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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. 
  • 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:
below $15,060-$22,590*

Annual individual income: $22,591-$37,650

Generic

$1

$6

Preferred Brand

$3

$15

Non-Preferred Brand

$3

$30

 

Join the Essential Plan 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!

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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

NY State Health Logo

Nystateofhealth.ny.gov

 

Product offered by Molina Healthcare of New York, a wholly owned and subsidiary of Molina Healthcare, Inc. This is a solicitation for the insurance and an agent may contact you.