New York · Licensed · Independent

Private health insurance in New York

Private PPO health plans for New York residents who don't qualify for a subsidy — how they work, who qualifies, what they cost.

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  • National PPO networks
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What 'private health insurance' means in New York

Major-medical plans sold outside NY State of Health by carriers that lease national PPO networks — in New York, MagnaCare PPO. They cover doctor visits, hospitalization, surgery, prescriptions and preventive care, with deductibles and an out-of-pocket maximum. Because they're medically underwritten, healthy applicants are priced lower than a guaranteed-issue pool.

Who qualifies

Generally healthy applicants, ages 18–64, with no major pre-existing conditions. There's a short health questionnaire and a prescription-history check; no exam. Serious conditions can be declined or excluded — if that's your situation, the marketplace is the right answer and we'll say so.

What they cost in New York

Individuals roughly $290–$600 a month by age and deductible; families roughly $800–$1,300. Enroll any month; apply by the 20th for the 1st. See live prices on our quoting tool.

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.

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

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