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Cost & Coverage

Gold Standard is a Hybrid plan with low copays and generous prescription drug coverage. It's a good option if you want to save on monthly premiums while keeping your out-of-pocket costs lower for routine care.

(Note: this plan includes a deductible which applies to diabetic drugs and supplies as required by contract language provided by the state.)

View a Summary of Benefits & Coverage

View a Contract & Other Legal Information for Prospective Members

Embedded Pediatric Dental

NYS Mandates require all health insurance plans to include Pediatric Dental provided at a low cost. Therefore, all our medical plans include pediatric dental coverage. You can choose to exclude pediatric (under age 19) dental coverage while maintaining comprehensive coverage for adults, if you already have coverage from another Health plan.

A Great Provider Network

All of our plans give you access to thousands of top-quality doctors, hospitals and pharmacies locally and nationwide through the BlueCard Network.

Exclusive Member Benefits

As our member, you'll enjoy:

Estimate Healthcare Expenses

See our Out-of-Network Costs examples. You may also visit Fair Health’s website (www.fairhealthconsumer.org) to estimate potential out-of-network out-of-pocket expenses. Please note: Medicare cost information may be found at CMS.gov fee schedule search tool.

Need Help

We can help you get coverage.
Call: 1-888-679-7105 1-888-669-3913
TDD/TTY: 1-800-421-1220

From Oct. 19 - Feb. 14:
Monday - Thursday: 8 a.m. to 8 p.m.
Friday: 9 a.m. to 8 p.m.
Saturday (until Dec. 19): 9 a.m. to 1 p.m.

Starting Feb. 15:
Monday - Thursday: 8 a.m. to 7 p.m.
Friday: 9 a.m. to 7 p.m.
 

Closed: Thanksgiving, Day after Thanksgiving, Christmas Eve, Christmas Day, New Year’s Eve, New Year’s Day