2016 Plans Available in Rockland County for Individuals & Families

Rockland County is served by 8 insurance carriers on the NYSOH Marketplace:
Affinity Health Plan; EmblemHealth; Empire Blue Cross Blue Shield; Fidelis Care; MVP Health Plan; Oscar Health; UnitedHealthcare; and WellCare.

This information is provided for research purposes only. The premium rates given are before any advance tax credits are applied. Please verify premium rates and plan details on the NYSOH Marketplace or directly with the insurance carrier.

Affinity Health Plan

Customer Service: 1-866-731-8001
PLATINUM PLANS Individual Couple Individual + Child(ren) Family
AffinityAccess Platinum
HiosID: 57165NY0020001
Summary of Benefits $549.08 $1,098.16 $933.44 $1,564.88
AffinityAccess Platinum w/Pediatric Dental
HiosID: 57165NY0010001
Summary of Benefits $549.83 $1,099.66 $934.71 $1,567.02
AffinityAccess 2.0 Platinum
HiosID: 57165NY0040001
Summary of Benefits $562.68 $1,125.36 $956.56 $1,603.64
Affinity Access 2.0 Platinum w/Pediatric Dental
HiosID: 57165NY0030001
Summary of Benefits $563.43 $1,126.86 $957.83 $1,605.78
GOLD PLANS Individual Couple Individual + Child(ren) Family
AffinityAccess Gold
HiosID: 57165NY0020002
Summary of Benefits $469.44 $938.88 $789.05 $1,337.90
AffinityAccess Gold w/Pediatric Dental
HiosID: 57165NY0010002
Summary of Benefits $470.12 $940.24 $799.20 $1,339.84
AffinityAccess 2.0 Gold
HiosID: 57165NY0040002
Summary of Benefits $483.05 $966.10 $821.19 $1,376.69
AffinityAccess 2.0 Gold w/Pediatric Dental
HiosID: 57165NY0030002
Summary of Benefits $483.72 $967.44 $822.32 $1,378.32
SILVER PLANS Individual Couple Individual + Child(ren) Family
AffinityAccess Silver
HiosID: 57165NY0020003
Summary of Benefits $394.73 $789.46 $671.96 $1,124.98
AffinityAccess Silver w/Pediatric Dental
HiosID: 57165NY0010003
Summary of Benefits $395.27 $790.54 $671.96 $1,126.52
AffinityAccess 2.0 Silver
HiosID: 57165NY0040003
Summary of Benefits $408.34 $816.68 $694.18 $1,163.77
AffinityAccess 2.0 Silver w/Pediatric Dental
HiosID: 57165NY0030003
Summary of Benefits $408.88 $817.76 $695.10 $1,165.31
SILVER PLANS: CSR 200-250% FPL Individual Couple Individual + Child(ren) Family
AffinityAccess Silver 73
HiosID: 57165NY0020003
Summary of Benefits $394.73 $789.46 $671.96 $1,124.98
AffinityAccess Silver 73 w/Pediatric Dental
HiosID: 57165NY0010003
Summary of Benefits $395.27 $790.54 $671.96 $1,126.52
AffinityAccess 2.0 Silver 73
HiosID: 57165NY0040003
Summary of Benefits $408.34 $816.68 $694.18 $1,163.77
AffinityAccess 2.0 Silver 73 w/Pediatric Dental
HiosID: 57165NY0030003
  $408.88 $817.76 $695.10 $1,165.31
BRONZE PLANS Individual Couple Individual + Child(ren) Family
AffinityAccess Bronze
HiosID: 57165NY0020004
Summary of Benefits $323.65 $647.30 $550.21 $922.40
AffinityAccess Bronze w/Pediatric Dental
HiosID: 57165NY0010004
Summary of Benefits $331.96 $663.92 $564.33 $946.09
AffinityAccess 2.0 Bronze
HiosID: 57165NY0040004
Summary of Benefits $330.49 $660.98 $561.83 $941.90
AffinityAccess 2.0 Bronze w/Pediatric Dental
HiosID: 57165NY0030004
Summary of Benefits $330.75 $661.50 $562.28 $942.64
CATASTROPHIC PLANS Individual Couple Individual + Child(ren) Family
AffinityAccess Catastrophic
HiosID: 57165NY0020005
  $173.03 $346.06 $294.17 $493.16
AffinityAccess Catostrophic w/Pediatric Dental
HiosID: 57165NY0010005
  $173.04 $346.08 $294.17 $493.16


EmblemHealth

Customer Service: 1-800-223-1831
PLATINUM PLANS Individual Couple Individual + Child(ren) Family
Select Care Platinum
HiosID: 88582NY0140001
Summary of Benefits $649.25 $1,298.50 $1,103.73 $1,850.36
GOLD PLANS Individual Couple Individual + Child(ren) Family
Select Care Gold
HiosID: 88582NY0150001
Summary of Benefits $549.38 $1,098.76 $993.95 $1,565.73
SILVER PLANS Individual Couple Individual + Child(ren) Family
Select Care Silver
HiosID: 88582NY0160001
Summary of Benefits $452.77 $905.54 $769.71 $1,290.39
SILVER PLANS: CSR 200-250% FPL Individual Couple Individual + Child(ren) Family
Select Care Silver
HiosID: 88582NY0160001
  $452.77 $905.54 $769.71 $1,290.39
BRONZE PLANS Individual Couple Individual + Child(ren) Family
Select Care Bronze
HiosID: 88582NY0170001
Summary of Benefits $387.87 $775.74 $659.38 $1,105.43
CATASTROPHIC PLANS Individual Couple Individual + Child(ren) Family
Select Care Basic
HiosID: 88582NY0180001
Summary of Benefits $228.21 $456.42 $387.96 $650.40
NOTES: EmblemHealth has not provided Summary of Benefit and Coverage sheets for the Cost Sharing Reduced Silver Plans.


Empire Blue Cross Blue Shield

Customer Service: 1-855-748-1806
PLATINUM PLANS Individual Couple Individual + Child(ren) Family
Empire HMO 0 X Platinum
HiosID: 80519NY0160014
Summary of Benefits $750.76 $1,501.52 $1,276.29 $2,139.67
Empire HMO 250 X Platinum
HiosID: 80519NY0160115
Summary of Benefits $725.10 $1,450.20 $1,232.67 $2,066.54
GOLD PLANS Individual Couple Individual + Child(ren) Family
Empire HMO 600 X Gold
HiosID: 80519NY0160012
Summary of Benefits $645.66 $1,228.26 $1,097.62 $1,840.13
Empire HMO 1000 X Gold
HiosID: 80519NY0160107
Summary of Benefits $614.13 $1,228.26 $1,044.02 $1,750.27
Empire BCBS HMO 1000 X Gold, a Multi-State Plan
HiosID: 80519NY0330005
Summary of Benefits $614.53 $1,229.06 $1,044.70 $1,751.41
SILVER PLANS Individual Couple Individual + Child(ren) Family
Empire HMO 2000 X Silver
HiosID: 80519NY0160008
Summary of Benefits $553.70 $1,107.40 $941.29 $1,578.05
Empire HMO 2250 X Silver
HiosID: 80519NY0160010
Summary of Benefits $507.33 $1,014.66 $862.46 $1,445.89
Empire HMO 2750 X for HSA Silver
HiosID: 80519NY0160099
Summary of Benefits $516.11 $1,032.22 $877.39 $1,470.91
Empire BCBS HMO 2750 for HSA X Silver, a Multi-State Plan
HiosID: 80519NY0330004
Summary of Benefits $516.34 $1,032.68 $877.78 $1,471.57
SILVER PLANS: CSR 200-250% FPL Individual Couple Individual + Child(ren) Family
Empire HMO 2000 X Silver
HiosID: 80519NY0160008
Summary of Benefits $553.70 $1,107.40 $941.29 $1,578.05
Empire HMO 2250 X Silver
HiosID: 80519NY0160010
Summary of Benefits $507.33 $1,014.66 $862.46 $1,445.89
Empire HMO 2750 X Silver
HiosID: 80519NY0160099
Summary of Benefits $516.11 $1,032.22 $877.39 $1,470.91
Empire BCBS HMO 2750 X Silver, a Multi-State Plan
HiosID: 80519NY0330003
Summary of Benefits $516.34 $1,032.68 $877.78 $1,471.57
BRONZE PLANS Individual Couple Individual + Child(ren) Family
Empire HMO 4000 X for HSA Bronze
HiosID: 80519NY0160002
Summary of Benefits $443.46 $886.92 $753.88 $1,263.86
Empire HMO 5850 X Bronze
HiosID: 80519NY0160006
Summary of Benefits $435.02 $870.02 $739.17 $1,239.81
Empire HMO 6000 X Bronze
HiosID: 80519NY0160004
Summary of Benefits $437.30 $874.60 $743.41 $1,246.31
Empire HMO 5850 X Bronze, 0 PCP
HiosID: 80519NY0160118
Summary of Benefits $443.63 $887.26 $754.17 $1,264.35
CATASTROPHIC PLANS Individual Couple Individual + Child(ren) Family
Empire HMO 6850 X Catastrophic
HiosID: 80519NY0160016
Summary of Benefits $222.04 $444.08 $377.47 $632.81
HSA QUALIFIED PLANS: You can set up a pre-tax Health Savings Account (HSA) to pay for out-of-pocket health care expenses when you enroll in one of the following 2016 plans: Empire HMO 4000 X Bronze for HSA, Empire HMO 2750 X Silver for HSA or Empire BCBS HMO 2470 X Silver, a Multi-State Plan.
NOTES: I've linked to pdfs of the Summary Benefits and Coverage that I saved on my sever from here.


Fidelis Care

Customer Service: 1-888-343-3547
PLATINUM PLANS Individual Couple Individual + Child(ren) Family
Fidelis Care Platinum
HiosID: 25303NY0040001
Summary of Benefits $607.42 $1,214.84 $1,032.61 $1,731.15
GOLD PLANS Individual Couple Individual + Child(ren) Family
Fidelis Care Gold
HiosID: 25303NY0030001
Summary of Benefits $499.83 $999.66 $849.71 $1,424.52
SILVER PLANS Individual Couple Individual + Child(ren) Family
Fidelis Care Silver
HiosID: 25303NY0020001
Summary of Benefits $408.04 $816.08 $693.67 $1,162.91
SILVER PLANS: CSR 200-250% FPL Individual Couple Individual + Child(ren) Family
Fidelis Care Silver
HiosID: 25303NY0020001
Summary of Benefits $408.04 $816.08 $693.67 $1,162.91
BRONZE PLANS Individual Couple Individual + Child(ren) Family
Fidelis Care Bronze
HiosID: 25303NY0010001
Summary of Benefits $324.45 $648.90 $551.57 $924.68
CATASTROPHIC PLANS Individual Couple Individual + Child(ren) Family
Fidelis Care Catastrophic
HiosID: 25303NY0090001
Summary of Benefits $176.89 $353.78 $300.71 $504.14


MVP Health Plan

Customer Service: 1-800-825-5687
PLATINUM PLANS Individual Couple Individual + Child(ren) Family
Premier Platinum
HiosID: 56184NY0140016
Summary of Benefits $667.06 $1,334.12 $1,134.00 $1,901.12
Premier Plus Platinum 1
HiosID: 56184NY0150019
Summary of Benefits $647.34 $1,294.68 $1,100.48 $1,844.92
Premier Plus Platinum 2
HiosID: 56184NY0150020
Summary of Benefits $653.41 $1,306.82 $1,110.80 $1,862.22
GOLD PLANS Individual Couple Individual + Child(ren) Family
Premier Gold
HiosID: 56184NY0140014
Summary of Benefits $573.27 $1,146.54 $974.56 $1,633.82
Premier Plus Gold 1
HiosID: 56184NY0150018
Summary of Benefits $549.75 $1,099.50 $934.58 $1,566.79
Premier Plus HDHP Gold 2
HiosID: 56184NY0200009
Summary of Benefits $531.91 $1,063.82 $904.25 $1,515.94
SILVER PLANS Individual Couple Individual + Child(ren) Family
Premier Silver
HiosID: 56184NY0140012
Summary of Benefits $487.62 $975.24 $828.95 $1,389.72
Premier Plus Silver 1
HiosID: 56184NY0150016
Summary of Benefits $487.62 $974.84 $828.61 $1,389.16
Premier Plus Silver 2
HiosID: 56184NY0150017
Summary of Benefits $431.57 $863.14 $733.67 $1,229.97
Premier Plus HDHP Silver 3
HiosID: 56184NY0200008
Summary of Benefits $459.82 $919.64 $781.69 $1,310.49
SILVER PLANS: CSR 200-250% FPL Individual Couple Individual + Child(ren) Family
Premier Silver
HiosID: 56184NY0140012
Summary of Benefits $487.62 $975.24 $828.95 $1,389.72
Premier Plus Silver 1
HiosID: 56184NY0150016
Summary of Benefits $487.62 $974.84 $828.61 $1,389.16
Premier Plus Silver 2
HiosID: 56184NY0150017
Summary of Benefits $431.57 $863.14 $733.67 $1,229.97
Premier Plus HDHP Silver 3
HiosID: 56184NY0200008
Summary of Benefits $459.82 $919.64 $781.69 $1,310.49
BRONZE PLANS Individual Couple Individual + Child(ren) Family
Premier HDHP Bronze 1
HiosID: 56184NY0140010
Summary of Benefits $389.96 $779.92 $662.93 $1,111.39
Premier Plus Bronze 1
HiosID: 56184NY0150021
Summary of Benefits $396.32 $792.64 $673.74 $1,129.51
Premier Plus Bronze 2
HiosID: 56184NY0150015
Summary of Benefits $369.11 $738.22 $627.49 $1,051.69
Premier Plus HDHP Bronze 3
HiosID: 56184NY0200007
Summary of Benefits $379.80 $759.60 $645.66 $1,082.43
Premier Bronze 2
HiosID: 56184NY0140030
Summary of Benefits $382.06 $764.12 $649.50 $1,088.87
CATASTROPHIC PLANS Individual Couple Individual + Child(ren) Family
Secure Catastrophic
HiosID: 56184NY0220002
Summary of Benefits $231.30 $462.60 $393.21 $659.21
HSA QUALIFIED PLANS: You can set up a pre-tax Health Savings Account (HSA) to pay for out-of-pocket health care expenses when you enroll in one of the following plans: Premier HDHP Bronze 1, Premier Plus HDHP Bronze 3, Premier Plus HDHP Silver 3 or Premier Plus HDHP Gold 2.


Oscar Health

Customer Service: 1-855-672-2769
PLATINUM PLANS Individual Couple Individual + Child(ren) Family
Oscar Market Platinum
HiosID: 74289NY0010001
Summary of Benefits $637.67 $1,275.34 $1,084.04 $1,817.36
Oscar Classic Platinum
HiosID: 74289NY0020001
Summary of Benefits $649.56 $1,299.12 $1,104.25 $1,851.25
Oscar Simple Platinum
HiosID: 74289NY0410001
Summary of Benefits $627.11 $1,254.22 $1,066.09 $1,787.26
Oscar Simple+ Platinum
HiosID: 74289NY0660001
Summary of Benefits $627.41 $1,254.82 $1,066.60 $1,788.12
GOLD PLANS Individual Couple Individual + Child(ren) Family
Oscar Market Gold
HiosID: 74289NY0030001
Summary of Benefits $556.63 $1,113.26 $940.29 $1,576.36
Oscar Classic Gold
HiosID: 74289NY0040001
Summary of Benefits $553.11 $1,106.22 $940.29 $,576.36
Oscar Simple Gold
HiosID: 74289NY0540001
Summary of Benefits $523.98 $1,047.96 $890.77 $1,493.34
Oscar Simple+ Gold
HiosID: 74289NY0650001
Summary of Benefits $529.34 $1,058.68 $899.88 $1,508.62
SILVER PLANS Region 4 Region 8
Oscar Market Silver
HiosID: 74289NY0050001
Summary of Benefits $466.68 $933.36 $793.36 $1,330.04
2016 - Oscar Classic Silver
HiosID: 74289NY0060001
Summary of Benefits $430.65 $430.65
Oscar Simple Silver
HiosID: 74289NY0500001
Summary of Benefits $430.44 $860.88 $731.75 $1,226.75
Oscar Simple+ Silver
HiosID: 74289NY0640001
Summary of Benefits $442.25 $884.50 $751.83 $1,260.41
SILVER PLANS: CSR 200-250% FPL Individual Couple Individual + Child(ren) Family
Oscar Market Silver
HiosID: 74289NY0050001
Summary of Benefits $466.68 $933.36 $793.36 $1,330.04
Oscar Classic Silver
HiosID: 74289NY0060001
Summary of Benefits $430.65 $861.30 $732.11 $1,227.35
Oscar Simple Silver
HiosID: 74289NY0500001
Summary of Benefits $430.44 $860.88 $731.75 $1,226.75
Oscar Simple+ Silver
HiosID: 74289NY0640001
Summary of Benefits $442.25 $884.50 $751.83 $1,260.41
BRONZE PLANS Individual Couple Individual + Child(ren) Family
Oscar Market Bronze
HiosID: 74289NY0080001
Summary of Benefits $373.89 $747.78 $635.61 $1,065.59
Oscar Classic Bronze
HiosID: 74289NY0100001
Summary of Benefits $360.30 $720.60 $612.51 $1,026.86
Oscar Simple Bronze
HiosID: 74289NY0520001
Summary of Benefits $361.86 $723.72 $615.16 $1,031.30
CATASTROPHIC PLANS Individual Couple Individual + Child(ren) Family
Oscar Market Secure
HiosID: 74289NY0160001
Summary of Benefits $125.47 $250.94 $213.30 $357.59
PROVIDER NETWORK NOTES: In 2016 New York-Presbyterian, New York Methodist and Weill Cornell Medical Center will no longer participate with Oscar. Check out the 2016 Participating Hospital List.


UnitedHealthcare

Customer Service: 1-877-856-2429
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PLATINUM PLANS Individual Couple Individual + Child(ren) Family
UnitedHealthcare Compass Platinum
HiosID: 54235NY0010001
Summary of Benefits $773.67 $1,547.34 $1,315.24 $2,204.96
GOLD PLANS Individual Couple Individual + Child(ren) Family
United Healthcare Compass Gold
HiosID: 54235NY0010003
Summary of Benefits $655.59 $1,311.18 $1,114.50 $1,868.4
SILVER PLANS Individual Couple Individual + Child(ren) Family
UnitedHealthcare Compass Silver
HiosID: 54235NY0010005
Summary of Benefits $555.39 $1,110.78 $944.16 $1582.86
UnitedHealthcare Compass Silver Non-Standard
HiosID: 54235NY0010030
Summary of Benefits $573.52 $1,147.04 $974.98 $1,634.53
SILVER PLANS: CSR 200-250% FPL Individual Couple Individual + Child(ren) Family
UnitedHealthcare Compass Silver
HiosID: 54235NY0010005
Summary of Benefits $555.39 $1,110.78 $944.16 $1582.86
UnitedHealthcare Compass Silver Non-Standard
HiosID: 54235NY0010030
Summary of Benefits $573.52 $1,147.04 $974.98 $1,634.53
BRONZE PLANS Individual Couple Individual + Child(ren) Family
UnitedHealthcare Compass Bronze
HiosID: 54235NY0010013
Summary of Benefits $452.56 $905.12 $769.35 $1,289.80
UnitedHealthcare Compass Bronze HSA Non-Standard
HiosID: 54235NY0010033
Summary of Benefits $453.61 $907.22 $771.14 $1,292.79
CATASTROPHIC PLANS Individual Couple Individual + Child(ren) Family
UnitedHealthcare Catastrophic Compass
HiosID: 54235NY0010015
Summary of Benefits $277.51 $555.02 $471.77 $790.90
HSA QUALIFIED PLANS: You can set up a pre-tax Health Savings Account (HSA) to pay for out-of-pocket health care expenses when you enroll in one of the following 2016 plans: UnitedHealthcare Compass Bronze HSA Non-Standard.


WellCare

Customer Service: 1-855-582-6172
PLATINUM PLANS Individual Couple Individual + Child(ren) Family
WellCare Platinum Standard
HiosId: 39595NY0010005
Summary of Benefits $647.25 $1,294.50 $1,100.33 $1,844.66
GOLD PLANS Individual Couple Individual + Child(ren) Family
WellCare Gold Standard
HiosId: 39595NY0010004
Summary of Benefits $553.43 $1,106.86 $940.83 $1,577.28
SILVER PLANS Individual Couple Individual + Child(ren) Family
WellCare Silver Standard
HiosId: 39595NY0010003
Summary of Benefits $471.74 $943.48 $801.96 $1,334.46
WellCare Silver Non-Standard w/Dental
HiosId: 39595NY0010020
Summary of Benefits $480.12 $960.24 $816.20 $1,368.34
SILVER PLANS: CSR 200-250% FPL Individual Couple Individual + Child(ren) Family
WellCare Silver Standard
HiosId: 39595NY0010003
Summary of Benefits $471.74 $943.48 $801.96 $1,334.46
WellCare Silver Non-Standard w/Dental
HiosId: 39595NY0010020
Summary of Benefits $480.12 $960.24 $816.20 $1,368.34
BRONZE PLANS Individual Couple Individual + Child(ren) Family
WellCare Bronze Standard
HiosId: 39595NY0010002
Summary of Benefits $392.82 $785.64 $667.79 $1,119.54
WellCare Bronze Non-Standard w/Dental
HiosId: 39595NY0010017
Summary of Benefits $433.94 $867.88 $737.70 $1,236.73
CATASTROPHIC PLANS Individual Couple Individual + Child(ren) Family
WellCare Catastrophic
HiosId: 39595NY0010001
Summary of Benefits $182.66 $365.66 $310.52 $520.58