The New York Insurance Exchange (Marketplace)
is called New York State of Health. The New York Health Benefit Exchange is administered by the State of New York.
The New York Health Benefit Exchange is essentially a marketplace for individuals and small businesses with up to 100 employees to shop for health insurance if they do not already have insurance coverage from another source. If they have insurance from another source (such as employment, retirement benefits, or spousal benefits), they do not need to obtain it from the Marketplace.
Providers must contract with each of the plans in the marketplace individually in order to fully participate in the New York Health Benefit Exchange.
This process is similar to enrolling in insurance or managed care organization provider networks. See below for a list of insurers participating in the state marketplace, and information on contacting them.
Visit our Provider Resources Section for more specific instructions to assist you in contacting health plans.
Qualified Health Plans Participating In the Exchange:
Below is a list of the Qualified Health Plans that have publicly announced that they will offer plans in the New York Health Benefit Exchange.
This list is being routinely updated, and may change as insurers join or leave the Exchange. Please check back for updates.
Affinity Health Plan, Inc.
American Progressive Life & Health Insurance Company of New York- Today’s Options of NY, Inc.
Plan Website: http://www.universal-american-medicare.com/products/pffs/todays-options-pffs/
Provider Enrollment: Not available
Capital District Physicians Health Plan, Inc.
Plan Website: http://www.cdphp.com/Members/Health-Plan/Group-Health-Insurance/HMO
Empire BlueCross BlueShield
Excellus Health Plan, Blue Cross Blue Shield
Freelancers Co-Op- Health Republic Insurance
Health Insurance Plan of Greater New York- Emblem Health
HealthNow New York, Inc.- Blue Shield of North East New York, Blue Cross Blue Shield of Western New York
MetroPlus Health Plan
MVP Health Plan, Inc.
North Shore LIJ Health System
Oscar Health Corporation
Oxford HMO- United Healthcare Oxford
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