NYWPG is an Authorized Partner of the New York State of Health
EP FAQ (English).jpg

Domestic (Individuals)

 

Domestic persons having resided in the US for >5 years

domestic or international persons over 21

International

(Individuals)

domestic or international student over 21

1.

If you live with your parents: have income less than $25,520 and more than $17,609 in 2021

If you don't live with your parents: have income less than $25,520 and more than $19,677 in 2021 

If your income is above 200% of the Federal Poverty Level ($25,520) or below 138% of the Federal Poverty Level ($17,609), you will be deemed ineligible. When completing the application, please fill in your income information as accurately and truthfully as possible. All income information will be matched with official governmental records.

domestic or international persons over 21

International

(Individuals)

domestic or international student over 21

2.

Not currently pregnant

If you are currently pregnant, you are not eligible for the Essential Plan. Individuals who become pregnant while covered by the Essential Plan will automatically be transferred to Medicaid.

domestic or international persons over 21

International

(Individuals)

domestic or international student over 21

3.

Not have existing coverage (from an employer or otherwise)

Medical coverage from the Essential Plan is not supplemental to a primary medical plan, and may not be used in conjunction with any existing medical plan.

domestic or international persons over 21

International

(Individuals)

domestic or international student over 21

4.

Be a legal resident of the New York State

You must be a legal resident with a valid immigration status to apply. When filling out the application, a PO Box address will not be accepted as a residential address.

domestic or international persons over 21

International

(Individuals)

domestic or international student over 21

5.

File taxes independently

To be eligible, you must file taxes independently. If you are claimed as a dependent on your household's tax returns, you will be considered ineligible.

domestic or international persons over 21

International

(Individuals)

domestic or international student over 21

6.

Be a green card holder or US citizen

 

Domestic persons having resided in the US for <5 years

domestic or international persons over 21

domestic or international student over 21

1.

Have income below $25,520 in 2021

If your income is above 200% of the Federal Poverty Level ($25,520), you will be deemed ineligible. When completing the application, please fill in your income information as accurately and truthfully as possible. All income information will be matched with official governmental records.

domestic or international persons over 21

domestic or international student over 21

2.

Not currently pregnant

If you are currently pregnant, you are not eligible for the Essential Plan. Individuals who become pregnant while covered by the Essential Plan will automatically be transferred to Medicaid.

domestic or international persons over 21

domestic or international student over 21

3.

Not have existing coverage (from an employer or otherwise)

Medical coverage from the Essential Plan is not supplemental to a primary medical plan, and may not be used in conjunction with any existing medical plan.

domestic or international persons over 21

domestic or international student over 21

4.

Be a legal resident of the New York State

You must be a legal resident with a valid immigration status to apply. When filling out the application, a PO Box address will not be accepted as a residential address.

domestic or international persons over 21

domestic or international student over 21

5.

Be a green card holder or US citizen

International persons over 21

 

domestic or international persons over 21

International persons Aged 21+

international persons Aged 21+

domestic or international student over 21

1.

Have income below $25,520 in 2021

If your income is above 200% of the Federal Poverty Level ($25,520), you will be deemed ineligible. When completing the application, please fill in your income information as accurately and truthfully as possible. All income information will be matched with official governmental records.

domestic or international persons over 21

International persons Aged 21+

international persons Aged 21+

domestic or international student over 21

2.

Not currently pregnant

If you are currently pregnant, you are not eligible for the Essential Plan. Individuals who become pregnant while covered by the Essential Plan will automatically be transferred to Medicaid.

domestic or international persons over 21

International persons Aged 21+

international persons Aged 21+

domestic or international student over 21

3.

Have a valid visa status (F-1/J-1)

Individuals carrying valid F-1 and J-1 visas will be eligible to apply. Please be sure to have an active I-20 or DS-2019.

domestic or international persons over 21

International persons Aged 21+

international persons Aged 21+

domestic or international student over 21

4.

Not have existing coverage (from an employer or otherwise)

Medical coverage from the Essential Plan is not supplemental to a primary medical plan, and may not be used in conjunction with any existing medical plan.

domestic or international persons over 21

International persons Aged 21+

international persons Aged 21+

domestic or international student over 21

5.

Be a legal resident of the New York State

You must be a legal resident with a valid immigration status to apply. When filling out the application, a PO Box address will not be accepted as a residential address.

New immigrant families

 

1. Green Card or US Citizen

All members of your household must have a valid immigration status in the United States.

2. Be over 21 Years of Age

According to the NY State of Health, non-immigrant visa holders who pass residency review and are between 21-64 years of age are eligible for the Essential Plan.​

3. Income below a certain threshold

In order to qualify for the Essential Plan, your household income must be below a certain point. Only income displayed on tax returns will be counted as valid income. Please see the below spreadsheet for the 2021 Essential Plan income eligibility details.

4. Not currently pregnant

If you are currently pregnant, you are not eligible for the Essential Plan. Individuals who become pregnant while covered by the Essential Plan will automatically be transferred to Medicaid.

5. Not have existing coverage (from an employer or otherwise)

Medical coverage from the Essential Plan is not supplemental to a primary medical plan, and may not be used in conjunction with any existing medical plan.

6. Have a valid residential address in New York State

You must be a resident of New York State to apply. When filling out the application, a PO Box address will not be accepted as a residential address.

Please note that eligibility will be determined on a case by case basis. Fulfilling the above criteria is not a guarantee that you will qualify for the Essential Plan.

nywpg partners logo.png

NYWPG Partners

NYWPG is an Authorized Partner of the New York State of Health

Related Link

Copyright © 2019 New York Wealth Planning Group Partners Inc. (NYWPG Partners) All Rights Reserved.

All information on this site is for reference only. Please confirm all details with the official NY State of Health site for up-to-date, verified information.