New York Essential Plan benefits

There are no copays for covered medical services, including:

• Primary care provider (PCP) visits
• Immunizations and wellness visits
• Specialist visits
• Urgent care
• Emergency care
• Lab and X-ray services
• Pregnancy services
• Family planning
• Hospital care
• Physical therapy
• Behavioral health care
  

Check your member handbook for a full list of benefits in your plan.

Find care 

Dental benefits are provided through LIBERTY Dental. If your plan includes dental services, you can get coverage for:

• Teeth cleaning twice a year
• Oral exams
• X-rays
• Extractions
• Fillings
• Emergency care
• Dentures (removable or partial)
• Orthodontics
  

Check your member handbook for a full list of dental benefits in your plan. To find or change your dentist, call LIBERTY Dental at 833-276-0847, or visit their website.

Find a dentist 

If your plan includes vision services, you can get coverage for:

• One eye exam every two years
• Prescription glasses every two years

Check your member handbook for a full list of vision benefits in your plan.

Provider Directory - Vision Plan  

Your benefits include coverage for a wide range of prescription drugs and, for Essential Plan 3 and 4 members, over-the-counter (OTC) drugs. We work with CarelonRx to provide these benefits. Your plan may have prescription copays. Check your handbook for information about copays.

Visit the pharmacy page to find a pharmacy near you and check if your medicine is on the Preferred Drug List (PDL).

Go to Pharmacy page 

Our Treatment Cost Calculator can give you an estimate of your out-of-pocket costs for many common services. Use this tool to:

• Get an estimate for common treatments and services.
• Compare the costs of one or more providers.
• Print or save estimates.
• Review past treatment cost calculations.
  

How to use it:

1. Log in and go to the Treatment Cost Calculator.
2. Select the member.
3. Select the treatment.
4. Select your provider (skip if no provider).
5. Review, print, and/or save your estimate.
   

New York never sleeps, and neither do we. Get 24-hour phone advice from a registered nurse anytime, day or night.

Call 800-300-8181 (TTY 711).