Need support, need to talk? Call 1-800-243-7692
GMHC - Fight Aids. Love Life.

Navigating the Affordable Care Act

The special enrollment period to get a health plan on the New York State's Health Marketplace is extended to June 15.

 

Uninsured New Yorkers can apply for coverage through NY State of Health or directly to insurers. If you lost employer coverage, you must apply within 60 days of losing that coverage. Because of a loss of income, New Yorkers may also be eligible for Medicaid, the Essential Plan, subsidized Qualified Health Plans or Child Health Plus.

Anyone eligible for Medicaid or the Essential Plan can enroll throughout the year. New York is a Medicaid Expansion state, so more people are eligible. If the annual income for a single person is less than $16,105, Medicaid is an excellent option. The Essential Plan offered by the State, if an individual’s income is less than $24,120, is similar to Medicaid and can be free or cost $20 a month.

The Affordable Care Act (ACA) has created a number of changes that can be very challenging to navigate. Luckily, GMHC is an official ACA Navigator, and we are here to help.


Make an Appointment: Connect to Comprehensive Care

GMHC is proud to have Affordable Care Act Navigator/Certified Application Counselors to help with enrolling in insurance. Please contact GMHC’s Advocacy team with any questions or to make an appointment:

NY State Marketplace Insurance:
Olivia: (917) 402-3251 or OliviaG@gmhc.org
Denise: (917) 403-0928 or DeniseC@gmhc.org

ADAP and All Other Non-Marketplace Benefits
Alexandra: (917) 379-6934 or AlexandraR@gmhc.org
Andy: (646) 431-7734 or AndyL@gmhc.org

Appointments: Mondays and Wednesdays
Walk-ins: Tuesdays and Thursdays 10 am – 2 pm

EMAIL

Connect@gmhc.org

VISIT

307 West 38th Street
New York, NY 10018-9502


Why Should I Enroll?

Get health insurance that is:

AFFORDABLE

Inexpensive options for you and your family

COMPREHENSIVE

Hospital stays, prescriptions, doctors are covered. Enhanced benefits available for preventive care.

FAIR

No denials or higher prices for pre-existing conditions

DISCOUNTED

If your annual household income is:

  • below $46,680 for a family of 1
  • below $62,920 for a family of 2
  • below $79,160 for a family of 3
  • below $95,400 for a family of 4
  • below $111,640 for a family of 5
  • below $127,880 for a family of 6

you may be eligible for subsidies and tax credits.


Important Information

HOW DO I ENROLL?

You have three ways to enroll:

1. Online: Go to nystateofhealth.ny.gov to search for plans and enroll in insurance.

2. By phone: Call 1-855-355-5777 (New York State of Health) or (212) 367-1175 or (212) 367-1143 (GMHC) to receive free assistance from a trained and certified Navigator.

3. In person: Visit GMHC to receive free, in-person assistance from a trained and certified Navigator.*

To make an appointment (Mondays and Wednesdays): Contact (917) 402-3251 or (917) 403-0928.

Walk-in hours available: Tuesdays and Thursdays, 10am – 2pm.

Our Navigators can help you find out if you qualify for lower cost coverage, explain your choices, and choose the insurance plan that is best for you and your family. Navigators don't work for an insurance company — their job is to help you.

*In response to COVID-19, our building is currently closed. As such, in-person appointments and walk-in hours have been suspended. Our Navigators are still working remotely and are able to schedule and conduct phone appointments to assist you in completing your health insurance application.