Get the facts on enrolling in health care coverage, including where, when and how.
I'm ready to apply? What next?
First, it's important to know what you're eligible for so you get the best deal. Use our Affordable Care Advisor to check your eligibility, estimate costs and start enrolling.
Where can I enroll?
You can enroll in our Qualified Health plans both from the NY State of Health Marketplace (required if you want to access financial help) and directly from our website. You must enroll through the Marketplace if you're signing up for our Essential Plan. If you're looking to enroll or reenroll in Medicaid or Child Health Plus, call us at 1-800-233-1831, daily from 8 am to 8 pm, and we'll help you sign up.
What's the NY State of Health Marketplace?
The NY State of Health Marketplace is New York State's health insurance exchange. It offers qualifying individuals lower-cost coverage from private health insurers. You can purchase plans here even if you don't qualify for financial assistance. Depending on your eligibility, you can choose from "metal plans" (Platinum, Gold, Silver and Bronze), catastrophic plans, $0 or $20 Essential Plan, Medicaid and Child Health Plus.
When can I enroll?
You can enroll in our Qualified Health plans during an annual open enrollment period lasting from fall to winter (dates may differ each year). You can enroll in the Essential Plan, Medicaid and Child Health Plus at any time of the year. You may also be eligible to enroll in the Qualified Health plans outside open enrollment if you experience a qualifying event.
What information do I need to sign up for an individual commercial health plan?
You need the following information, but not the actual documents. It's still a good idea to have these documents with you when you enroll so you can easily find the needed information:
- Birth date
- Social security number
- Document numbers for lawfully present immigrants (e.g., Green Card or Naturalization number)
- Employer information (e.g., pay stubs, W-2 forms, 1099 forms)
- Policy number for any health plan you or your family may already have
- Any ideas for health plans you may want
- Email address if you're enrolling online
Can I get help filling out my application?
Yes, call us at 1-800-233-1831 for help by phone or to set an in-person meeting with one of our Marketplace Facilitated Enrollers. You can also get help from a Navigator or broker/agent through the NY State of Health Marketplace (from the link above, choose EmblemHealth from the "Issuer Affiliations" drop-down menu to work with someone familiar with our plans).