Off-Marketplace "Mirror" Plan Quote & Enrollment Site

An Off-Marketplace health insurance plan, a.k.a. "Mirror" plan, is identical to the On-Marketplace counterpart from the same carrier. Mirror plans have the same Essential Health Benefits and premium rates as their On-Marketplace counterparts. However, Mirror plans do not offer the premium subsidies (ACA Tax Credits) available with On-Marketplace plans for those who are eligible.

For NY, click here to find the rates and SBC on the state-based exchange website. For VA, go to Healthcare.gov to obtain the rates and SBC for the Mirror plan that best fits your needs (remember: Mirror plans have the same premium rates and benefits as their On-Exchange counterparts). 

• Use the drop down box to select your state.
• Print the Mirror plan enrollment form.
• Follow the instructions on the form to complete, using the rates and plan name from your quote if necessary.

Select your state New York Virginia

• Before you submit the completed form, please ensure that you have obtained two proofs of residency and the first month's premium check. Submit these along with the application. Failure to do so will prolong the enrollment process.
• Mail or fax the completed form to the address/fax number on page 4 of the form.

Please be aware that you will be assigned a Primary Care Physician (PCP) upon enrollment. If you would like to select a different PCP, please contact customer service at 1-866-322-1028 or go to myuhc.com. please note, you must wait until your enrollment is complete before you can change your assigned pcp.