New York · Licensed · Independent

Affordable health insurance in New York

What 'affordable' actually means in New York — subsidies if you qualify, and private plans if you don't.

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If you qualify for a subsidy

NY State of Health is the most affordable coverage available, full stop. Medicaid is expanded, plus the Essential Plan up to 250% of the poverty level in New York.

If you don't

Full-price marketplace plans are the most expensive coverage in New York. For healthy people, private PPOs on MagnaCare PPO are routinely 30–50% less. New York has no individual mandate penalty, but it has the strictest insurance rules in the country.

What's not affordable

Health-sharing ministries and indemnity plans look cheap until you have a claim. Ask for the out-of-pocket maximum; if there isn't one, it isn't insurance.

New York uses pure community rating — a 25-year-old and a 64-year-old pay the same marketplace premium — and the state restricts most non-ACA plans. Private options in New York are narrower than in other states, so the honest answer here is usually a careful comparison, not a promise of savings.

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Reviewed by Martin Elefant
Licensed insurance agent · NPN 20765405 · Lyons Life LLC

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