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Health Republic

Website: healthrepublicny.org  
Customer Service: 888-990-5702 Mon. - Fri. 8:30am to 5:30pm
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Counties Served

Note:

Health Republic will not be participating on the NYSOH Exchange in 2016. All 2015 plans will be terminated on November 30th, 2015. More Info

Health Plans for Individuals & Families on NY State of Health

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 Health Republic.

For ease of presentation, the chart shows the individual premium for each rating region. To calculate the couple rate, multiply by 2; individual plus child(ren) rate, multiply by 1.7; and for the family rate, multiply by 2.85.

PLATINUM PLANS Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Region 8
2015 - EssentialCare Platinum Summary of Benefits $455.74 $405.61 $511.95 $588.92 $419.37 $392.00 $430.92 $588.92
2015 - PrimarySelect Platinum Summary of Benefits $436.91 $388.85 $490.80 $564.59 $402.05 $375.00 $413.11 $564.59
GOLD PLANS Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Region 8
2015 - EssentialCare Gold Summary of Benefits $387.61 $344.97 $435.41 $500.87 $356.68 $333.40 $366.50 $500.87
2015 - PrimarySelect Gold Summary of Benefits $387.31 $344.70 $435.08 $500.49 $356.40 $333.14 $355.21 $500.49
2015 - TotalIndependence Gold Summary of Benefits $346.99 $308.81 $389.78 $448.38 $319.30 $298.46 $328.09 $448.38
SILVER PLANS Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Region 8
2015 - EssentialCare Silver Summary of Benefits $331.71 $295.22 $372.62 $428.64 $305.24 $285.32 $313.64 $428.64
2015 - PrimarySelect Silver Summary of Benefits $331.49 $295.03 $372.38 $428.36 $305.04 $285.13 $313.44 $428.36
2015 - Primary Select PCHM Summary of Benefits n/a n/a n/a $404.16 n/a n/a $295.73 $404.16
2015 - TotalIndependence Silver Summary of Benefits $294.10 $261.75 $330.37 $380.04 $270.63 $252.97 $278.08 $380.04
SILVER PLANS: CSR 200-250% FPL Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Region 8
2015 EssentialCare Silver   $331.71 $295.22 $372.62 $428.64 $305.24 $285.32 $313.64 $428.64
2015 - PrimarySelect Silver   $331.49 $295.03 $372.38 $428.36 $305.04 $285.13 $313.44 $428.36
2015 - Primary Select PCHM   n/a n/a n/a $404.16 n/a n/a $295.73 $404.16
2015 - TotalIndependence Silver   $294.10 $261.75 $330.37 $380.04 $270.63 $252.97 $278.08 $380.04
SILVER PLANS: CSR 150-200% FPL Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Region 8
2015 - EssentialCare Silver   $331.71 $295.22 $372.62 $428.64 $305.24 $285.32 $313.64 $428.64
2015 - PrimarySelect Silver   $331.49 $295.03 $372.38 $428.36 $305.04 $285.13 $313.44 $428.36
2015 - Primary Select PCHM   n/a n/a n/a $404.16 n/a n/a $295.73 $404.16
2015 - TotalIndependence Silver   $294.10 $261.75 $330.37 $380.04 $270.63 $252.97 $278.08 $380.04
SILVER PLANS: CSR 100-150% FPL Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Region 8
2015 - EssentialCare Silver   $331.71 $295.22 $372.62 $428.64 $305.24 $285.32 $313.64 $428.64
2015 - PrimarySelect Silver   $331.49 $295.03 $372.38 $428.36 $305.04 $285.13 $313.44 $428.36
2015 - Primary Select PCHM   n/a n/a n/a $404.16 n/a n/a $295.73 $404.16
2015 - TotalIndependence Silver   $294.10 $261.75 $330.37 $380.04 $270.63 $252.97 $278.08 $380.04
BRONZE PLANS Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Region 8
2015 - EssentialCare Bronze Summary of Benefits $271.36 $241.51 $304.83 $350.66 $249.71 $233.41 $256.58 $350.66
2015 - Primary Select Bronze Summary of Benefits $304.41 $270.92 $341.96 $393.36 $280.12 $261.83 $287.83 $393.36
2015 - TotalIndependence Bronze Summary of Benefits $258.17 $229.77 $290.01 $333.61 $237.57 $222.06 $244.11 $333.61
CATASTROPHIC PLANS Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Region 8
2015 - EssentialCare Catastrophic Summary of Benefits $142.55 $126.87 $160.13 $184.20 $131.17 $122.61 $134.78 $184.20
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 the Essential Bronze Plan.
PROVIDER NETWORK NOTES: Here are some links to additional information regarding Health Republic's MagnaCare Extra Network
NOTES: The 2014 Primary Select EPO Silver Plan is only available in Nassau, Queens, New York, Bronx, Westchester, Essex, and Hamilton counties.

The 2015 Primary Select PCMH Plan is only available in Bronx, Essex, Hamilton, Kings, Nassau, New York, Queens, Richmond, Rockland, Suffolk and Westchester counties.

In 2014, Health Republic combined the Summary of Benefits for all metal tiers into one pdf file - just scroll down until you find the appropriate plan. Health Republic has not provided Summary of Benefits and Coverage pdfs for the Cost Sharing Reduced Silver Plans or the Catastrophic Plan.

This document shows the cost sharing structure for the EssentialCare Silver CSR Plans and the Catastophic Plan.

Contact Health Republic for the cost sharing structure of the CSR PrimarySelect Silver Plan and CSR PrimarySelect EPO Silver Plan Variations.