Key Health Insurance Terms: Key Terms – Community Health Advocates Coverage Denials If your health plan refused to pay for a medical service or denied a prior authorization request, you have the right to fight the denial through your plan’s appeal process. Here are some Do-it-Yourself appeal guides to help you: Medical Necessity DIY: (English) (Spanish) Not …
Based on the Employer Mandate under the Affordable Care Act (ACA), you may be eligible for an employer-based health plan depending on the number of hours you work and the size of your employer.
Medicare provides health insurance to people over age 65 and people with disabilities without regard to income.
New York State administers the Small Business Health Options Program (SHOP) Exchange.
Essential Plan, also known as “EP” is affordable, comprehensive health insurance for low and moderate-income adults living in New York who are not eligible for Medicaid.
Child Health Plus (CHP) offers comprehensive health insurance for uninsured children up to age 19.
Non-MAGI Medicaid offers comprehensive health insurance for low-income New York State residents.
Qualified Health Plans (QHP) are comprehensive, private health plans offered through the New York State of Health marketplace (NYSOH).
If you are uninsured and receive a medical bill, what can you do? Read more.
If you have commercial health insurance and receive a medical bill, what can you do? Read more.