Open Enrollment for 2027 Coverage
NY State of Health’s open enrollment period for 2027 Qualified Health Plans runs November 1, 2026–January 31, 2027.
November 1, 2026: Open enrollment begins
December 15, 2026: Deadline to enroll for coverage beginning January 1, 2027
January 31, 2027: Open enrollment ends
Medicaid, the Essential Plan, and Child Health Plus remain open for enrollment year-round for eligible New Yorkers.
View 2027 Plans and Enrollment Resources →
Coverage Changes to Prioritize This Enrollment Season
Follow Up with Patients Who Lost Essential Plan Coverage
Essential Plan coverage for individuals with incomes above 200% and up to 250% of the federal poverty level ended in July 2026. The Essential Plan continues for other eligible New Yorkers.
Prioritize follow-up with affected patients whose coverage status is unknown or who remain uninsured. Open enrollment provides an opportunity to reassess eligibility and review coverage options, including Qualified Health Plans and available financial assistance.
Oscar Marketplace Enrollees Need a New Plan for 2027
Oscar Health will no longer participate in the NY State of Health Marketplace in 2027. Patients with Oscar Marketplace coverage will need to select another plan. When reviewing alternatives, compare provider networks, prescription coverage, premiums, and out-of-pocket costs.
Enrollment and Renewal Reminders
During enrollment assistance, confirm that contact information, income, and household details are current, and review notices for required follow-up. NY State of Health also encourages consumers to authorize its use of secure data sources to help verify eligibility and maintain enrollment automatically when possible.
To organize follow-up, use available renewal dates and coverage information to identify patients who may need assistance. Coordinate across outreach, eligibility, and clinical teams so coverage concerns identified during patient visits reach the appropriate staff.
H.R.1: State Guidance and Outreach Resources
New York State is updating guidance and communications materials as federal H.R.1 coverage changes are implemented. Use the resources below to support staff education, outreach planning, and consistent patient messaging.
Stay Covered: Information About Medicaid Changes
Visit the Changes to Medicaid Coverage Webpage →
The state’s main consumer information page includes a timeline of changes, steps Medicaid members can take to prepare, and frequently asked questions. It also includes an interactive questionnaire to help individuals understand whether Medicaid work requirements may apply to them.
Use this page as a reference during enrollment assistance and share it with patients who have questions about upcoming changes.
H.R.1 Communications Tool Kit
Access the Implementing H.R.1 Communications Tool Kit →
The tool kit includes:
- Multilingual outreach materials: Fact sheets, flyers, and posters in 27 languages.
- Ready-to-use communications: Videos, pre-written social media posts, and monthly messages about Medicaid work requirements.
- Outreach planning resources: A demographic ZIP code report of impacted Medicaid enrollees.
- Staff reference materials: Partner FAQs, a Stay Covered quick guide, and stakeholder meeting recordings and slides.
- Co-branding guidelines: Instructions for partners developing materials with the state’s Stay Covered campaign.
Implementation Briefings and Updates
- United Hospital Fund H.R.1 Roundtable Materials: Recordings and slides from implementation discussions among state officials, consumer advocates, health plans, providers, and other partners.
- NY State of Health Monthly E-Newsletter: Subscribe for updates on federal coverage changes and New York State implementation.
- Webinar #1: Boosting Outreach and Enrollment Strategies for New York Community Health Centers
CHCANYS partnered with Health Outreach Partners (HOP) to develop a webinar session focused on equipping health center Navigators with the right workflows and strategies to develop successful outreach and enrollment programs at their health centers.
During this webinar, HOP also addresses both quantitative and qualitative metrics and tools to measure the ROI and success of outreach and enrollment programs.
While this webinar is well-suited for all New York CHC audiences, the content of this session specifically highlights the needs and challenges of New York State’s rural community health centers.
Webinar Learning Objectives:
- Participants will learn strategies, best practices, and metrics for success for their outreach and enrollment programs.
- Participants will learn methods for building and leveraging community partnerships.
- Participants will understand how effective outreach programs support the business case for outreach programs.
- Webinar #2: NY State of Health Updates and Enrollment Trends
CHCANYS partnered with New York State of Health (NYSOH) to develop a webinar session focused on New York State population data and enrollment trends into the Marketplace’s four public insurance plans: CHIP, Medicaid, the Essential Plan (EP) and Qualified Health Plan (QHP).
During this webinar, NYSOH speakers also highlight three new Cost-Sharing Reduction (CSR) initiatives, implemented to reduce out-of-pocket costs and address certain health conditions (diabetes, pregnancy and postpartum care) that disproportionately impact lower-income communities.
To request webinar recordings, please complete and submit this form.
Enrollment Tools
- NY State of Health Marketplace: Access applications and accounts.
- 2027 Plan Information: Review plan and enrollment resources.
- Certified Enrollment Assistor Directory: Locate enrollment assistance.
NY State of Health Customer Service: 1-855-355-5777
TTY: 1-800-662-1220
Stay Connected
Join the CHCANYS Outreach & Enrollment Distribution List for enrollment updates, resources, training opportunities, and state guidance.
HRSA Funding Acknowledgement
These trainings are supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award to CHCANYS’ New York State Primary Care Association (NYS-PCA). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.