Health Insurance Contact Information for New York
State Department of Insurance
New York Department of Financial Services 1-800-342-3736
For information on insurance laws and protections for individuals in your state, you can contact the state insurance department. If you are having a problem with your health plan and are unable to resolve it with the plan directly and want to file a complaint, the state insurance department may be able to help.
State Health Insurance Marketplace
New York State of Health 1-800-318-2596
As of October 1, 2013, new Health Insurance Marketplaces are available in every state where individuals and small businesses can buy health insurance. Plans in the Marketplace must meet certain requirements for benefits, consumer protections and cost to consumer. Individuals and families with incomes below a certain level who do not have an offer of affordable insurance from their employer and do not qualify for certain other types of coverage may be eligible for financial help to purchase insurance.
Individuals can shop for and enroll in health insurance through the Marketplace from October 1, 2013 through March 31, 2014. The start of coverage under the plan depends on when you buy it, with January 1, 2014 as the earliest start date. After March 2014, the annual open enrollment period will run from October 15 through December 7 for coverage starting the following year. People who experience certain qualifying life events (such as a job loss or birth of a child) may qualify for a special enrollment period to enroll in a plan outside of the open enrollment period.
When you fill out an application in the Marketplace, you will be informed about your eligibility for financial help to purchase insurance, or if you’re eligible for coverage under your state’s Medicaid or CHIP. Consumer assistance is available online, over the phone or in-person. There are trained people called “Navigators” to help individuals understand their coverage options and the enrollment process. You can access this free individual assistance to help you choose a plan and enroll by contacting your state Marketplace.
New York Medicaid 800-541-2831
Medicaid is a state-run program providing medical coverage for individuals and families with low incomes and resources. It is up to each state to set its Medicaid program eligibility standards for adults and children. Contact your state Medicaid program or the state Health Insurance Marketplace for more information on who is eligible for Medicaid in your state.
State Children’s Health Insurance Program
Child Health Plus 1-800-698-4KIDS [698-4543]
The children’s health insurance program (CHIP) is designed to provide coverage to children and teens up to age 19 whose families may have too great an income or assets to qualify for Medicaid, but who may not be able to afford health insurance. Contact the CHIP program or the state Health Insurance Marketplace for more information.
Medicare is the federal health insurance program for people age 65 or older, people under age 65 with disabilities, and people with End-Stage Renal Disease. Contact Medicare for more information on who is eligible and what is covered.
Also, free health insurance counseling and personalized assistance for Medicare beneficiaries is available in every state through the State Health Insurance Assistance Program (SHIP). Call 1-800-MEDICARE (1-800-633-4227) or visit https://shipnpr.shiptalk.org/shipprofile.aspx to find the telephone number of the SHIP office closest to you.
Other Consumer Assistance Resources
Some states have Consumer Assistance Programs offering direct help to individuals with problems or questions about their health insurance. These programs also help you file an appeal when an insurance claim is denied. Find out if your state has a consumer assistance program here: www.healthcare.gov/how-can-i-get-consumer-help-if-i-have-insurance/
Patient Advocate Foundation 1-800-532-5274
Patient Advocate Foundation (PAF) provides professional case management services to Americans with chronic, life threatening and debilitating illnesses, serving as active liaisons between patient and insurer.
Local Community Health Clinics
If you or your loved one is unable to see a physician due to the cost of care, there may be a local community health clinic in your area. These clinics generally are free to patients or require a very small fee. Visit http://findahealthcenter.hrsa.gov/Search_HCC.aspx to find a clinic in your area.
Last Reviewed: September 18, 2013
Last Edited: November 4, 2013
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