The average cost of health insurance in New York is $776 per month for a Silver plan. Fidelis Care and Independent Health have the cheapest rates, which could save you around $200 to $300 per month.
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New Yorkers can purchase affordable health insurance through the New York State of Health insurance marketplace, where those who have low to moderate incomes can get discounts to reduce monthly costs. If your household income is at or near the federal poverty level, you can get free or low-cost insurance through Medicaid.
Cheapest health insurance plans in New York
Across all levels of coverage, Fidelis Care offers the cheapest health insurance plans in New York. Although these very low monthly rates are not offered in every county, they can be a useful starting point when you're looking for affordable health insurance plans available in your county.
|Bronze||Fidelis Care Bronze||$344||$4,700||$8,700|
|Silver||Fidelis Care Silver||$410||$1,750||$9,061|
|Gold||Fidelis Care Gold||$570||$600||$4,000|
|Platinum||Fidelis Care Platinum||$691||$0||$2,000|
Average cost of health insurance in New York
In New York, it costs an average of $776 per month for health insurance, based on an individual buying a Silver health insurance plan.
Health insurance is offered at five different tier levels in New York: Catastrophic, Bronze, Silver, Gold and Platinum. Our analysis excludes Catastrophic plans because of their limited availability.
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How the plan tier affects costs
As you can see above, when the tier level increases, the monthly premium becomes more expensive. A Silver plan in New York will cost $201 more per month than a Bronze plan, and a Gold plan will cost $165 more than a Silver plan.
However, medical benefits improve with higher tier plans, which makes them a good choice for those who need ongoing or expensive medical care. On average, a Silver plan will have a $3,221 lower deductible than a Bronze plan, which helps you reduce your upfront costs for medical care before the plan's full benefits kick in. A Gold plan has, on average, a $2,694 lower spending cap than a Silver plan, providing a much better limit to your medical expenses.
How family size affects costs
Health insurance costs in New York are affected by the number of adults on the plan and if you have dependents on the plan. Note that the number of dependents does not affect your costs.
Adult with at least 1 child
Couple with at least 1 child
For 2023, a couple with one or more children will pay an average of $1,891 per month for a Silver plan. This is $497 more than the couple would pay to cover themselves.
How to lower your health insurance costs
Those who have low to moderate incomes can get free or low-cost health insurance through the following programs.
How you save
Typical max. income to qualify
|Medicaid||Free health insurance through public program||$18,075|
|NY Essential Plan||Free health insurance plans with no deductible||$27,180|
|ACA cost-sharing subsidies||Improves medical benefits for a Silver plan||$33,975|
|Child Health Plus||Children's health insurance plans that cost $0 to $60 per month||$54,360|
|ACA premium tax credits||Lowers the cost of an insurance plan based on your income||$54,360 (or higher)|
Annual income limits for an individual
The most common way of making health insurance more affordable is through premium tax credits, also called health insurance subsidies. These discounts can be applied to the Bronze, Silver, Gold or Platinum plan you choose when shopping on the New York health insurance marketplace.
The amount you save is based on your income and family size, and you can use our health insurance subsidy calculator to estimate your costs for 2023.
Choosing the best health insurance in New York
The best health insurance policy for your family will depend on the availability of plans in your area, as well as your medical and financial situation.
When deciding on the right plan, you can use the plan's tier to choose the right level of coverage for your medical needs.
Gold and Platinum plans: Best if you expect high medical costs
Gold and Platinum plans are usually the most cost-effective for people with higher medical costs or who frequently take expensive prescriptions.
The plans often have the most expensive monthly costs but the best medical benefits, with lower deductibles and out-of-pocket maximums. This means you can reach the deductible quickly and have a better limit on your health expenses.
Silver plans: Best for people with average medical costs or a low income
Silver plans are middle-ground policies that tend to fall between Gold and Bronze plans in both their monthly costs and medical benefits. This makes them a good choice for most people because they have a moderate level of coverage that's good for most situations.
For those who have a low income, Silver plans have an extra advantage. Those who have an income less than 250% of the federal poverty level are eligible for cost-sharing reduction (CSR) subsidies, which provide discounts on deductibles, coinsurance and copayments, helping you to pay less for medical care.
Bronze and Catastrophic plans: Best for young, healthy individuals
Bronze and Catastrophic plans should only be considered if you have good health and do not expect to have high medical costs.
Typically, they are the cheapest plans available on the New York marketplace but also have the highest deductibles. This means you would have to pay full price for most of your routine health expenses. However, you'll have benefits like free preventive care, and you'll be protected from very high medical costs in situations where you need surgery or other expensive health services.
Bronze plans are available throughout New York. However, in order to sign up for a Catastrophic plan, you must be under the age of 30 or meet the requirements for a hardship exemption. Also, Catastrophic plans are not eligible for premium tax credits.
Health insurance rate changes in New York
For 2023, the cost of health insurance increased by an average of 9% across New York. That's an increase of about $88 per month.
Health insurance rates are determined by each insurer and are submitted for approval to the New York state exchange.
Average monthly rates
Best cheap health insurance companies in New York
There are currently 15 insurers that sell individual plans on the New York health insurance marketplace. Independent Health and Fidelis Care offer the most affordable health insurance rates in New York for a Silver plan.
The availability of insurers and health plans changes by county, so your location will directly impact your coverage options.
Avg. cost of Silver plan in NY
|Highmark Western NY||$600|
|Highmark Northeastern NY||$644|
New York individual health insurance plans overview
You can purchase health insurance in New York through the NY State of Health marketplace. This is the New York equivalent of HealthCare.gov, also called "Obamacare."
New York is one of the most heavily regulated states for health insurance in the United States. While the federal Affordable Care Act (ACA) limits how insurers can price their policies, New York's regulations are even more restrictive.
Open enrollment in New York
Open enrollment in New York is from Nov. 16 to Jan. 31 each year. This is a few weeks later than the open enrollment period in most other states, which goes from Nov. 1 through Jan. 15.
In New York, if you buy a health plan before Dec. 15, then the plan will begin on Jan. 1. Enrolling before Jan. 15 will give you coverage that starts on Feb. 1. And if you sign up during the last few weeks of January, your plan will begin on March 1.
Your age does not affect health insurance costs in New York
Most other states allow insurers to charge older people and smokers a higher health insurance premium. But in New York, insurers are prohibited from using any personal information for calculating premiums, using only where you live as a factor.
For both individual plans and small-business plans, all consumers living in a specific location pay the same price for health insurance. This means younger New York residents pay more for health coverage than they would in other states, while older residents pay less than they would in other states.
Young adults can stay on their parent's plan through age 29
New York is one of the eight states where young adults can be eligible to stay on their parent's health insurance plan beyond age 26.
Parents pay a little more for their health insurance in exchange for having their children stay on the family plan through the age of 29. Because of the way insurance is priced in New York, it's cheaper for young adults to stay on their parents' plans until the legal age limit rather than purchasing a separate individual plan.
To qualify, the young adult must:
- Be unmarried
- Be 29 or younger
- Not be insured or eligible for insurance through their employer
- Live, work or reside in New York state or the insurance carrier's coverage area
Short-term health insurance in New York
Short-term health insurance plans are prohibited in New York because all health plans must be renewable and cover the minimum essential benefits.
Most short-term plans typically do not cover essential benefits such as maternity care, mental health or prescription drugs, so short-term health insurance is not offered in New York.
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Medicaid health insurance coverage in New York
New York's Medicaid program provides health insurance for those with low incomes. Through the state's expansion of Medicaid, most households with an income less than 138% of the federal poverty level (FPL) are eligible for Medicaid coverage in New York.
Maximum annual income for Medicaid
The income limits for children and pregnant women are slightly higher than those for adults. Children up to the age of 19 are eligible for a special type of Medicaid if the household income is under 154% of the federal poverty level, while pregnant women and infants up to the age of 1 are eligible if the household earns less than 223% of the federal poverty level.
If you apply for Medicaid in New York, you will be asked to select a health plan managed by an insurance carrier, such as UnitedHealthcare or Empire BlueCross BlueShield. Each Medicaid plan will come with a network of doctors and health care providers that accept the insurance.
Child Health Plus coverage for children
In New York, Child Health Plus is a health insurance program for children in households that have incomes that are too high to qualify for Medicaid but are less than 400% of the federal poverty level.
The cost of the Child Health Plus plan is based on family size and household income, and the monthly cost per child ranges from $0 to $60.
Maximum monthly income per number of children to be eligible for Child Health Plus
Cost per month
Frequently asked questions
How can I save money on health insurance in New York?
Health insurance tax credits, also called subsidies, can reduce how much you pay for health insurance based on your income and family size. In New York, there is also the Essential Plan, which provides free health insurance if you earn less than $27,180 per year.
What metal tier of health insurance should I purchase on the New York exchange?
Silver plans are the best health insurance plans for most people because they are a middle-of-the-road option that balances medical coverage with monthly costs. Generally, younger and healthier individuals will get the best deal with a Bronze plan since they will not use the insurance as frequently. Those who have high health care or prescription needs should consider a Gold or Platinum plan since it could provide the best benefits.
What is the best health insurance plan in NYC and Brooklyn?
Healthfirst has the best deal on high-quality plans in New York City, with Silver-tier coverage costing $735 per month. For a well-rated plan with a wider network of doctors, choose Empire Blue Cross. And the cheapest plans in NYC are from Fidelis Care and MetroPlusHealth, which could save you about $75 per month but have lower ratings of three out of five stars.
ValuePenguin collected rates from New York's state health insurance exchange. We gathered rates and plan details from every county in the state, then we averaged the rates and sorted them by metal tier and family size. This allowed us to compare rates and find the cheapest providers in New York.