New in v1.0.19: final review before submission

Review your request before you submit.

Use this mobile-friendly check to make sure CoveredNYC has the right contact, county, deadline, current-plan, document, doctor, prescription, and consent details before the case enters staff or broker review.

This review organizes your request. It is not an official eligibility decision, quote, enrollment confirmation, or guarantee that a better plan exists.

Final checkBefore you submit

Main reason for help Name Email or phone

County or borough Deadline or coverage end date, if any Describe what is happening

2500 characters remainingDo not include full medical history or marketplace passwords.

Current plan details, if you already have coverage Doctors, hospitals, prescriptions, or pharmacy priorities Document or notice available? I agree CoveredNYC may contact me about this request. I understand this is not an official eligibility decision or enrollment.

Go to signup Request callback

Cleaner submissions

This helps prevent cases that are missing contact, county, deadline, plan, provider/Rx, or document details.

Safer uploads

Users are reminded not to send emergencies, full medical history, Social Security cards, marketplace passwords, or unnecessary sensitive documents.

Better broker handoff

The result tells the user whether to submit now, add details first, or use a different CoveredNYC route.