Did You Miss the Insurance Open Enrollment Period? Find Out How to Still Get Covered

Apicha Community Health Center Jan 31, 2017  

 (Information taken from HealthCare.gov and nystateofhealth.ny.gov). Originally posted March 2, 2016, information updated on January 31, 2018.

Insurance Open Enrollment ended on January 31. But you may still be able to get covered through the Marketplace or Medicaid. We'll tell you how.

open enrollment

Through the Marketplace:

You can enroll in a 2018 insurance plan through the Health Insurance Marketplace only if you have a life event that qualifies you for a Special Enrollment Period.

Examples of Qualifying Life Events:
What else do I need to be eligible for insurance through the Marketplace?

If you have Medicare coverage, you’re not eligible to use the Marketplace to buy a health or dental plan. Medicare isn’t part of the Health Insurance Marketplace, so if you have Medicare coverage now you don’t need to do anything. If you have Medicare, you’re considered covered.

Through Medicaid:

What is Medicaid?

Medicaid is a joint program with New York State and the federal government for New Yorkers who cannot afford to pay for medical care, home care, or nursing home care.

There are two main types of Medicaid benefits: Community Medicaid and Institutional Medicaid.

Community Medicaid covers things such as doctors’ visits, medications, hospital inpatient and outpatient services, and care through home health agencies.

Institutional Medicaid covers nursing home care. In order for a person to qualify for Medicaid, they have to be a resident of New York and meet certain financial guidelines.

How do I know if I qualify?

According to the New York State Department of Health, you may be covered by Medicaid if:

  • You have high medical bills.
  • You receive Supplemental Security Income (SSI).
  • You meet certain financial requirements.

Adults in New York with incomes up to 138 percent of poverty level are now eligible for Medicaid. Pregnant women and children under the age of one are eligible with an income of up to 218 percent of poverty level (a pregnant woman counts as two people for household income determination).


Family Size
Net Income for Individuals who are Blind, Disabled or Age 65+ Medicaid Income Level for Single People, Couples without Children Resource Level (Individuals who are Blind, Disabled or Age 65+ ONLY)
Annual Monthly Annual Monthly
1 $9,900 $825 $16,243 $1,354 $14,850
2 $14,500 $1,209 $21,984 $1,832 $21,750
3 $16,675 $1,390 $27,725 $2,311 $25,013
4 $18,850 $1,571 $33,465 $2,789 $28,275
5 $21,025 $1,753 $39,206 $3,268 $31,538
6 $23,200 $1,934 $44,947 $3,746 $34,800
7 $25,375 $2,115 $50,688 $4,224 $38,063
8 $27,550 $2,296 $56,429 $4,703 $41,325
9 $29,725 $2,478 $62,169 $5,181 $44,588
10 $31,900 $2,659 $67,910 $5,660 $47,850
For each additional person, add: $2,175 $182 $5,741 $479 $3,263

 

Apicha CHC can help!

If you’re interested in learning more about your healthcare options or would like to enroll, Apicha Community Health Center can answer any questions you may have as well as assist you with the process. To request an appointment, click here.

Apicha Community Health Center | LGBT Health Center in NYC


Ready to take action about your health?
 request an appointment

Subscribe For Updates

Early Signs of HIV

Early Signs of HIV

Early HIV is the beginning stage of HIV disease, right after HIV infection occurs. If you were not...
Substance Abuse 101: Cocaine

Substance Abuse 101: Cocaine

Cocaine is another commonly abused substance. It has a number of negative health effects and is...
Substance Abuse 101: Alcohol

Substance Abuse 101: Alcohol

Alcohol is one of the most popular, easily accessible, and dangerous substance people can abuse....

"I Swallow Daily" API Artists Discuss PrEP, Stigma, & Representation

APIs remain one of the minority groups in NYC that have not seen a decrease in new HIV diagnoses....
Everything You Need to Know About the 2020 Census

Everything You Need to Know About the 2020 Census

The 2020 Census is here, and is key to improving quality of life for everyone. If you haven't heard...
5 Resources for the Trans & GNCNB Communities During COVID-19

5 Resources for the Trans & GNCNB Communities During COVID-19

During these uncertain times, it's important to have the resources you need. We've created a...
How to Work From Home

How to Work From Home

As we adjust to living during the COVID-19 pandemic, many of us have begun to work from home. Along...
Mental Health Tips During Quarantine

Mental Health Tips During Quarantine

As you already know, COVID-19 has upended all of our lives in so many ways. One of the most...
TDOV: Discussing the Health Needs of Trans Folks

TDOV: Discussing the Health Needs of Trans Folks

At Apicha CHC, our trans patients matter, and their needs are important to us. In an effort to...
Recognizing & Celebrating Transgender Day of Visibility

Recognizing & Celebrating Transgender Day of Visibility

March 31 is Transgender Day of Visibility. This day is dedicated to celebrating and honoring the...