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Atlantis Healthy NY plan

Atlantis Health Plan is a subsidy of Atlantis Health System. Atlantis Health Systems is a holding company governed by health care providers in the state of New York. It was founded in 1995. After that, Atlantis Health plan was born. Its foundation can be attributed to 12 physicians - the 12 founding physicians. Their goal is to "advance the cost-effective delivery of high quality health care in New York City by harnessing the skill, experience and knowledge of health care professionals at every step of the health care management and delivery process, and to recreate the health care partnership that once existed between the patient and the professional."

 

One of the plans they offer is Healthy NY. If you're wondering what Healthy NY is about, it is a state-run health insurance program established to help New Yorkers who are having a hard time acquiring a health coverage.

 

 

But unfortunately Healthy NY is not available to just anyone. You must meet the eligibility guidelines so you could apply.

· You should be currently residing in New York.

· You must be ineligible for Medicare;

· Your total gross household income should fall within the limit of the Healthy NY 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

 

Reasons that can qualify you to apply:

· Losing your employment

· Transferring to a new employer

· Death of a family member

· Change of residence

· Discontinuing a group health insurance

· End of your COBRA

· Change in marital status

· Losing eligibility to a group plan

· Reaching the limit as a dependent

 

 

 

 

 

 

 

Here is a summary of the Healthy NY benefits:

 

· Physician services; includes referral, diagnostic, treatment

· 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

 

 

Atlantis offers 4 Healthy New York plans -

· · Atlantis Healthy NY HMO 1 (without prescription coverage) - Premiums cost $294.15

· · Atlantis Healthy NY HMO 2 (with prescription coverage) - Premiums cost 333.67

· · Atlantis Healthy NY High Deductible Health Plan 1 (without prescription coverage) - Premiums cost $228.90

· Atlantis Healthy NY High Deductible Health Plan 2 (with prescription coverage) - Premiums cost $263.38

 

 

*Healthy NY rates increase annually.

 

 

Don't expect Healthy NY to cover everything because it's comprehensive. There are some services that is not included in the benefit package such as:

 

· Mental care treatment and services

 

· Alcohol and substance abuse treatment and services

 

· Chiropractic

· Physical therapy

· Home health care

· Hospice

· Ambulance

· Dental care, vision and hearing aids

· Treatment outside New York unless it's an emergency

 

For queries and additional information regarding the Atlantis Healthy NY just visit the Atlantis Health Plan website.

 

 

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Part 20 of 25 - The Legend of Atlantis - It´s Time to Wake Up