New York, NY: MetroPlusHealth, New York City’s high‑quality, affordable health plan, is actively supporting members affected by upcoming federal funding changes to the Essential Plan 200–250 program. With the transition taking effect on June 30, 2026, MetroPlusHealth is taking proactive steps to ensure members understand their options and maintain continuous health coverage.
These changes will impact New Yorkers with household incomes between 200–250% of the federal poverty level – approximately 450,000 people statewide. MetroPlusHealth is committed to providing every impacted member in New York City with clear information and personalized support.
Depending on individual circumstances, members may be eligible for a Qualified Health Plan, Medicaid, or another Essential Plan option.
"Our priority is protecting the health of all New Yorkers,” said Dr. Talya Schwartz, President and Chief Executive Officer of MetroPlusHealth. “We strongly encourage our impacted members to review their options and enroll in new coverage as soon as possible to avoid any gap. MetroPlusHealth is ready to guide every member through this transition with care and clarity.”
To avoid gaps in coverage, members should: Review their New York State of Health eligibility notice carefully; Select and enroll in a new plan for coverage beginning July 1, 2026; Enroll by June 15, 2026 to avoid delays or gaps in coverage; Update their information through NY State of Health, as eligibility is based on current household income
Members losing Essential Plan 200–250 coverage may be eligible for: Qualified Health Plans (QHPs) – Bronze, Platinum, Silver, Gold; Other Essential Plan options; and Medicaid.
Additionally, individuals who are pregnant, recently gave birth, or experiencing household income changes may qualify for other coverage based on New York State Department of Health guidelines.
Free, personalized assistance is available: By Phone: 1‑866‑496‑6636; In Person: At MetroPlusHealth community offices across all five boroughs; Online: metroplus.org
