基本计划由 NY State of Health 资助，以帮助符合条件的申请人获得健康保险。

这里列出了 10 项基本健康益处及其含义。

1. 处方药联邦政府对批准的处方药进行了分类。必须涵盖每个类别中的一个。

2. 儿科服务这包括牙科保健、视力保健、儿童健康检查、疫苗接种和免疫接种。必须为 19 岁以下的儿童提供牙科和视力保健服务（儿科口腔保健服务可包括每年两次常规牙科检查；眼部保健可包括每年一次眼科检查）。

3. 预防和健康服务以及慢性病管理这包括饮食咨询、结直肠癌筛查、2 型糖尿病筛查和免疫疫苗等服务。

4. 紧急服务这是您真正需要尽快护理的急诊室之旅。这意味着如果医院没有网络，您将不会受到处罚。

5. 住院作为住院治疗的一部分，您在医院接受的治疗。计划可能会限制延长住宿的承保范围。

6. 心理健康和成瘾服务这包括治疗行为健康、提供咨询或提供心理治疗的服务。

7. 怀孕、产妇和新生儿护理这些服务可在分娩前、分娩期间和分娩后不久为您和您的宝宝提供护理。

8. 门诊病人服务这是您无需住院即可接受的门诊护理。

9. 实验室服务这包括用于诊断、评估有效性的测试以及一些预防性筛查。

10. 康复和康复服务和设备如果您受伤、有残疾或患有慢性病，这些服务可帮助您康复。服务可能包括物理治疗、职业治疗或言语治疗。

1。纽约州居民；

2。能够满足基本计划的收入要求；

3。在美国合法居留；

4a。至少 21 岁的 F-1 学生；

4b。 OPT/CPT（至少 21 岁）；

4c。 19-64岁（非移民至少21岁）；

5。不符合 Medicaid 或 Child Health Plus 的资格；

6。不符合雇主保险的条件。

很遗憾没有。

Essential Plan 网络位于纽约州内。当您不在纽约州时，您只能享受紧急和紧急护理。

No.

Enrolling in the Essential Plan will not affect your immigration status as this is a state funding instead of a federal benefit.

Further more, the public charge rule is no longer in effect according to USCIS.

You can submit the application document by filling out the form on our website and submitting the related documents.

Depends on which school you are enrolling in. Your school health center can make final decision, please check their website to see if the Essential Plan meets the school waiver requirement

The waiver process varies and depends on the school. We will assist you in the process after you enroll in Essential Plan.

Yes, if you got essential plan, we can still help you if you agree, we can contact NY State of Health to change your Insurance representative.

OPT visa holder and also meets the following requirements are eligible for Essential Plan:

1. live in NY State

2. meet Essential Plan income guideline

3. over 21 years old

4.not eligible for group insurance

According public information, NY State set the income guideline as follows:

For single person:

Essential Plan 1 - Individuals with annual income greater than $20,385 and less than or equal to $27,180.

Essential Plan 2 - Individuals with income greater than $18,755 and less than or equal to $20,385.

Essential Plan 3 - Individuals with income equal to or greater than $13,590 and less than or equal to $18,755, and not eligible for Medicaid due to immigration status.

Essential Plan 4 - Individuals with income below $13,590, and not eligible for Medicaid due to immigration status.

If you need information about income guideline for a family of more than 1 person, please contact us.

Yes, you can voluntarily terminate it, or if your circumstance changed and you will be involuntarily ineligible:

- If you fail the income guideline

- Immigration status expired

- move out of New York State

your Essential Plan might be terminated.

Generally the insurance card will arrive to your MAILBOX in about 10 business days.

Yes, it covers family planning and OB check up.

However, the New York State of Health requires that you report your pregnancy when you found you're pregnant. And then, the system will turn your essential plan into Medicaid.

Enrollment for the Essential Plan is open all year long.