New York Essential Plan benefits

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.

Who’s eligible for Essential Plan in NY?


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.

More choices to customize your coverage


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.

What you get with Anthem

Doctor visits

Hospital stays


Not yet a member? Choose Anthem.

We can help you apply. Call 844-430-1699 (TTY 711), or visit us in person. Find a Community Service Center near you.


Already a member? We’re glad you chose Anthem.


We want you to understand your benefits and receive the best possible care. Here are some resources to help.

The member handbook: Everything you need to know


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.

Need a handbook mailed to you?

You can request a handbook via live chat with Member Services.