The New York State Department of Health announced that the 2027 enrollment period on NY State of Health, the state's official health insurance marketplace, runs from Nov. 1 through Jan. 31 next year. To have coverage starting Jan. 1, residents must enroll by Dec. 15. There are 11 insurers this year, with Oscar Health no longer participating.
The New York State Department of Health announced on Oct. 28 that the 2027 enrollment period for qualified health plans (QHPs) on NY State of Health, the state's official health insurance marketplace, runs from Nov. 1 through Jan. 31 next year. To have coverage starting Jan. 1, residents must enroll by Dec. 15. More than 800,000 enrollees across all programs are up for renewal during this enrollment period.
There are 11 insurers this year, down from 12 last year. With Oscar Health leaving the marketplace, 4,800 enrollees must choose a new plan themselves. State officials advised comparing premiums, out-of-pocket costs, available hospitals and doctors, and prescription drug coverage before choosing. Enrollees in private plans may receive a premium tax credit based on income.
The effects of the federal budget reconciliation law (H.R. 1) also continue. Under the law, about 450,000 people with incomes above 200% and up to 250% of the federal poverty level lost eligibility for the Essential Plan in July this year. The state said it moved about 60% of them to other coverage. People who lost eligibility and have not yet chosen new coverage can also pick a plan on the marketplace during this enrollment period.
State officials named two things to do now: update contact information, and consent to the use of secure external data sources to verify eligibility. Consenting allows eligibility reviews to proceed automatically, which helps prevent gaps in coverage. Medicaid, the Essential Plan and Child Health Plus can be applied for year-round, regardless of the enrollment period.