Healthy NY Benefit Package
Services Covered by Healthy NY
Adult preventive services consisting of mammogram, Pap test, prostate cancer screening, physical examinations every three years and adult immunizations
Preventive and primary health care services for dependent children including routine well-child visits and immunizations
Inpatient hospital services consisting of daily room and board, general nursing care, special diets and miscellaneous hospital services and supplies
Outpatient hospital services consisting of diagnostic and treatment services
Physician services consisting of diagnostic and treatment services, consultant and referral services, surgical services (including breast reconstruction surgery after a mastectomy), anesthesia services, second surgical opinion and a second opinion for cancer treatment
Outpatient surgical facility charges related to a covered surgical procedure
Diagnostic, x-ray, and laboratory services
Home health care (up to 40 post-hospital or post-surgical visits per calendar year)
Physical therapy (up to 30 post-hospital or post-surgical visits per calendar)
Diabetes equipment, supplies and self-management education
Therapeutic services including radiological services, chemotherapy and hemodialysis
Blood and blood products furnished in connection with surgery or inpatient hospital services
If the prescription drug benefit is selected, prescription drugs obtained at a participating pharmacy
In order to qualify for Healthy NY, your household income must fall within the limits set by law.
|2012 Healthy NY Monthly Income Guidelines|
Each Additional Person Add $825 Pregnant women count as two people. Income levels are updated annually.
All plans are subject to an annual deductible. The deductible amount is the amount you must spend out-of-pocket before services are covered. Preventive care can be accessed prior to meeting the deductible. For 2012, the deductible is $1,200 for individuals and $2,400 for families. The deductible amount may change annually.
To see if you qualify and to get a quote