HIX ON/OFF EXCHANGE
November 1, 2018 to January 31, 2019
What is Open Enrollment Period?
A real-time care by a doctor anytime and anywhere using your phone, mobile device, or computer.* You can have video "visits" with a doctor anytime, and can consult with a dietitian during business hours. It's easy to use, private, secure, and free.
What is Telemedicine?
A place to shop, compare and enroll in a low-cost quality plans. The only place you can receive financial assistance based on your income.
What is the Marketplace or the New York State of Health?
Covers the five boroughs of New York City (the Bronx, Brooklyn, Manhattan, Queens, and Staten Island), plus Nassau, Suffolk, Orange, Rockland, and Westchester counties, and upstate areas that stretch north of Albany. With eight counties in the State of Connecticut and 21 counties across the State of New Jersey.
What is PRIME Network?
A no-deductible HMO plan with a $0 or $20 monthly premium. Available at any time of year, but only if you enroll on the NY State of Health Marketplace.
What is An Essential Plan?
A plan offers specialist visits, urgent care visits, 3 free sick-visits and primary care visits, lab services, free telemedicine, free preventive care, free acupuncture and dental and vision coverage for adults and kids â. Does not need a referral from primary care physician to see a specialist
What is EmblemHealth Gold Premier?
2019 QHP/s offers 3 free sick-visits and primary care visits, and dental and vision coverage for adults and kids.
What is EH Silver Value or EH Gold Value?
The only standard Small Group plan offers most benefits at 50% coinsurance, plus free telehealth, free preventive care, and gym reimbursements. A good choice for people who don't often get medical care but want to put aside money in case of a medical emergency or for any medical needs.
What is EmblemHealth Bronze Plus HSA?
•Online. Go to the Individuals & Families section, start account and shop for plan https://nystateofhealth.ny.gov/
•In person. Get help from a Navigator, Facilitated Marketplace Enroller, or broker/agent.
•By phone. Call NYSOH at 1-855-355-5777, Monday-Friday, 8 am-8 pm, and 9 am-1 pm on Saturdays.
•By mail. Contact NYSOH for a paper application.
What are INDIVIDUAL ENROLLMENT CHANNELS?
Loss of health insurance (for reasons other than you did not pay your premium)
Marriage, birth, or placement for adoption Gain citizenship or qualifying immigration status Enrollment errors by HHS or the Marketplace Change in eligibility for tax credits or cost sharing reductions
Gain access to new plans as a result of a move Native Americans/Alaskan Natives may enroll or change QHPs one time per month
Pregnancy certified by a health care practitioner Enrolled in non-qualifying employer coverage
What is Qualifying events for Special Enrollment Period?