Which groups are eligible: Small businesses with 1 to 100 full-time equivalent (FTE) employees and a primary business address in New York State.
Which employees are eligible: Qualifying individuals and families living in one of the 28 New York counties, all counties in New Jersey, and all counties in Connecticut. Children and young adults can stay on a parent’s plan until age 26, or through age 29 for an added cost.
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877-347-0440
| Referralsinfo | Not required for specialist visits |
| Deductibleinfo | $500 individual/$1,000 family |
| Prescription drug deductible | $0 individual/$0 family |
| Out-of-pocket maximuminfo | $7,500 individual/$15,000 family |
| Out-of-networkinfo coverage | No coverage for non-emergency services |
| Primary care physicianinfo | 3 free visits then $25 before deductible |
| Preventive careinfo | Fully covered |
| Specialist | $50 before deductible |
| Urgent care | $100 after deductible |
| Pharmacy | $0 generic drugs |
| Telemedicineinfo | Fully covered |
| Acupuncture | Fully covered |
| Gym | Reimbursement up to $400 per plan year if qualified |
| Dental | Pediatric dental care |
| Vision | Pediatric vision benefits |
With our robust network of quality doctors, you can get care from many of the region’s leading doctors, clinicians and facilities, including hospitals and urgent care centers.
Use the FAIR Health Calculator* to estimate the cost of non-emergency medical services and procedures by zip code.
*FAIR Health, Inc. is an independent nonprofit organization that uses actual provider charges when calculating fees. FAIR Health ensures that its fee information is accurate and complete. Please review the privacy policy and terms and conditions posted on the FAIR Health website.
