Aetna Healthy NY

Aetna is one of the top health insurance carriers in country today. Aetna started in Hartford, Connecticut in 1853. They provide health care coverage, dental care plans, disability, pharmacy, group life and long-term care. Their network gives you access to 561,000 doctors and physicians and 5,300 hospitals.

Aetna's mission is to help people achieve health and financial security by providing easy access to safe, cost-effective, high-quality health care and protecting their finances against health-related risks to individuals, employers, college students and government employees.

18.468 people trust Aetna for their health insurance needs; 13.747 million people rely on Aetna for dental care solutions and 9.415 million people Americans depend on them for pharmaceutical coverage.

Healthy NY is among the health plans they offer. It's a government-subsidized health insurance program for individuals and self-employed New Yorkers.


You need to meet certain requirements for Healthy NY application. Here are the eligibility requirements:
· You should be residing in New York;
· You must not be eligible for Medicare;
· Your total gross household income should be within the limit set by the Healthy New York 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


Qualifying reasons:
· Loss of employment
· Change to a new employer
· Death of a family member
· Change of residence
· Discontinuation of a group health plan
· Termination or cancellation of COBRA coverage
· Change in marital status
· Loss of eligibility for group health insurance coverage
· Reaching age limit for dependent coverage



Healthy NY Summary of Benefits:

· Physician services including diagnostic, treatment, consultant, and referral services
· 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


Aetna offers 4 Healthy New York plans -
· · Aetna Healthy NY HMO 1 (without prescription coverage) -Current premium rate is $365.00
· · Aetna Healthy NY HMO 2 (with prescription coverage) - Current premium rate is $413.00
· · Aetna Healthy NY High Deductible Health Plan 1 (without prescription coverage) - Current premium rate is $280.00
· Aetna Healthy NY High Deductible Health Plan 2 (with prescription coverage) - Current premium rate is $319.00



*Annual premium rates increase annually.


There are some servoces that will not be covered under the Healthy NY coverage.

· Mental health services and prescription drugs related to mental health conditions,
including treatment for depression, anxiety, and attention deficit hyperactivity
disorder (ADHD)
· Alcohol and substance abuse treatment and prescription drugs related to alcohol
and substance abuse treatment
· Chiropractic care
· Physical therapy, unless post-surgery or post-hospitalization
· Home health care, unless post-surgery or post-hospitalization
· Hospice care
· Ambulance
· Dental, vision, and hearing aids
· Out-of-state treatment, unless in the case of an emergency

For queries and additional information regarding Aetna Healthy NY just visit the Aetna website.