Comprehensive Health Coverage for Eligible New Yorkers Through an Extensive Network of Quality Doctors and Hospitals
NY Bridge Plan
The NY Bridge Plan is New York State’s Pre-existing Condition Insurance Plan (PCIP), providing individual coverage to eligible New Yorkers with a pre-existing health condition who have not had health coverage for at least six months. Once a person is enrolled, there is no waiting period and coverage for medical services begins immediately. This program is administered by Group Health Incorporated (GHI), a state-wide insurance carrier providing quality health insurance to New Yorkers since 1937.
Comprehensive Health Coverage
The NY Bridge Plan covers a broad range of services, including primary and specialty care, inpatient and outpatient hospital care, and prescription drugs, as well as assistance from professional nurses and caseworkers to help members manage chronic conditions and maintain overall health.
Program Benefits | Member Handbook
For Eligible New Yorkers
To be eligible to apply, you must:
- Be a legal US resident
- Be a resident of New York State
- Have one or more pre-existing medical condition(s), and
- Not have had health care coverage for the last six months.
There is no minimum age to qualify — even newborns may be enrolled if they meet the eligibility requirements. However, once you turn 65 years of age and have Medicare coverage, you will no longer be eligible for the NY Bridge Plan. Applicants who transfer from another state’s PCIP program will be eligible if they are a resident of New York and have less than a 63 day lapse in coverage from their prior PCIP coverage.
Through an Extensive Network of Quality Doctors and Hospitals
The NY Bridge Plan is an Exclusive Provider Option (EPO), which means that you must use doctors and health care providers who are in the GHI EPO network, except in cases of emergency or when care is not available through a participating provider. The GHI network provides access to:
- 100,000 quality doctors
- More than 172,000 provider locations in the tristate area, and
- Most of the region’s leading hospitals.
| NY Bridge Plan benefits include: | ||
|---|---|---|
| Inpatient and outpatient hospital coverage | Mental health care | Durable medical equipment |
| Home health care | Skilled nursing services | Rehabilitative services |
| Prescription drugs - PDF | Enhanced care and disease management | Laboratory and radiology services |
| Vision care | Maternity care | Office and specialist visits |
| Preventive care | Chiropractic services | Speech therapy |
| Alcoholism and substance abuse services | ||
