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Whatโ€™s New in the 2025 Essential Plan? Updates Every NY Resident Should Know

Whatโ€™s New in the 2025 Essential Plan? Updates Every NY Resident Should Know

New York State’s Essential Plan has undergone significant enhancements in 2025, making health coverage more accessible and affordable for many residents. These updates aim to provide comprehensive care with minimal out-of-pocket costs.โ€‹

What’s Inside

Expanded Eligibility

As of April 1, 2024, the Essential Plan now includes individuals with incomes up to 250% of the Federal Poverty Level (FPL). This expansion means more New Yorkers can access quality health insurance without monthly premiums. โ€‹

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Enhanced Benefits

The 2025 Essential Plan offers:โ€‹

  • $0 Out-of-Pocket for Pregnancy and Postpartum Services: Including up to eight doula visits and extended care up to one year postpartum.
  • $0 Out-of-Pocket for Diabetes Services: Covering preventive services, medical care, supplies, tests, and prescription drugs related to diabetes. โ€‹
  • Comprehensive Coverage: Including doctor visits, hospital care, screenings, prescription medications, dental, and vision benefits.
Whatโ€™s New in the 2025 Essential Plan? Updates Every NY Resident Should Know

Simplified Enrollment

Eligible individuals can enroll in the Essential Plan at any time during the year. There’s no need to wait for an open enrollment period, making it easier to access coverage when needed. โ€‹

Get Assistance with Secure Safer Insurance Agency

Navigating health insurance options can be complex. Secure Safer Insurance Agency offers free consultations in multiple languages, including English, Spanish, Bengali, Hindi, Urdu, Nepali, Arabic, and Wolof. Our licensed agents are here to help you understand your options and enroll in the plan that best suits your needs.โ€‹

๐Ÿ“ž Call us today at 646-444-2020
๐ŸŒ Or visit www.securesafer.com to schedule your free consultation.

Take advantage of the enhanced benefits and expanded eligibility of the 2025 Essential Plan. Secure Safer Insurance Agency is here to guide you every step of the way.โ€‹Support & Resources | NY State of Health

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