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New York Health Insurance

 

All health insurance policies in New York are considered guaranteed renewable as long as your premiums are paid up to date.  So this means your health insurance can not be canceled because you become sick.

 

Also, unlike most other states, both individual and small business health insurance plans are sold on a guaranteed issue basis.

 

New York mandates that health insurance companies cover newborns and adopted children for the first 31 days, on their parent’s policy.  Disabled children are also allowed to continue coverage, under their parent’s policies, indefinitely.

 

The Division of Health Insurance is a great resource when you are looking to get additional information about health insurance in NY.

 

                                Request a New York Health Insurance Quote                      

 

New York Small Business Health Insurance

      

 

 

 

Cities in New York

 

New York NY

Buffalo NY

Rochester NY

Yonkers NY

Syracuse NY

Albany NY

New Rochelle NY

Mount Vernon NY

Schenectady NY

Utica NY

 

 

 

 

Commonly Searched Terms

 

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In New York, a group health plan, can not base your health insurance premiums on your health.  This is called non discrimination.  Small Business Health Insurance in New York is also guaranteed issue, meaning that you can not be turn down for coverage.  If your company employs more than 50 employees, insurance companies are able to refuse coverage.

 

If your company employs a lot of low-income workers, you should look into getting them covered under New York’s health plan Healthy NY.  See below for information.

                           

Pre-existing exclusions are limited on the amount of time they can exclude coverage.  Also if you have current coverage, without lapses, that will be credited against your pre-existing period.  Pregnancy is not considered a pre-existing condition on a group health plan.

 

Insurance companies are only able to consider any treatment, diagnosis or medical advice in the last 6 months when considering pre-existing conditions.

 

The maximum pre-existing waiting period is 12 months for an employee. If you are a late enrollee your maximum waiting period is 18 months.  Any pre-existing periods must be applied only after written notice.

 

New York uses community rating when it comes to small business health insurance.  This means that rates can not be derived from health status, prior claims, or age.  Insurance companies are able to adjust claims relative to family size and location.

 

For additional information about Small Business Health Insurance in New York click here.

 

                               Request a New York Small Business Health Insurance Quote

 

 

New York Individual Health Insurance

 

All New York Health Insurance Policies have to cover disabled children on their parent’s policy into their adulthood.  Pregnancy is considered a pre-existing condition in New York.   Relative to Pre-Existing Conditions, Insurance companies in New York must give credit to prior credible coverage as long as there was not more than a 63 day lapse in coverage.

 

In New York, insurance companies are not able to decide if they want to insure you or not.  Under New York state law, individual health insurance policies must be offered on a guaranteed issue basis.  This means that all insurers must accept anyone who wants to buy their policy.

 

If you are HIPAA eligible, and living in New York, you too are able to get a policy on a guaranteed issue basis, the only difference is that you will not have to deal with any pre-existing condition clauses.

 

New York allows health insurance companies to include pre-existing conditions but not elimination riders.  The longest a pre-existing condition can be denied is 12 months.

 

Any HMO, interested in selling individual health insurance policies in New York must sell a standard policy to all consumers.  This mandated policy can either be an HMO or a POS.  Both policies are quite comprehensive including, hospitalization, testing, prescriptions and preventative care.

 

New York uses a community standard when it comes to rating health insurance companies.  Your rates can not change due to age, health, or gender.  Your premiums will change depending on the policy you pick, the size of your family and where you live in the state of New York.

 

Healthy NY is a program that was started in 2000.  It is designed to provide affordable health insurance for small businesses and individuals who reside in New York.  There are certain requirements you must fulfill to qualify, so check out the site for more information.

 

New York started Child Health Plus with the intention of trying to get the children, of New York, affordable health insurance.  It is a great plan and you should visit their website for more information.

 

For additional information about Individual Health Insurance in New York click here.

 

                               Request a New York Individual Health Insurance Quote

 

 

New York Self Employed Health Insurance

 

In New York, self employed people are able to buy health insurance like any other small business.  If you can not find an affordable self employed health insurance policy in New York, self employed businesses also have the right to buy individual policies in New York.

 

Another option for affordable New York Self Employed Health Insurance is often associations or self employed groups.  Just keep in mind that not all of these groups or associations are regulated by the state.

 

One benefit for Self Employed people is that they are able to deduct 100% of their health insurance premiums from their taxes!

 

For additional information about Self Employed Health Insurance in New York click here.

 

                              Request a New York Self Employed Health Insurance Quote

 

 

Temporary New York Health Insurance

 

Many situations may arise where you find yourself without health insurance, or about to be without health insurance.  These reasons could range from graduating college to being in-between jobs.  Instead of going without health insurance you should look into getting a New York Temporary Health Insurance Policy.  These policies will be cheap, with high deductibles and low coverage, but getting a New York Temporary Health Insurance Policy is much better than going with out health insurance.

 

Even though individual and small business health insurance policies in New York are guaranteed renewable, temporary health insurance in this state is not!

 

For additional information about Temporary Health Insurance in New York click here.

 

                              Request a New York Temporary Health Insurance Quote

 

 

What types of New York Health Insurance are there?

 

HMO- Health Maintenance Organization.  This type of insurance is called managed care.  This means you have certain network of doctors and hospitals in New York that you have to go to for care.  Most New York HMO’s have office visit co-payments that range from $10 to $35, and hospital deductibles that range from $250 to $1,500.  Often the most affordable health insurance plans are HMO’s due to the fact they are managed care.

 

PPO-Preferred Provider Organization.  This type of insurance is also called managed care but it gives the consumer much more freedom; they allow you to visit any doctor or hospital in or out of network.  Most New York PPO’s have an in network and an out of network charge.  If the in network co-insurance is 100% then the out of network co-insurance would be 80%.  If the in network co-insurance is 90% then the out of network co-insurance would be 70%   Typically New York PPO’s offer co-payments for doctor visits as well as hospitalization. 

 

Indemnity Plan - In New York, as health insurance rates continue to rise, many people are finding it more affordable to drop their health insurance and buy a New York Major Medical Health Insurance Plan.  An Indemnity plan can also be called a major medical plan or catastrophic health insurance.  Whatever you call it, typically a New York Indemnity Plan would cover more “major” claims.  An Indemnity plan has an annual deductible and will usually allow you to pick different co-insurance options.  Indemnity plans allow you access to any doctor or hospital, and for this reason they are typically very expensive.

 

Discount Medical Plans – In recent years many Discount Medical Plans have started to surface.  These plans have relatively inexpensive, but consumers must realize that this is not insurance.  All these companies do is to get their customers discounted rates (20-50% off) on certain procedures at certain physicians and hospitals. 

 

Federal Mandated Health Insurance Laws

 

HIPAA

Along with New York Health Insurance Laws, there are Federal Laws that regulate Health Insurance companies.   HIPAA (Health Insurance Portability and Accountability Act of 1996). This act mandated federal standards for individual and group health insurance plans.  Some of the standards that it established were relative to guaranteed renew ability, crediting for prior health coverage and pre-existing condition waiting periods.

 

ERISA

Large corporations do not have health insurance policies.  Typically they are self funded, meaning the corporation pays for all of their employee’s medical bills instead of buying health insurance.  Most of these “self funded” companies are regulated by the federal government under ERISA (Employee Retirement Income Security Act)

 

COBRA

In New York it is mandated, by the state, that all companies that offer a New York Group Health Insurance Policy must also enable their employees to extend their health coverage temporarily; called Cobra.  A New York Cobra Insurance is typically available for a time period under 18 months.   In New York you are given 60 days to decide if you are going to take New York Cobra Insurance or not.  Once you have passed on the opportunity to take Cobra, you are not eligible to receive it.

 

Cobra Insurance was introduced in 1985.  Cobra stands for Consolidated Omnibus Budget Reconciliation Act.  If you would like more information about your Cobra Insurance options please contact your companies HR department.

 

Often employees are surprised at the cost of a New York Cobra Insurance.  The reason for this is that they are now responsible for 103% (100% of the premium plus a 3% administration fee) of a monthly health insurance premium when they probably only paid 20% while employed. 

 

Whether nor not to take Cobra is an important question, and you should realize there are alternatives to a New York Cobra Insurance Policy.  One should realize what they plan to do in the future.  If you are looking for another job, and it will be a few months before you get a job, it might make sense to look for a New York Temporary Health Insurance Plan.  If you are contemplating working at a consultant, it would be in your best interest to look into a New York Self Employed Health Insurance Policy.   

 

QuicklyQuoteMe’s Opinion on Health Insurance

On most health insurance policies you have the option of taking a higher deductible, which can save you on your monthly premiums.  For these people who are generally healthy and do not use their medical policy it makes sense to take a risk to lower a monthly bill.

 

QuicklyQuoteMe recommends you consider your risk and talk with our licensed professionals about which deductible is right for your policy.  At QuicklyQuoteMe.com we have the highest quality insurance professionals working with us.  Fill out an online form and speak to one of them directly, they all come highly recommended!

 

                           Request a Health Insurance Quote from one of QuicklyQuoteMe’s Agents

 

 

If you are a health insurance agent looking for New York Health Insurance Leads click here

 

 

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