On Tuesday, August 20, 2013, the New York State Health Benefit Exchange announced that MetroPlus Health Plan was approved as a participating Qualified Health Plan (QHP). They also announced that the Exchange will now be called the New York State of Health: The Official Health Plan Marketplace (www.nystateofhealth.ny.gov). Below are several frequently asked questions (FAQ) that will provide guidance on several topics around the New York State of Health and what it means to the residents of New York. To read more, visit http://www.metroplus.org/MarketPlus/Exchange-Plans-FAQ

1. What do individuals need to do to get ready for 2014?
*Beginning 2014, all individuals will be required to have health insurance, with a few exceptions.
The following is a list of things you can do to make sure you are ready:
 Educate yourself on the different types of health coverage being offered (through an employer,
insurance carrier, or exchange)
 Find out if your employer will offer coverage or if you need to purchase an individual plan.
 Are you under age 26? You may be able to stay on a parent’s health plan until you reach age
26. There will be an option to purchase riders to extend coverage through age 29.
 Understand how deductibles, copayments, and coinsurance work.
 Gather information on your household income – can you qualify for a subsidy or cost-sharing
reduction or other government program (Medicare/Medicaid)?
 Set your budget. Larger premiums usually mean lower out-of-pocket costs for prescription
drugs, office visits, and procedures, and vice versa. How much of a premium can you afford, and
how much can you spend out of pocket for Deductibles, Coinsurance, and Copayments?
 Individuals and small groups should consider renewing early (December 1). Please check with
your sales representative for details. The Exchange will process the renewals, but MetroPlus is
here to help.
*Please visit healthcare.gov to find out if you can be excluded from the health insurance requirement.
To read more, visit http://www.metroplus.org/MarketPlus/Exchange-Plans-FAQ