This page is the cost data: what each kind of coverage costs in 2027 and why. If you want the order in which to look for the cheapest option you qualify for, start with the cheapest health insurance in NYC instead.
What each kind of coverage costs in 2027
| Coverage | Who it fits | Monthly premium in 2027 | At the point of care |
|---|---|---|---|
| Medicaid | Most adults up to about 138% FPL; children and pregnancy higher | $0 | No deductible |
| Essential Plan | Adults 19 to 64, lawfully present, up to 200% FPL | $0 | No deductible; copays only on Essential Plan 1 |
| Child Health Plus | Children under 19, any status | $0 up to 222% FPL, then $15, $30, $45 or $60 per child | No copays |
| Marketplace plan with a tax credit | 200% to 400% FPL, or lower if not eligible for the above | Capped share of income for the benchmark silver plan | Deductible and copays by metal level |
| Marketplace plan, full price | Above 400% FPL, or not eligible for the credit | The insurer’s approved sticker price | Deductible and copays by metal level |
| Employer plan | You have an offer that counts as affordable | Your share of the premium | Set by the employer plan |
The first three are year-round programs with no season. Marketplace plans for 2027 are sold from November 1, 2026 to January 31, 2027, and you must pick by December 15 for coverage starting January 1, according to the state Health Department. Essential Plan 1, 2, 3 and 4 copays · Child Health Plus premiums.
The most you pay after the tax credit, by income
The premium tax credit works backward from your income. The IRS sets the share of household income you are expected to pay for the benchmark plan, the second-cheapest silver plan where you live, and the credit covers the rest. For 2027 the table in Rev. Proc. 2026-26 is:
| Household income, % of poverty level | Expected share of income for the benchmark plan |
|---|---|
| Under 133% | 2.15% |
| 133% to under 150% | 3.23% rising to 4.3% |
| 150% to under 200% | 4.3% rising to 6.78% |
| 200% to under 250% | 6.78% rising to 8.66% |
| 250% to under 300% | 8.66% rising to 10.22% |
| 300% to 400% | 10.22% |
The poverty line used is the one published before open enrollment starts, so 2027 coverage is priced on the 2026 guidelines: $15,960 for one person, $33,000 for four. Applied to the top of each band, the monthly ceiling for the benchmark plan works out like this (our arithmetic):
| Income level | One person: income | One person: most you pay a month | Family of four: income | Family of four: most you pay a month |
|---|---|---|---|---|
| 250% FPL | $39,900 | about $288 | $82,500 | about $595 |
| 300% FPL | $47,880 | about $408 | $99,000 | about $843 |
| 400% FPL | $63,840 | about $544 | $132,000 | about $1,124 |
| Above 400% | Full sticker price | Full sticker price |
Two readings of that table. Pick a plan cheaper than the benchmark, usually bronze, and you pay less than the ceiling. Pick gold and you pay the ceiling plus the difference. Most adults below 200% are in the Essential Plan at $0, so the lower rows rarely apply to them. How the credit is calculated.
Sticker prices: what DFS approved for 2027
Every insurer files the rates it wants and the Department of Financial Services decides. On September 4, 2026 DFS approved an average +6.0% for the individual market against +20.6% requested, and +8.0% for small groups against +23.7%. Approved individual averages ranged from -3.1% (Anthem HP) to +12.2% (Excellus and Highmark). MetroPlus, Emblem (HIP), CDPHP and IHBC were held at 0.0%, Healthfirst got +5.1%, Fidelis +8.0%.
DFS put about 224,000 New Yorkers in individual commercial plans and said about 58% of people now enrolled in a marketplace plan receive the tax credit, which lowers the 2027 price further. The rate decisions do not include the Essential Plan.
An approved rate is an average across an insurer’s plans, not your renewal price. Eleven insurers sell marketplace plans for 2027, down from 12; Oscar left, and the Health Department said about 4,800 Oscar customers must pick a new plan. Every insurer’s requested and approved rate.
Why age does not change your premium in New York
New York Insurance Law Section 3231 requires individual and small group policies to be community rated: the premium is the same for everyone covered by the policy, without regard to age, sex, health status, tobacco use or occupation. A 62-year-old and a 26-year-old in the same region pay the same sticker price for the same plan.
What does change the price is where you live and who is on the policy. DFS lets insurers vary premiums between rating regions, and every plan must use the same household tiers. DFS confirmed the 2027 factors are unchanged from 2026:
| Who is covered | Premium as a multiple of the single rate |
|---|---|
| Single adult | 1.00 |
| Adult and spouse | 2.00 |
| Adult and child or children | 1.70 |
| Adult, spouse and child or children | 2.85 |
| Child-only plan | 0.412 per child, charged for at most three |
A single parent with three children pays the same tier as a parent with one child. The flip side of community rating: a healthy 25-year-old pays the same price as everyone else in the region, which is why young single buyers above 400% of the poverty level feel the sticker price most.
Deductibles and out-of-pocket limits on 2027 standard plans
Every insurer must offer New York’s standard plan at each metal level. DFS’s 2027 chart for an individual:
| Standard plan, 2027 | Deductible | Out-of-pocket limit | Primary care | Hospital stay |
|---|---|---|---|---|
| Platinum | None | $4,000 | $15 copay | $500 per admission |
| Gold | $1,200 | $12,000 | $25 after deductible | $1,000 after deductible |
| Silver | $3,750 | $12,000 | $30 first visit, no deductible | $1,500 after deductible |
| Silver with cost-sharing help, 200% to 250% FPL | $3,050 | $9,600 | $30 first visit, no deductible | $1,500 after deductible |
| Bronze | $5,025 | $12,000 | $50 for first 3 visits, no deductible | $1,500 after deductible |
| Catastrophic | $12,000 | $12,000 | $0 for first 3 visits | After deductible |
Family deductibles and limits are double. Catastrophic plans are only for adults under 30 or people with a hardship exemption, according to HealthCare.gov. Insurers also sell non-standard plans with different designs, so read the summary of benefits of the plan you are pricing.
The useful number is premium plus likely spending. A household that rarely sees a doctor may do well on bronze; anyone with a hospital stay coming should price the out-of-pocket limit, not the premium.
What changed in 2027 that moves the cost
DFS’s 2027 filing instructions list the changes insurers had to price in:
- No more 1332 waiver. Insurers had to price 2027 plans as if the waiver did not exist, with the 200% to 250% group back in the individual market for the whole year.
- State-funded diabetes and maternity cost-sharing help ends for marketplace plans in 2027.
- Silver cost-sharing help reverts to the pre-waiver bands: 94% value at 100% to 150% FPL, 87% at 150% to 200%, 73% at 200% to 250%.
- Insulin at $0 cost sharing, in effect since January 1, 2026, is now built into prices.
On the credit side, the enhanced federal credits of 2021 expired at the end of 2025, according to the state Health Department, so 2027 uses the table above with its 400% limit. What changed for 2027.
How to get your own number
The tables give the ceiling and the averages. Your price is in two places: your renewal notice, and the plan preview at NY State of Health once you enter your county, household and projected income. Free help: a certified navigator or 1-855-355-5777.
“For 2027, what is my monthly premium after the tax credit for my current plan, for the benchmark silver plan, and for the cheapest bronze plan in my county? What is each one’s deductible?”
Where this page stops: we do not publish per-plan sticker prices, because they vary by insurer, region and plan, and a wrong one is worse than none.
Questions people ask
How much is health insurance in New York per month in 2027?
It depends on income more than on the plan. Below 200% of the poverty level it is usually $0 through Medicaid or the Essential Plan. From 200% to 400%, the tax credit caps what you pay for the benchmark silver plan at 6.78% to 10.22% of income. For one person that is about $288 a month at $39,900 (250% of the poverty level, 8.66%) and about $544 a month at $63,840 (400%, 10.22%). Above 400% you pay the full sticker price.
Does health insurance cost more for older people in New York?
No. New York requires community rating, so the premium for a plan is the same regardless of age, sex, health status, tobacco use or occupation. Price varies by region and by household tier.
How much did NY health insurance rates go up for 2027?
DFS approved an average 6.0% increase for individual plans, against 20.6% requested. By insurer the approved averages run from -3.1% to +12.2%.
How much does family health insurance cost in New York?
A family plan is priced at 2.85 times the single rate, and a parent with children at 1.7 times. With a tax credit, a family of four at 300% of the poverty level ($99,000) pays at most about $843 a month for the benchmark plan in 2027.
Is there a cheaper option than a marketplace plan if I earn too much for the Essential Plan?
For children, Child Health Plus costs $15 to $60 a month per child up to 400% of the poverty level. For adults above 200%, the marketplace with the tax credit is usually the cheapest real insurance; an employer plan may be cheaper if you have one.
Sources
- IRS — Rev. Proc. 2026-26, 2027 applicable percentage table and required contribution percentage (checked 2026-11-03)
- NYS Department of Financial Services — 2027 individual and small group requested and approved rate actions (checked 2026-11-03)
- NYS Department of Financial Services — 2027 health insurance premium rates (press release, September 4, 2026) (checked 2026-11-03)
- NYS Department of Financial Services — Instructions for the Filing of 2027 Premium Rates (updated May 7, 2026) (checked 2026-11-03)
- NYS Department of Financial Services — Attachment B, 2027 standard plan cost-sharing chart (May 19, 2026) (checked 2026-11-03)
- New York State Senate — Insurance Law Section 3231, community rating of individual and small group policies (checked 2026-11-03)
- NYS Department of Health — Open Enrollment for 2027 coverage (October 28, 2026) (checked 2026-11-03)
- NYS Department of Health — federal approval of the return to Basic Health Program authority (March 23, 2026) (checked 2026-11-03)
- NYS Department of Health — Child Health Plus eligibility and cost (checked 2026-11-03)
- Legal Information Institute — 26 CFR 1.36B-1(h), federal poverty line used for the premium tax credit (checked 2026-11-03)
- HealthCare.gov — catastrophic health plans (checked 2026-11-03)
More in Health Care Costs in New York City
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- NewYork-Presbyterian Bills and Financial Assistance — One visit to an academic medical center produces a facility bill plus separate professional bills. How to read each envelope and which office answers for it.
- Urgent Care That Takes Medicaid in NYC: How to Check Before You Walk In — Urgent care that takes Medicaid in NYC: check your exact plan name, not the chain. NYC Health + Hospitals ExpressCare sees everyone, 24/7 by video.
This page explains how the system works. It is not medical advice. More.