Health insurance options in Long Island
Residents of Long Island and Nassau and Suffolk Counties buy coverage from two markets: NY State of Health, with guaranteed-issue plans from Fidelis Care, Healthfirst, Anthem (Empire), EmblemHealth, MVP, and Oscar priced on income, and the private shared-network market, with PPO plans on MagnaCare PPO priced on health. Most people in Long Island have only been shown the first.
What it costs in Long Island
A healthy 40-year-old in Long Island pays roughly $550–$850 a month full price on the marketplace in 2026, or roughly $320–$480 on a private PPO. A family of four: roughly $1,500–$2,500 marketplace full price versus $800–$1,300 private. Prices depend on age, deductible and health; see live numbers on the quoting tool.
Keeping your Long Island doctors
Marketplace plans in New York are increasingly HMOs tied to one hospital system. The MagnaCare PPO PPO networks include most major providers in Nassau and Suffolk Counties and work in every state — we check your specific doctors before you enroll.
The New York factor
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. New York has no individual mandate penalty, but it has the strictest insurance rules in the country.