N.Y. to offer no-cost health insurance for people with incomes just above Medicaid eligibility cap

April 16, 2015
New Yorkers whose incomes are just above the eligibility level for Medicaid will have a new option for low-cost or no-cost insurance coverage in 2016. The state is one of two across the country - the other is Minnesota - approved to implement a Basic Health Program for residents who earn up to 200% of the federal poverty level. The program is an option under the ACA, with funding provided by the federal government. NY State of Health, the state's online insurance market, sent invitations to private insurers to participate in BHP. Consumers with income at or below 150% of the federal poverty level will pay no monthly premium. Those with slightly higher incomes at 200% of the federal poverty level will pay $20 a month. All health policies offered through the program must offer the same minimum set of benefits as other plans on the online exchange. The state will administer BHP and pay premiums to participating insurance companies. The federal government will reimburse the state at 95% of the value of the subsidies that individuals would have received if they had purchased insurance on NY State of Health without the program, according to the executive director of the exchange.