New York: State-Qualified Health Plans
Provided below are two separate lists of state-qualified health plans for the state of New York, each serving a different purpose. Please review the information under each heading to determine which list is most appropriate for you.
- State-Qualified Health Plans Available Now
Use this list if you are interested in learning more about the state-qualified health plan options currently available in your state and how to enroll for future coverage.
This list is continually updated as new state-qualified health plans become available. When you call one of these current plans, ask for information about HCTC state-qualified products (they may also be known as TAA health plans).
- State-Qualified Health Plans Offered in 2012
Use this list if you intend to claim the Yearly HCTC on your 2012 federal income tax return, to verify that you were enrolled in one of the specific state-qualified health plan products available last year on or after the effective date listed.
This list is updated once per year, most recently as of January 31, 2013. If you were not enrolled in one of these products, your plan does not qualify as a state-qualified health plan and you may not be able to claim the Yearly HCTC unless you have another type of qualified health insurance.
Note: The links to health plans listed on these pages will take you to health plan websites for general information. The information listed there may not be specifically related to the HCTC.
Return to the Step 3: Qualified Health Plan page.
Return to the HCTC: Information for Yearly Filers page.
New York: State-Qualified Health Plans Available Now
New York State-Qualified Health Plans fall into three categories: 1) Healthy NY, 2) HCTC Healthy NY, and 3) Non-Group/Individual HMO and POS Plans.
1) Healthy NY
All HMOs in New York State offer the "Healthy NY" health insurance benefit package to eligible individuals. Individuals must be income qualified for this product.
Healthy New York
Customer Service: 1-866-432-5849
Website: Healthy New York
2) HCTC Healthy NY
HCTC Healthy NY is available for purchase by all individuals eligible for the HCTC. HCTC Healthy NY offers the streamlined comprehensive health insurance benefit package which was developed for the public Healthy NY program.
GHI and Excellus Insurance companies sell "HCTC Healthy NY" that do not have income eligibility limits. GHI offers "HCTC Healthy NY" statewide in addition to their other State-Qualified Health Plans. Excellus offers "HCTC Healthy NY" in western and central NY State and also sells other State-Qualified Health Plans.
GHI, An EmblemHealth Company
Customer Service: 1-877-411-3625
Website: GHI
Excellus/Univera Health Plans
Excellus Customer Service: 1-800-462-0108
Univera Customer Service: 1-800-337-3338
Website: Excellus or Univera
3) Non-Group/Individual HMO and POS Plans
All Health Maintenance Organizations (HMOs) are required to offer two direct payment State-Qualified Health Plans: a) a non-group/individual HMO plan, and b) a non-group/individual Point of Service (POS) plan. For the non-group/individual HMO plan option you must use doctors and hospitals that participate with the HMO. The Point of Service (POS) plan allows you to access providers which do not participate with your HMO. Each plan is only offered in a limited geographic area of New York State.
Aetna Health
Customer Service: 1-800-872-3862
Healthy NY: 1-866-565-1235
HMO/NY Individual Advantage: 1-800-435-8742
PPO: 1-800-230-1483
Website: Aetna
Easy Choice
Customer Service: 1-866-747-8422
Website: Easy Choice
Capital District Physicians Health Plan
HMO/HEALTHY NY Customer Service: 1-800-777-2273
POS Customer Service: 1-877-269-2134
Website: Capital District Physicians Health Plan
ConnectiCare of New York
Customer Service: 1-800-846-8578
Website: ConnectiCare
Empire HealthChoice (Empire BlueCross BlueShield HMO)
New Customers: 212-476-1000
Customer Service: 1-800-261-5962
Website: Empire HealthChoice
Excellus/UniveraHealth Plans
Excellus Customer Service: 1-800-462-0108
Univera Customer Service: 1-800-337-3338
Website: Excellus or Univera
GHI, An Emblem Company
Customer Service: 1-877-411-3625
Website: GHI
Health Insurance Plan (HIP) of Greater New York, An EmblemHealth Company
New Customers: 1-877-411-3625
Customer Service: 1-800-447-8255
Website: EmblemHealth
HealthNow New York (Community Blue, BCBS of Western NY, Blue Shield of North East NY)
Central New York East Customer Service: 1-800-856-0480
Central New York West Customer Service: 1-866-638-9011
Mid-Hudson Region Customer Service: 1-800-945-0556
Website: HealthNow New York
Managed Health (Health First New York)
Customer Service: 1-888-260-1010
Website: Health First NY
HealthCore, A Healthy NY Intiative
Customer Service: 1-877-477-6901 or 1-315-470-1930 (Local)
Website: HealthCore
Independent Health, Association Inc.
New Customers: 1-716-631-5392
Customer Service: 1-800-453-1910
Website: Independent Health
MVP Health Plan
New Customers: 1-800-825-5687
Customer Service: 1-888-687-6277
Website: MVP
NY Bridge Plan (administered by GHI)
New Customers: 1-800-624-2414, 1-866-248-0640 TDD
Website: NY Bridge
Oxford Health Plans of New York
New Customers: 1-800-216-0778
Customer Service: 1-800-767-3840
Website: Oxford
State-Based Continuation Coverage
Available Through Your Former Employer.
New York: State-Qualified Health Plans Offered in 2012
New York State-Qualified Health Plans fall into three categories: 1) Healthy NY, 2) HCTC Healthy NY, and 3) Non-Group/Individual HMO and POS plans.
1) Healthy NY
All HMOs in New York State offer the "Healthy NY" health insurance benefit package to eligible individuals. Individuals must be income qualified for this product.
Healthy New York
Customer Service: 1-866-432-5849
Website: Healthy New York
Effective Date: 3/1/2003
GHI and Excellus Insurance companies sell "HCTC Healthy NY" that does not have income eligibility limits. GHI offers "HCTC Healthy NY" statewide and also sells other State-Qualified Health Plans. Excellus offers "HCTC Healthy NY" in western and central NY State and also sells other State-Qualified Health Plans.
2) HCTC Healthy NY
HCTC Healthy NY is available for purchase by all individuals eligible for the HCTC. HCTC Healthy NY offers the streamlined comprehensive health insurance benefit package which was developed for the public Healthy NY program.
GHI, An EmblemHealth Company
Customer Service: 1-877-411-3625
Website: GHI
Product: HCTC Healthy NY
Effective Date: 3/1/2003
Excellus/Univera Health Plans
Customer Service: Excellus 1-800-462-0108, Univera 1-800-337-3338
Website: Excellus or Univera
Product: HCTC Healthy NY
Effective Date: 3/1/2003
3) Non-Group/Individual HMO and POS Plans
All Health Maintenance Organizations (HMOs) are required to offer two direct payment State-Qualified Health Plans: a) a non-group/individual HMO plan, and b) a non-group/individual Point of Service (POS) plan. For the non-group/individual HMO option you must use doctors and hospitals that participate with the HMO. The Point of Service (POS) plan allows you to access providers which do not participate with your HMO. Each plan is only offered in a limited geographic area of New York State.
Aetna Health
Customer Service: 1-800-872-3862
Website: Aetna
Products: Direct Payment HMO, Direct Payment POS, NY Individual Advantage, Healthy NY
Effective Date: 3/1/2003
Easy Choice
Customer Service: 1-866-747-8422
Website: Easy Choice
Products: Direct Payment HMO, Direct Payment POS, Healthy NY
Effective Date: 7/1/2006
Capital District Physicians Health Plan
Customer Service: 1-800-777-2273
Website: Capital District Physicians Health Plan
Products: Direct Payment HMO, Direct Payment POS, Healthy NY
Effective Date: 3/1/2003
ConnectiCare of New York
Customer Service: 1-800-846-8578
Website: ConnectiCare
Products: Direct Payment HMO, Direct Payment POS, Healthy NY
Effective Date: 3/1/2003
Empire HealthChoice (Empire BlueCross BlueShield HMO)
Customer Service: 1-800-261-5962
Website: Empire HealthChoice
Products: Direct Payment HMO, Direct Payment POS, Healthy NY+D112
Effective Date: 3/1/2003
Excellus/Univera/Premier Health Plans
Customer Service: Excellus1-800-462-0108, Univera 1-800-337-3338
Website: Excellus or Univera
Products: Direct Payment HMO, Direct Payment POS, Direct Pay 504, HCTC Healthy NY, Healthy NY
Effective Date: 3/1/2003
GHI, An EmblemHealth Company
Customer Service: 1-877-411-3625
Website: GHI
Products: Direct Payment HMO, Direct Payment POS, Direct Payment PPO and EPO, HCTC Healthy NY
Effective Date: 3/1/2003
Health Insurance Plan (HIP) of Greater New York, An EmblemHealth Company
Customer Service: 1-800-447-8255
Website: EmblemHealth
Products: Direct Payment HMO, Direct Payment POS, Healthy NY
Effective Date: 3/1/2003
HealthCore (Sponsored by Benefit Specialist of NY)
Customer Service: 1-877-477-6901
Website: HealthCore
Products: All available health plans (applicant must meet income requirements)
Effective Date: 2/11/2010
HealthNow New York (Community Blue, BCBS of Western NY, Blue Shield of North East NY)
Customer Service: 1-800-544-2583
Website: HealthNow New York
Products: Direct Payment HMO, Direct Payment POS, Healthy NY
Effective Date: 3/1/2003
Health Net of New York (formerly Physicians Health Service of New York)
Customer Service: 1-800-848-4747
Website: Health Net of New York
Products: Direct Payment HMO, Direct Payment POS, Healthy NY
Effective Date: 3/1/2003
Independent Health
Customer Service: 1-800-453-1910
Website: Independent Health
Products: Individual Encompass, Individual Encompass Plus, Healthy NY
Effective Date: 3/1/2003
Managed Health (Health First New York)
Customer Service: 1-888-260-1010
Website: Managed Health
Products: Direct Payment HMO, Direct Payment POS, Healthy NY
Effective Date: 3/1/2003
MVP Health Plan
Customer Service: 1-888-687-6277
Website: MVP
Products: Direct Payment HMO, Direct Payment POS, Healthy NY
Effective Date: 3/1/2003
Oxford Health Plans of New York
Customer Service: 1-800-767-3840
Website: Oxford
Products: Direct Payment HMO, Direct Payment POS, Healthy NY
Effective Date: 3/1/2003
State Based Continuation Coverage available through your former employer
