degrees of care.
- Easy Access: A large network of doctors and hospitals, so help is always nearby.
- Essential Plan Enhanced Care Over-the-Counter Benefit
- Help you can count on: 24/7 assistance to answer all your questions and help you get the care you need.
Who is eligible for the Essential Plan through NY State of Health?
Individuals who are:
- New York State residents
- Lawfully present in the US
- 19-64 years old
- Not eligible for Medicaid or Child Health Plus
- Not eligible for employer coverage
- Able to meet the Essential Plan income requirements listed in the table below
|
Household size |
Most you can make |
|
1 |
$39,125 |
|
2 |
$52,875 |
|
3 |
$66,625 |
|
4 |
$80,375 |
How does it save me money?
- Your monthly payment is $0!
- You pay $0 deductible!
- Preventive care is FREE!
Note: The costs shared below are copays
|
COST SHARING FOR HEALTH CARE SERVICES |
Annual individual income: below $15,060-$22,590 |
Annual individual income: $22,591-$37,650 |
|
Monthly Premium |
$0 |
$0 |
|
Annual Deductible |
$0 |
$0 |
|
Preventive Care |
$0 |
$0 |
|
Primary Care Physician Visit |
$0 |
$15 |
|
Specialist Visit |
$0 |
$25 |
|
Inpatient Hospital Stay per admission |
$0 |
$150 |
|
Behavioral Health Outpatient Visit |
$0 |
$15 |
|
Behavioral Health Inpatient Visit per admission |
$0 |
$150 |
|
Emergency Room |
$0 |
$75 |
|
Urgent Care |
$0 |
$25 |
|
Physical Therapy, Speech Therapy, Occupational Therapy |
$0 |
$15 |
|
COST SHARING FOR PRESCRIPTION DRUGS |
Annual individual income: |
Annual individual income: $22,591-$37,650 |
|
Generic |
$1 |
$6 |
|
Preferred Brand |
$3 |
$15 |
|
Non-Preferred Brand |
$3 |
$30 |
Join the Essential Plan by Affinity by Molina Healthcare today and enjoy a healthier tomorrow!
Phone: Call (800) 223-7242 (TTY: 711)
Monday - Friday 8:00 a.m. - 6:00 p.m.
Visit us locally.
Start Your Coverage today!
Affinity by Molina Healthcare Essential Plan Subscriber Agreements
Estimate Your Treatment Costs
Make a Payment
Send a check or money order to:
Molina Healthcare of New York, Inc.
P.O. Box 21474
New York, NY 10087-1474
Product offered by Affinity by Molina Healthcare, a wholly owned and subsidiary of Molina Healthcare, Inc. This is a solicitation for the insurance and an agent may contact you.