As an Anthem Blue Cross and Blue Shield HP Essential Plan member in New York, you get many benefits with little to no costs or copays.
You or your child(ren) may be eligible for the Essential Plan through Anthem if you:
Are between the ages of 19 and 64.
Live in the Bronx, Brooklyn (Kings), Manhattan (New York), Queens, Staten Island (Richmond), Delaware, Dutchess, Nassau, Orange, Putnam, Rockland, Suffolk, Sullivan, Ulster, or Westchester County.
Are not eligible for Medicaid or Child Health Plus.
Are not eligible for minimum essential coverage.
You do not have to be a citizen or legal resident to qualify for the Essential Plan. Participation in this program will not affect any future immigration status.
With an Anthem Essential Plan, you'll have access to a wide range of services in New York. There are four versions of the Essential Plan. Some benefits may vary based on your plan.
There are no copays for covered medical services, including:
Check your member handbook for a full list of benefits in your plan.
Dental benefits are provided through LIBERTY Dental. If your plan includes dental services, you can get coverage for:
Check your member handbook for a full list of dental benefits in your plan. To find or change your dentist, call LIBERTY Dental at 833-276-0847, or visit their website.
If your plan includes vision services, you can get coverage for:
Check your member handbook for a full list of vision benefits in your plan.
Your benefits include coverage for a wide range of prescription drugs and, for Essential Plan 3 and 4 members, over-the-counter (OTC) drugs. We work with CarelonRx to provide these benefits. Your plan may have prescription copays. Check your handbook for information about copays.
Visit the pharmacy page to find a pharmacy near you and check if your medicine is on the Preferred Drug List (PDL).
Our Treatment Cost Calculator can give you an estimate of your out-of-pocket costs for many common services. Use this tool to:
New York never sleeps, and neither do we. Get 24-hour phone advice from a registered nurse anytime, day or night.
We can help you apply. Call 844-430-1699 (TTY 711), or visit us in person. Find a Community Service Center near you.
We want you to understand your benefits and receive the best possible care. Here are some resources to help.
Your member handbook is your go-to guide for health services. It contains complete benefit information about your plan. Read it to find out about:
How to use your benefits.
How to choose your PCP.
How to get help if your doctor’s office is closed.
How to reach Member Services if you have questions.
Your rights and responsibilities as an Anthem member.
Not connected with or endorsed by the U.S. Government or the federal Medicare program.
The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent or insurance company.
This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, please contact your agent or the health plan.
Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. Call our Customer Service number, (TTY: 711).
ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame a nuestro número de Servicio de Atención al Cliente (TTY: 711).
注意：如 果您使用非英語的其他語言，您可以免費獲得語言援助服務。請致電聯絡客戶服務部（聽語 障用戶請致電：711）。
