Atlantis Healthy NY plan
Atlantis Healthy NY plan
Atlantis Healthy NY plan
Atlantis Health Plan is a subsidy of Atlantis Health System. Atlantis Health Systems is a holding company governed by health care providers in the state of New York. It was founded in 1995. After that, Atlantis Health plan was born. Its foundation can be attributed to 12 physicians - the 12 founding physicians. Their goal is to "advance the cost-effective delivery of high quality health care in New York City by harnessing the skill, experience and knowledge of health care professionals at every step of the health care management and delivery process, and to recreate the health care partnership that once existed between the patient and the professional."
One of the plans they offer is Healthy NY. If you're wondering what Healthy NY is about, it is a state-run health insurance program established to help New Yorkers who are having a hard time acquiring a health coverage.
But unfortunately Healthy NY is not available to just anyone. You must meet the eligibility guidelines so you could apply.
You should be currently residing in New York.
You must be ineligible for Medicare;
Your total gross household income should fall within the limit of the Healthy NY program;
You must currently be a sole-proprietor or an employee on a full-time, part-time or periodic basis;
You must be uninsured for the past 12 months except for some qualifying reasons (see below)
You must have no health insurance benefits from your employer
Reasons that can qualify you to apply:
Losing your employment
Transferring to a new employer
Death of a family member
Change of residence
Discontinuing a group health insurance
End of your COBRA
Change in marital status
Losing eligibility to a group plan
Reaching the limit as a dependent
Here is a summary of the Healthy NY benefits:
Physician services; includes referral, diagnostic, treatment
Surgical services (including breast reconstruction surgery after a mastectomy) and anesthesia
Inpatient hospitalization including room and board, general nursing care, special diets,
and other hospital services and supplies
Outpatient hospitalization including diagnostic and treatment services and surgical facility charges
Pre-admission testing
Emergency services (ambulance not covered)
Second opinion for surgery and cancer treatment
Post-surgery or post-hospitalization home health care, up to 40 visits per calendar year
Post-surgery or post-hospitalization physical therapy, up to 30 visits per calendar year
Adult preventive services including mammogram, Pap test, prostate cancer screening,
physical examinations no more than once every three years, and adult immunizations
Prenatal care, well-child visits, and children's immunizations
Diabetic supplies, equipment, and self-management education
Diagnostic, X-ray, and laboratory services
Radiation therapy, chemotherapy, and dialysis
Blood and blood products provided with surgery or inpatient hospitalization
Atlantis offers 4 Healthy New York plans -
Atlantis Healthy NY HMO 1 (without prescription coverage) - Premiums cost $294.15
Atlantis Healthy NY HMO 2 (with prescription coverage) - Premiums cost 333.67
Atlantis Healthy NY High Deductible Health Plan 1 (without prescription coverage) - Premiums cost $228.90
Atlantis Healthy NY High Deductible Health Plan 2 (with prescription coverage) - Premiums cost $263.38
*Healthy NY rates increase annually.
Don't expect Healthy NY to cover everything because it's comprehensive. There are some services that is not included in the benefit package such as:
Mental care treatment and services
Alcohol and substance abuse treatment and services
Chiropractic
Physical therapy
Home health care
Hospice
Ambulance
Dental care, vision and hearing aids
Treatment outside New York unless it's an emergency
For queries and additional information regarding the Atlantis Healthy NY just visit the Atlantis Health Plan website.
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