Learn how recent changes could impact your Medicaid, Essential Plan or Child Health Plus coverage. We are here to help connect you with the information you need to stay covered.
How Recent Changes Impact Renewals in NY State
For the past several years, coverage has been auto-renewed for most members because NY State of Health has not required you to renew your Medicaid Managed Care, Essential Plan or Child Health Plus eligibility, regardless of changes in your eligibility status.
Going forward, you will need to renew your eligibility once a year through NY State of Health or your county Medicaid office. Be sure to complete your renewal when you are notified. There is a possibility that you may no longer be eligible for your current coverage, but we can help complete your renewal and understand your other coverage options.
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Prepare For Your Coverage Renewal
Check if NY State of Health has your current mailing address and contact information. If your information has changed, contact NY State of Health to update it. If you are a Medicaid member who enrolled through your county’s Medicaid office, you will need to contact your local office to update your mailing address and contact information. Then you will not miss important notices about your health coverage or your renewal letter.
What Your Renewal Looks Like
When it is time for you to renew, you will receive a notice from the state telling you what you need to do. Please follow the steps to renew quickly.
You can renew the same way you enrolled. If you enrolled with one of our Marketplace Facilitated Enrollers, an IPA Navigator, a Certified Application Counselor or through the NY State of Health Marketplace, you can renew online, in person or by phone. If you are a Medicaid member who enrolled through your county’s Medicaid office, you will need to contact your local office to renew.
Updating Your Info in NY State of Health
A renewal is a yearly review completed by NY State of Health or your county Medicaid office to check if you are still eligible for coverage. Going forward, you will have to renew your coverage every year to keep it. Missing your renewal deadline, incomplete paperwork, or forgetting a step in the renewal process all put you at risk of losing coverage. But we are here to help you every step of the way.
If you have had a change in income, age, or other qualifying factors, it is possible you will no longer qualify for your current coverage. The only way to know for sure is to complete your renewal on time.
When it is time for you to renew, you will receive a notice telling you what you need to do. Please follow the steps to renew quickly. If you have questions, call us at 1-877-827-6033 (TTY 711). Depending on your location, you can also visit a Resource Center where our staff can assist you in person.
No, not at all. No one can ever charge you a fee to renew your health insurance in Medicaid, Child Health Plus, or the Essential Plan. Government agencies will never threaten you, demand you pay money, or ask for credit information, in a text message or phone call.
If you suspect fraud or are a victim of a scam, refer to this NY State of Health consumer alert.
We offer free, no-cost renewal assistance through our Marketplace Facilitated Enrollers and at our Resource Center.
If you have not received a renewal notice, you can contact NY State of Health at 1-855-355-5777 (TTY 711) to make sure they have your correct contact information. If you are a Medicaid member who enrolled through your county’s Medicaid office, you will need to contact your local office. Call us at 1-877-827-6033 (TTY 711) and we can help you with determining your renewal date and completing your renewal.
You are all set. You can disregard the notice. It is possible that you renewed while the notice was on its way to you in the mail.
The most important thing you need to do is keep your address current with NY State of Health or your county Medicaid office. Medicaid, Essential Plan and Child Health Plus mail cannot be forwarded. You must update your address, or you will not receive your renewal notice.
Some people may be auto renewed. If you were auto renewed, you should receive a letter from NY State of Health. You can make renewing your coverage easier and reduce your risk of a coverage gap by going into your NY State of Health online application, in the “Terms, Rights & Responsibilities” section, and marking the “yes” box next to the question asking you to allow them to renew your coverage automatically for up to 5 years.
You will have to reapply the same way you originally enrolled. If you enrolled with one of our Marketplace Facilitated Enrollers, an IPA Navigator, a Certified Application Counselor or through the NY State of Health Marketplace, you can reapply online, in person or by phone. If you are a Medicaid member who enrolled through your county’s Medicaid office, you will need to contact your local office to reapply.
If you do not have access to health coverage through your work, are under age 65, and lost your coverage due to a change in income or family size, you may be eligible for one of our other free or low-cost plans. Our plans will give you access to your doctors and the benefits you care most about.
If after completing your renewal you are no longer eligible for your current coverage, we can guide you through the application and help you enroll in other coverage.
We can guide you through the application process and help you find a plan that fits your needs and budget. This will help ensure you do not have a gap in health coverage for you and your family.
If you no longer qualify for coverage after going through the renewal process, but are currently employed, you may have access to health insurance coverage through your company. You may be eligible for a special enrollment period. You typically have 30 days from the date you lose coverage to enroll in an employer-sponsored plan. Contact your employer to explore your options.
Renew Scripts and Styles