If I have Medicaid, one of the Essential Plans offered by NYS, or no health insurance at all, am I eligible for this benefit?
No, this benefit does not apply to you because you are not paying any premiums for your health insurance, either because you don’t have health insurance or because you have Medicaid or one of the Essential Plans, neither of which have any premiums associated with them. As a result, there’s nothing for us to reimburse you for.
I have insurance through my or my spouse/partner’s employer. Am I eligible for this benefit?
No, this benefit will reimburse your out-of-pocket expenses (i.e. your “premiums”) to purchase a qualified health plan on the “NY State of Health” marketplace (a.k.a. “the exchange”). Premiums that you and your family pay to offset the cost of the employer-based plan that you have are not eligible to be reimbursed through this program.
How much of my premiums will you reimburse?
Provider Wellness will reimburse up to 100% of the premiums you actually pay out-of-pocket with the following caveats: (1) For the current benefit year (Oct 2022-Sept 2023), there is a cap of $400 per provider per quarter; (2) The funds allocated to this benefit are not unlimited and will be disbursed on a first-come, first-served basis if and until they run out.
Can I get my out-of-pocket medical expenses reimbursed as well?
No, this benefit only reimburses you for the cost of purchasing health insurance (i.e. “premiums”), not costs you incur for health services (e.g. copays, co-insurance, outlay before you reach your deductible, any other out-of-pocket expense related to your health).
How do I take advantage of this benefit?
Enroll in Provider Wellness and choose this benefit on the Benefits Selection page. You will receive an email with instructions that will tell you exactly what you need to do to take advantage of this benefit. Learn more about the details of this program.