Authorized Partner of the New York Department of Health

The $0 Essential Plan

Get affordable coverage for all your medical needs

The Essential Plan is a $0 health insurance program for New York residents. The program offers comprehensive coverage, including vision and dental care.

$0

Dental & Vision

Mental Health

Deductible

Preventive Care

Hospitalization

Maternity

$400

Gym Membership Reimbursement

$400

OTC Card for groceries and more*

100%

Co-insurance

Unlimited Maximum Benefit

*The $400 OTC card is only available to members enrolled in the UnitedHealthcare Essential Plan

Why is it free?

The Essential Plan is sponsored by the New York State government to offer comprehensive and affordable health coverage to all New York residents, including students and refugees.

Will it Affect my Immigration Status?

Applying for health insurance won't affect your immigration status or application for status. Your immigration status won't be shared with federal immigration authorities.

Interview with NYCDO Director, Max Hadler

As an officially authorized partner by the New York State Department of Health, Kimber Health was invited to the Office of Policy and Immigration Measures of the New York City Department of Health and Mental Hygiene for a special interview with Director Max Hadler. During the interview, we discussed important topics related to applying for and using the Essential Plan (EP). For those who want to know more, click to watch the interview video!

Eligibility

EP 200-250EP 1EP 2EP 3EP 4
Income Qualifications$30,120 - $37,650$22,590 - $30,120 $20,783 - $22,590$15,060 - $20,783< $15,060
Age Qualifications
  • 19-64 for US Citizen
  • 21-64 for Immigrants
  • Green Card Holders for Less Than 5 Years
  • Refugees
  • 19-64 for US Citizen
  • 21-64 for Immigrants
  • Green Card Holders for Less Than 5 Years
  • Refugees
  • 19-64 for US Citizen
  • 21-64 for Immigrants
  • Green Card Holders for Less Than 5 Years
  • Refugees
21-6421-64
Immigration StatusEveryoneEveryoneEveryoneLawfully Present ImmigrantLawfully Present Immigrant
EP 200-250EP 1EP 2EP 3EP 4
Premium$0$0$0$0$0
Deductible$0$0$0$0$0
Out-of-Pocket Limit$2000$360$200$200$0
Gym Membership Reimbursement$400/year$400/year$400/year$400/year$400/year
Primary Care Office / Home Visits$15$15$0$0$0
Specialist Office / Home Visits$25$25$0$0$0
Preventive CareCovered in fullCovered in fullCovered in fullCovered in fullCovered in full
Urgent Care Center$25$25$0$0$0
Emergency Care$75$75$0$0$0
Mental Health Care$15$15$0$0$0
Vision Care$0$0$0$0$0
Dental Care$0$0$0$0$0
Prescriptions (Retail Pharmacy)
  • Tier 1: $6
  • Tier 2: $15
  • Tier3: $30
  • Tier 1: $6
  • Tier 2: $15
  • Tier3: $30
  • Tier 1: $1
  • Tier 2: $3
  • Tier 3: $3
  • Tier 1: $1
  • Tier 2: $3
  • Tier 3: $3
  • Tier 1: $0
  • Tier 2: $0
  • Tier 3: $0
OTC/Grocery Card$75 per quarter$75 per quarter$75 per quarter$75 per quarter$75 per quarter
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Find a Doctor

Our Carriers

The Essential Plan is powered by our partner carriers below. You can find an in-network doctor or pharmacy for each provider below.

Get covered today!

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DISCLAIMER

Every effort has been made to supply information that is current and accurate, nevertheless, inadvertent errors in information may occur. The information on this website has been supplied to Kimber Health from a variety of sources and is subject to change at any time without notice. Kimber Health gives no assurance or warranty that information on this website is current and accurate and takes no responsibility for matters arising from changed circumstances or other information or material which may affect the currency or accuracy of information on this website. Kimber Health disclaims any liability for any improper or incorrect use of the information contained on this website and assumes no responsibility for anyone’s use of or reliance upon the information. Users are responsible for verifying all policy-related information with the insurance provider directly using the contact information supplied by the provider.
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NYWPG is an Authorized Partner of the New York State of Health. License #1348502.

All information on this site is for reference only and is subject to change.

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