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1-888-669-3911
(TTY 711)

Univera Healthcare
For help understanding your options, call us at
1-888-291-8668 (TTY 711)

What is changing?

Everyone’s situation is different. Based on your income and family size, you may be able to get:
If you are enrolled in Essential Plan 200-250
  • Your Essential Plan coverage will end on June 30, 2026
  • This change is due to a change in federal law
  • This change affects people across New York state
If you are enrolled in Essential Plan 200-250
  • Your Essential Plan coverage will end on June 30, 2026.
  • This change is due to a change in federal law
  • This change affects people across New York state
If you are pregnant or were pregnant in the last 12 months

You may be able to:

NY State of Health will decide what you qualify for based on your due date and immigration status. We can help explain what this means for you.

If you are enrolled in Essential Plan 200-250
  • Your Essential Plan coverage will end on June 30, 2026
  • This change is due to a change in federal law
  • This change affects people across New York state
If you are pregnant or were pregnant in the last 12 months

You may be able to:

NY State of Health will decide what you qualify for based on your due date and immigration status. We can help explain what this means for you.

Learn about your options

Everyone’s situation is different. Based on your income and family size, you may be able to get:

A Qualified Health Plan (QHP) through NY State of Health with possible financial help

Compare Individual PlansOpens in a new window.

Medicaid, including pregnancy or postpartum coverage

Learn MoreOpens in a new window.

Health insurance through your job if your employer offers it

 

Essential Plan 1 or 2 if your household size or income changed

Learn MoreOpens in a new window.

A Qualified Health Plan (QHP) through NY State of Health with possible financial help

Compare Individual PlansOpens in a new window.

Medicaid, including pregnancy or postpartum coverage

Learn MoreOpens in a new window.

Health insurance through your job if your employer offers it

 

Essential Plan 1 or 2 if your household size or income changed

Learn MoreOpens in a new window.
There is no requirement to enroll in a plan with us. We are here to help you understand your choices so you can decide what is best for you.

What to do before June 30, 2026

Make sure NY State of Health has your correct address and phone number.

✔Make sure NY State of Health has your correct address and phone number.

✔Make sure NY State of Health has your correct address and phone number.

If you are enrolled with a broker, Marketplace Facilitated Enroller, an IPA Navigator, a certified application counselor or though the NY State of Health Marketplace, you can enroll in new coverage online, in person or by phone.
✔If you are enrolled with a broker, Marketplace Facilitated Enroller, an IPA Navigator, a certified application counselor or though the NY State of Health Marketplace, you can enroll in new coverage online, in person or by phone.

Use your current coverage for free preventive care, like:

  • Checkups
  • Screenings
  • Vaccines
  • Dental cleanings
  • Eye exams

✔Use your current coverage for free preventive care, like:

  • Checkups
  • Screenings
  • Vaccines
  • Dental cleanings
  • Eye exams
Contact us at 1-888-291-8668 (TTY 711) if you want help understanding your options. Please do not call the number on the back of your card.
✔Contact us at 1-888-291-8668 (TTY 711) if you want help understanding your options. Please do not call the number on the back of your card.

What to do after June 30, 2026

You will have 60 days after your coverage ends to sign up for new coverage
✔You will have 60 days after your coverage ends to sign up for new coverage

If you miss that time, the next chance to enroll is Open Enrollment starting November 1, 2026 ​

✔If you miss that time, the next chance to enroll is Open Enrollment starting November 1, 2026 ​

You may be able to enroll sooner if you have a life change, like pregnancy or getting married or divorced
✔You may be able to enroll sooner if you have a life change, like pregnancy or getting married or divorced

We are right here for you when you are ready to talk

You do not have to go through this alone. Our team can help you:

  • Understand letters from NY State of Health
  • Know important dates and deadlines
  • See if you qualify for financial assistance to lower your monthly premium
  • Enroll in a new plan
  • Answer questions about pregnancy, Medicaid or other plans

You can meet by phone, online, or in person in some areas.

We know this is a difficult change. We care about helping you understand what comes next. When you are ready, we are here to answer questions, explain your options and support you in any way we can.

 

Call

1-888-291-8668 (TTY 711)

Email

to schedule an appointment with one of our Facilitated Enrollers (virtual or in person in select counties).

Visit

Stop by an Univera Healthcare Resource Center (where available)

Help for members losing health insurance

✔ Help may be available for medical, dental, mental and behavioral health and prescription drugs

✔ Services can be free or based on your income

✔ Availability and wait times can vary

Help with medical, dental and behavioral health services

Community Health Centers (FQHCs)
These clinics help people who do not have insurance or have low income.

  • You can still get care even without insurance
  • You pay based on what you can afford
  • You can find them in many cities and rural areas of New York
Find a health centerOpens in a new window.

Services offered may include:

  • Regular doctor visits and checkups
  • Care for children
  • Mental health counseling
  • Dental care (cleanings, fillings, etc.)
  • Women’s health services (OB/GYN)
  • Pregnancy and newborn care
  • Testing for HIV, STDs and hepatitis C

Other Help Options

  • 988 Crisis Line: Call or text 988 for free, private mental health or emotional support anytime (24/7), regardless of immigration status or ability to pay

  • 211: Help with food, housing, utilities, elder care, mental health, substance use, transportation and more.

  • County Department of Health Services: Contact your county health department to see available medical services.

  • County Mental Health Services: Contact your local county office for free or low cost clinics.

  • State Cancer Services Program: Offers breast, cervical and colorectal cancer screenings and diagnostic services.

  • CHAMP Helpline: Help with insurance issues and finding care. Call 1-888-614-5400 (TTY 711)

  • SAMHSA Treatment Locator: Find free or low cost mental health and substance use services.


If you are enrolled in Essential Plan 200-250
  • Your Essential Plan coverage will end on June 30, 2026.
  • This change is due to a change in federal law
  • This change affects people across New York state
Help with medical, dental and behavioral health services

Community Health Centers (FQHCs)
These clinics help people who do not have insurance or have low income.

  • You can still get care even without insurance
  • You pay based on what you can afford
  • You can find them in many cities and rural areas of New York
Find a health centerOpens in a new window.

Services offered may include:

  • Regular doctor visits and checkups
  • Care for children
  • Mental health counseling
  • Dental care (cleanings, fillings, etc.)
  • Women’s health services (OB/GYN)
  • Pregnancy and newborn care
  • Testing for HIV, STDs and hepatitis C

Other Help Options

  • 988 Crisis Line: Call or text 988 for free, private mental health or emotional support anytime (24/7), regardless of immigration status or ability to pay
  • 211 : Help with food, housing, utilities, elder care, mental health, substance use, transportation and more.
  • County Mental Health Services: Contact your local county office for free or low cost clinics.
  • CHAMP Helpline: Help with insurance issues and finding care. Call 1-888-614-5400 (TTY 711)
  • SAMHSA Treatment Locator : Find free or low cost mental health and substance use services.

 

Help paying for prescription drugs

If you do not have insurance, these programs can help lower prescription costs at most major pharmacies including CVS, Walmart and Walgreens.

Discount Programs

  • New York Rx Card: Free for all residents. Save up to 80% on generic drugs.
  • Cost Saving Apps: Compare prices and use coupons at pharmacies.
GoodRxOpens in a new window.SingleCareOpens in a new window.

Other Help Options

  • Patient Assistance Programs: Find free or low cost medicines.
RxAssistOpens in a new window.NeedyMedsOpens in a new window.

 

If you are enrolled in Essential Plan 200-250
  • Your Essential Plan coverage will end on June 30, 2026.
  • This change is due to a change in federal law
  • This change affects people across New York state
Help with medical, dental and behavioral health services

Community Health Centers (FQHCs)
These clinics help people who do not have insurance or have low income.

  • You can still get care even without insurance
  • You pay based on what you can afford
  • You can find them in many cities and rural areas of New York
Find a health centerOpens in a new window.

Services offered may include:

  • Regular doctor visits and checkups
  • Care for children
  • Mental health counseling
  • Dental care (cleanings, fillings, etc.)
  • Women’s health services (OB/GYN)
  • Pregnancy and newborn care
  • Testing for HIV, STDs and hepatitis C
     

Other Help Options

  • 988 Crisis Line: Call or text 988 for free, private mental health or emotional support anytime (24/7), regardless of immigration status or ability to pay
     
  • 211: Help with food, housing, utilities, elder care, mental health, substance use, transportation and more.
     
  • County Department of Health Services: Contact your county health department to see available medical services.
     
  • County Mental Health Services: Contact your local county office for free or low cost clinics.
     
  • State Cancer Services Program: Offers breast, cervical and colorectal cancer screenings and diagnostic services.
     
  • CHAMP Helpline: Help with insurance issues and finding care. Call 1-888-614-5400 (TTY 711)
     
  • SAMHSA Treatment Locator: Find free or low cost mental health and substance use services.

 

Help paying for prescription drugs

If you do not have insurance, these programs can help lower prescription costs at most major pharmacies including CVS, Walmart and Walgreens.

Discount Programs

  • New York Rx Card : Free for all residents. Save up to 80% on generic drugs.
  • Cost Saving Apps: Compare prices and use coupons at pharmacies.
GoodRxOpens in a new window.SingleCareOpens in a new window.

Other Help Options

  • Patient Assistance Programs: Find free or low cost medicines.
RxAssistOpens in a new window.NeedyMedsOpens in a new window.

 

Common Questions & Helpful Resources

Why is my Essential Plan coverage ending?

NY State of Health is ending the Essential Plan 200–250 on July 1, 2026, because of changes to federal law.

Should I call Univera Healthcare with questions?

Yes. Please do not call the number on your ID card. Call our dedicated number instead: 1-888-291-8668 (TTY 711).

Our agents can help you:

  • Choose a new health plan
  • Set up a virtual or in person appointment with a Facilitated Enroller (available in select counties)

Will my benefits change when I switch to a QHP?

Yes, there will be some changes.

  • Non-standard QHPs include coverage for adult vision exams, eyewear and preventive and routine dental
  • Standard QHPs do not include dental or vision coverage
  • One of our stand-alone dental plans can complement a standard QHP

What if I am pregnant and have a Postpartum Save Date (PPSD)?

NY State of Health will keep your Essential Plan coverage. Coverage lasts through the end of your PPSD, if your due date is within 6 months. You may still choose to switch to Medicaid.

What if I am pregnant and my due date is more than 6 months away?

NY State of Health will transition you to Medicaid coverage.

Will I get help paying my monthly premium?

Most former Essential Plan 200–250 members should qualify for tax credits that significantly lower monthly premiums.

What if I cannot afford a QHP?

We understand this can be difficult. If your employer offers health insurance, that may be an option. Contact your employer to learn more.

What if I did not get a notice that my coverage is ending?

Call NY State of Health to confirm your contact information:

  • 1-855-355-5777
  • TTY: 1-800-662-1220

Important notes:

  • Members who enrolled after April 1, 2026, may not receive a notice

What if I moved?

You must update your address with NY State of Health. Essential Plan mail cannot be forwarded. If your address is not current, you may miss important notices.

I missed the deadline and lost coverage. What can I do?

You will need to wait for Open Enrollment, starting November 1, 2026, with coverage beginning January 1, 2027.

You may be able to enroll sooner if you have a qualifying life event, such as:

  • Pregnancy or having a baby
  • Marriage or divorce
  • Moving
  • Losing employer coverage
  • Aging off a parent’s plan

If I am working, can I get insurance through my job?

Possibly. Many employers offer health insurance. Contact your employer to check your options.

What if I am a DACA (Deferred Action for Childhood Arrivals) enrollee?

Pregnant DACA members will move to Medicaid. Non pregnant DACA members will no longer qualify for NY State of Health coverage unless they qualify for Medicaid by income. Contact us at 1-888-291-8668 (TTY 711) for help checking eligibility.

Updating your information at NY State of Health

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