nassau-suffolk hospital council

What nassau-suffolk hospital council does

Nassau-Suffolk Hospital Council, Inc. (d/b/a NSHC and Coverage4Healthcare) is a New York not-for-profit organization that provides free health insurance enrollment assistance, coverage navigation, and problem-resolution services to residents of Nassau and Suffolk counties on Long Island. It is positioned as the collective voice of Long Island's not-for-profit and public hospitals and operates as an agency of Community Health Advocates, a state-level program that helps individuals obtain, retain, and effectively use health insurance. Its core service lines are Medicaid application assistance for aged, blind, and disabled individuals (including waiver programs such as OPWDD, Traumatic Brain Injury, Bridges to Health, and HCBS), Medicare Savings Program enrollment, NY State of Health marketplace Qualified Health Plan enrollment, and post-enrollment support such as billing dispute resolution, appeals of service denials, and explanation of benefits. The Council also operates a Self-Screening tool connecting Medicaid members to the HEALI Social Care Network for food, transportation, and housing support.

The Council's technology footprint is modest and informational rather than proprietary. The consumer-facing product is coverage4healthcare.org, a bilingual (English/Spanish) web portal providing educational content, an enrollment-site calendar, downloadable resource lists for community health centers and prescription drug assistance programs, and a self-screening questionnaire. No mobile app, API, or integrated AI capability is disclosed. Distribution is community-led: trained Application Assistance Enrollers staff in-person enrollment sites across both counties on a first-come, first-served basis, a Hauppauge office handles limited appointments, and phone-based support is available during business hours at (631) 435-3000 and after hours at (631) 656-9783.

The revenue model is non-commercial: services are delivered free of charge to individuals, with operations funded through state navigator programs (notably NY State of Health authorized enrollment assistor status), institutional support from member hospitals and the broader Suburban Hospital Alliance / Long Island Health Collaborative ecosystem, and government-aligned health equity initiatives such as HEALI. Customer segments are exclusively individual beneficiaries grouped by eligibility category (aged/blind/disabled, Medicare-eligible, uninsured marketplace shoppers) rather than enterprise accounts. The organization has no disclosed leadership team, no disclosed headcount, no funding rounds, and no disclosed financial figures in the source data, and it is privately held as a 501(c)(3)-style non-profit with no parent company or equity backing indicated.

Name

nassau-suffolk hospital council

Legal name

Nassau-Suffolk Hospital Council, Inc.

Website

https://coverage4healthcare.org

Company type

Private

Operating status

Operating

Short description

The Nassau-Suffolk Hospital Council is a Long Island not-for-profit that provides free health insurance enrollment assistance, coverage navigation, and problem-resolution services to Medicaid-eligible, Medicare-eligible, blind, disabled, and uninsured residents of Nassau and Suffolk counties.

Ownership category

akta.pro rank

Product category

Healthcare Enrollment Assistance Services

SIC

Services-Social Services (8300), Services-Health Services (8000)

akta.pro primary industry

Local Public Health & Human Services Administration (BPAIACAK)

akta.pro secondary industry

County/District/Local Health Departments (HLAJAAAB)

Keywords

• Health insurance enrollment assistance
• Medicaid application help
• Community health advocacy
• Medicare savings programs
• NY State of Health marketplace

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D

Revenue model

1. Non-profit health coverage assistance: The Nassau-Suffolk Hospital Council operates as a not-for-profit agency providing free health insurance enrollment assistance and community health advocacy services. Revenue model is not explicitly disclosed in the source materials.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels3 records

Core offering

The Nassau-Suffolk Hospital Council is a not-for-profit organization that provides free health insurance enrollment assistance and community health advocacy services to residents of Nassau and Suffolk counties in New York. It operates as an authorized agency of Community Health Advocates and as an enrollment assistor for the NY State of Health marketplace, helping individuals apply for Medicaid, Medicare Savings Programs, and Qualified Health Plans through in-person sites, phone support, and a consumer web portal.

Product overview

The Nassau-Suffolk Hospital Council operates Coverage4Healthcare as its primary consumer-facing web portal, offering a suite of health insurance assistance programs including Community Health Advocates for ongoing insurance navigation support, Medicaid Application Assistance for blind, disabled, and elderly individuals, and Self-Screening for Medicaid Enhanced Services (HWCLI/HEALI) connecting Medicaid members to social care networks. These programs collectively help Long Island residents enroll in, understand, and utilize Medicaid, Medicare Savings Programs, and NY State of Health marketplace plans.

Differentiator

Problem solved

Functional benefit

Brands

• Community Health Advocates: Program helping people get, keep, and use health insurance - providing enrollment assistance and navigation services.
• Coverage4Healthcare

Products and services

• Coverage4Healthcare

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Two partnerships are on record, tiered core.

• HEALI (Health Equity Alliance of Long Island)coreStrategic or Co-development PartnerHEALI is a Social Care Network (SCN) that connects community-based organizations and partners to support equitable health and life outcomes. The Nassau-Suffolk Hospital Council works with HEALI to help Medicaid members connect to social needs services including food, transportation, and housing assistance. The partnership includes Navigator referrals for social care services and a joint network for providers.
• NY State of HealthcoreChannel Partner/ Reseller/ DistributorThe Nassau-Suffolk Hospital Council provides official NY State of Health marketplace enrollment assistance as an authorized enrollment assistor. They help individuals evaluate eligibility and enroll in Qualified Health Plans (QHPs) and other coverage options through the state marketplace.

Scale indicators2 records

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• Patient Advocate Foundation: National nonprofit providing case-management and insurance-coverage assistance to patients with chronic and life-threatening illnesses. Comparable to NSHC's coverage-navigation and appeals support function at a much larger national scale.

Direct peers

• Medicare Rights Center: New York-based nonprofit that helps older adults and people with disabilities navigate Medicare and Medicaid. Directly comparable to NSHC's enrollment-assistance and coverage-navigation function, with similar consumer helpline and counseling model.
• Community Health Care Association of New York State (CHCANYS): Statewide association representing New York's community health centers and the patients they serve. Comparable to NSHC as a NY-based healthcare membership organization that combines advocacy with consumer-facing enrollment and access support.
• Greater New York Hospital Association (GNYHA): Regional hospital association serving hospitals in New York City and the surrounding metropolitan area. Comparable to NSHC as a regional hospital association performing advocacy and member-services functions.
• Suburban Hospital Alliance of New York State: Regional hospital association that appears to be the parent or umbrella organization for Nassau-Suffolk Hospital Council based on shared branding on coverage4healthcare.org. Directly comparable as a regional hospital council providing both advocacy and consumer-facing services on Long Island.
• Healthcare Association of New York State (HANYS): Statewide hospital association representing New York's hospitals and health systems. Directly comparable to NSHC's advocacy and representation role, operating at the state level versus NSHC's regional Long Island scope.
• Community Health Advocates (statewide CHA program): New York State Department of Health-funded statewide program of which NSHC is an agency, helping residents get, keep, and use health insurance. Directly comparable as the umbrella navigator network in which NSHC participates.

Others

• Centers for Medicare & Medicaid Services (CMS): Federal agency administering Medicare, Medicaid, and the Health Insurance Marketplace, and the source of federal navigator funding. Comparable as the upstream regulator and funder that shapes NSHC's service volume and policy environment.
• New York State Department of Health: State agency that funds Community Health Advocates and administers the NY State of Health marketplace and Medicaid program. Comparable as a counterparty and ecosystem participant that defines NSHC's regulatory and funding environment.

Regional players

• Healthy Capital District Initiative (HCDI): Community health navigator organization serving New York's Capital Region with insurance enrollment and community health services. Comparable to NSHC as a regional navigator providing free enrollment assistance, but operating in a different upstate NY geography.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/lihealthcollab
• Facebookfacebook.com/251927741486114

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about nassau-suffolk hospital council