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Individuals and Sole Proprietors

Recertification

The Recertification Process

Once a year, you must recertify that you continue to meet the eligibility requirements of the Healthy NY program. The recertification date is on your annual renewal date. Your insurance company will provide you with the recertification form at least 90 days before your annual renewal date. You may add or remove the prescription drug benefit when you recertify.

At recertification, you must confirm that you remain within the program’s income requirements, are a New York State resident and are not eligible for Medicare. The Department of Financial Services adjusts income requirements annually. You do not have to have worked within the last 12 months in order to continue in the program.

If you do not complete and return the recertification form by the due date, then your coverage will terminate. If you do not continue to meet the eligibility requirements of the program when you recertify, then you will not be able to continue in the program. Your insurance company must provide you with at least 45 days written notice that your coverage will end due to not meeting the eligibility requirements.

Mid-Year Changes

Mid-year changes in household income or employment status will not result in immediate termination from Healthy NY. If you do not meet the eligibility requirements at the time of recertification, you will be unable to continue in the program.

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