[NY] Please help: Unemployed, losing COBRA. Marketplace vs. Medicaid?

Hi All,

Based in New York, unemployed, and trying to figure out my options between the Marketplace and going on Medicaid. It's been a really rough year, but I'm doing better and want to make sure I can continue treatment and have some form of insurance coverage.

What would be your recommendation for coverage given the following:

Left work in early 2023 due to mental health and am still unemployed. I've been paying $500-$600 monthly for my UnitedHealthcare plan + dental (separate) through COBRA, but that expires end of July. Single, no dependents, no significant income other than interest/investments (living off of savings). Need insurance to cover me for emergencies (at a minimum), but ideally also regular medical appointments, prescriptions, dental. Mental health coverage is my biggest concern. I pay between $1,500-$2,500 per month for treatment. My providers aren't in-network with anyone, I've been paying & claiming and get around 60% back. Considering getting basic insurance for emergencies and then paying out of pocket for my ongoing treatment (all out of network). I am considering moving abroad to be closer to family, so there's a chance I'd only need insurance short term (until end of 2024).

I think I'd be eligible for Medicaid due to not having an income, but not sure and from what I understand it's basically barebones and wouldn't cover out of network treatment. As for the NY State Marketplace, I was shocked to see that NO plans cover Out of Network treatment, even if I'd pay $1000+/month. Is it still "worth" getting a Marketplace plan instead of Medicaid? I've tried using their calculator for discounts/tax credits and can't get a consistent answer.

See also  Unusual disclaimer in employer provided health insurance? Employer pays health care bills not insurance?

I'm feeling overwhelmed and desperate, and hours of going through the NY health pages hasn't helped. I would gladly pay for a trusted, reliable consultant to advise me (not a broker, etc.), but not sure how I'd find that and thought I'd ask here first.

Thank you for any advice. If there's more info you need, just let me know.

submitted by /u/bluebottlethere
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