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Healthy NY 2020

 Are you a start-up? Can’t afford coverage? Is your Aetna Healthy NY ending?

Healthy NY insurance program was designed to promote and provide affordable insurance coverage to eligible small businesses without health insurance coverage for their employees and, also, for eligible working uninsured.

The Healthy NY program includes benefits that cover essential health needs including:
  • Inpatient and outpatient hospital services
  • Physician services
  • Maternity care
  • Preventative health services
  • Diagnostic and x-ray services
  • Emergency services.
Applicants may now also choose a benefit package with a limited prescription drug benefit or a benefit package without a prescription drug benefit.

RECERTIFICATION: Healthy NY will only be available to groups with 1-50 FTE’s in 2018 per guidance from the NYS DFS. Please see the attached guidance released. It is important to note that while the definition of “small employer” is increasing from an employer with 50 or fewer employees to an employer with 50 to 100 employees as of January 1, 2016, only employers with 50 or fewer employees will be eligible for Healthy NY. Please see  on page 2 of the attached here

Metallic Level
Product/Network/GatekeeperG HNY HMO Metro Gated OHP
In­Network Copayment$25/$40
Out­ of ­Network ReimbursementN/A
In­Network Coinsurance %80%
In­Network Maximum Out of Pocket$4000/$8000
In­Network Deductible$600/$1200
Out­ of ­Network Coinsurance %N/A
Out­ of ­Network Maximum Out of PocketN/A
Out­ of ­Network DeductibleN/A
Deductible Accumulation PeriodContract Year
Dependent Cutff Age26 Dependent – Standard

For rates and eligibility


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