New York state’s only Consumer Operated and Oriented Plan (CO-OP) in the New York Health Benefit Exchange is being offered by Health Republic Insurance, a not-for-profit company.
The Affordable Care Act allows for subsidized non-profits in the state exchanges to compete against for-profit firms.
Health Republic is offering three plans: EssentialCare, a standard plan; PrimarySelect, a no co-pay plan for visits to a pre-selected primary care physician; and PrimarySelect EPO, which offers no co-pays for primary care doctors chosen from a narrow list of providers. The latter is not offered in Clinton or Franklin Counties.
The Health Republic CO-OP uses the MagnaCareExtra provider network, which has access to more than 70,000 providers. It also works with US Script to provide access to medications, with no co-pay for a number of generic medications for those with either of the PrimarySelect coverages.
The Health Republic CO-OP of New York is being led by Debra Friedman, who was named president and chief executive officer in September. She has joined the company from non-profit Amida Care and has served in senior positions with United Healthcare, Blue Cross and Blue Shield and Health Plus.