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New York: State-Qualified Health Plans

Below is a list of state-qualified health plans available in your state. Use this list if you intend to claim the Yearly HCTC on your 2013 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, 2014. 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. 

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
 

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.
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Page Last Reviewed or Updated: 12-Dec-2014