Frequently Asked Questions

Where Can I Go For Care as a MetroPlusHealth Member?

New York is notorious for its hustle and grind. Whether you’re an artist looking for the next place you can get affordable studio space, a creative freelancer working to drum up your next client, or a rideshare driver rushing between pick-ups and drop-offs, New Yorkers are out there making it work.

New Yorkers’ unique lifestyles mean that they have unique needs that their health care has to meet. As a health care company started for New Yorkers by New Yorkers, we get it.

We’ve intentionally designed MetroPlusHealth to be easy to use and understand so busy New Yorkers can get the information and care that they need so they can quickly get back to their lives.

There are more than 34,000 doctors and specialists, over 400 major retail and local pharmacies, and several world-class institutions like NYU Langone available through the MetroPlusHealth network across all five boroughs.

How do I find in-network providers for MetroPlusHealth?

We know that it’s important to know things like whether or not your current doctor is in-network or who you might be able to get care from when you join MetroPlusHealth.

We’ve made it easy for our members (and potential members!) to figure out exactly which providers are in-network through our Provider Search tool. It lets you quickly and easily find doctors, specialists, dentists, and more who are in-network with MetroPlusHealth.

Not only can you see who’s in-network if you have a specific provider in mind, the Provider Search tool also lets you filter by location. This way, you can see who the closest in-network providers are to you, too. Whether you want to come from work or home, we have locations throughout the City.

Provider Search

What health care services does MetroPlusHealth cover?

We know that New Yorkers need to know more than just who they can see with their health insurance, but what kind of care they can expect to receive, too.

Here are the health care services covered by MetroPlusHealth:

Thousands of doctors and primary care providers
Hundreds of specialists, from allergists to cardiologists, OBGYNs, and more
Hospital care
Urgent care
Emergency care
Lab tests and immunizations
Prescription medication and pharmacy services
24/7 telehealth services

What does in-network mean?

Not quite sure what’s meant by “in-network”? Don’t worry, health care terms aren’t easy to understand! We’re happy to help our members learn what they need to know to make informed decisions.

Let’s start with the basics: A network refers to the doctors, specialists, facilities, and other suppliers that your health insurance plan has contracted with to offer health care services.

“In-network” means that a doctor, specialist, or other provider is a member of your health insurance’s network. Providers become members by entering into an agreement with a health insurance company to offer services at certain rates, often at a discount. This means savings for both you and the insurance company.

In-network is the opposite of out-of-network, which refers to providers and specialists who don’t have one of these rate-based agreements with your insurance company. Out-of-network providers may still accept your insurance, but the cost for care will be much higher. You often pay significantly more for services from out-of-network providers than you do for in-network providers.

Let’s get specific: When you sign up for health insurance through MetroPlusHealth, in-network providers are doctors and specialists who have agreed to charge MetroPlusHealth and its members certain rates for their services.

Have more questions? We’re here to help!

Even with handy search tools, a solid understanding of “in-network” versus “out-of-network”, and a concise list of services, health insurance is complex! We know you’ll likely still have questions for us because every New Yorker’s situation is different.

We’re always here and ready to help with any of your health care questions or needs. Call the MetroPlusHealth Member Services line at (855) 809-4073 or stop by one of our many offices from Staten Island to The Bronx.

All you have to do is get in touch. We’ll take care of the rest.