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  Income between $17,775 and $19,320 ††  The Essential Plan Plans with access to essential health benefits like doctor visits, lab tests, prescription drugs, hospitalization, urgent care, emergency care, vision, dental, and more—all for a $0 monthly plan premium. These plans are for qualified individuals ages 19–64. Plan Highlights: No-cost annual checkups Hospital, emergency room and urgent care visits Lab tests and X-rays Prescription drug coverage Maternity and newborn coverage No-cost dental and vision coverage * 24/7 access to care with telemedicine (Teladoc) ** Physical, occupational, and speech therapy Annual gym membership reimbursement † Get a Recommendation Find a Doctor or Hospital Prescription Cost Contact Us Forms & Documents Renew Your Plan 2022 2021 Essential Plan 1 Essential Plan 2 Essential Plan 3 Essential Plan 4 Tier Essential Plan 2 Summary of Benefits and Coverage (PDF) English More Languages  Premium $0 Eligible Age 19 to 64 Eligible Service Areas Within New Y

The Essential Plan Plans with access to essential health benefits like doctor visits, lab tests, prescription drugs, hospitalization, urgent care, emergency care, vision, dental, and more—all for a $0 monthly plan premium. These plans are for qualified individuals ages 19–64. Summary of Benefits and Coverage (PDF) English More Languages  Premium $0 Eligible Age 19 to 64 Eligible Service Areas Within New York City's five boroughs (the Bronx, Brooklyn, Manhattan, Queens, and Staten Island), Long Island, Westchester, Orange, Rockland, and Sullivan counties Other Eligibility Requirements Income between $19,320 and $25,760 †† Dental Cleanings $0 copay Vision Exams $0 copay Telemedicine ( Teladoc ) $0 copay Costs & Benefits Contact Us Essential Plan 1 Deductible  (Individual) $0 Maximum Out-of-Pocket  (Individual) $2,000 Your Annual Checkup ( Preventive Care ) $0 copay Primary Care Provider (PCP) Visit $15 copay Specialist Visit $25 copay Retail Health Clinic $25 copay Urgent Care $2