GoldPrime 2025
Access Top-Rated Healthcare Providers
MetroPlusHealth Essential Plan connects you with NYC’s finest healthcare network:
- 34,000+ top doctors across the city
- 40+ premiere hospitals including Mount Sinai, NYU Langone, and NY Health + Hospitals
- 110+ urgent care locations including convenient CityMD sites
Perfect for families: Our health insurance for families covers everyone’s needs with one simple plan.
Care on your schedule: Access online doctor visits and virtual urgent care from home, work, or anywhere with our telemedicine health insurance coverage.
Why Choose a New York-Only Health Care Plan?
National Health Care Chains
Premium Gold Health Insurance Plan with Added Benefits
2025 GoldPrime*
GP2
Non-Standard
* These charts are brief descriptions of benefits for the plan.
** Prescription Drug: Generic / Formulary Brand / Non-Formulary Brand Deductible must be met first before cost sharing begins. Family cost is multiplied by (2).
Premiums listed are example base rates for individuals. Rates may differ based according to family size, income level, and eligibility for tax credits. In accordance with Section 1303 of the Patient Protection and Affordable Care Act, at least $1.00 of the total premium amount owed per enrollee per month is a payment for coverage of non-Hyde abortion services.
How to enroll
Signing up is simple! Here’s what you need:
- Proof of residency (Must live in one of NYC’s 5 boroughs)
- Immigration documents (If applicable)
- Proof of relationship status (For health insurance for dependents in NY)
Need help? Call 855-809-4073 and a friendly representative will guide you through the process.
Ready to get covered?
Anytime I need to get any information about my plan or the doctors in the network I can honestly say the information is accurate and trustworthy. I am very happy with the customer service I have received anytime I call because the representative is friendly, caring, patient, and very knowledgeable.
Access to a doctor—whenever and wherever you need it!
MetroPlusHealth Virtual Visit is the fast, easy way for our members to see a provider for common physical, mental, emotional, and behavioral health issues that are not emergencies. MetroPlusHealth Virtual Visit is available anytime, from anywhere in New York State, 24/7 – and in your language.
Know your rights and protections against surprise medical bills!
When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn’t be charged more than your plan’s copayments, coinsurance and/or deductible.
Are you receiving care at an NYC Health + Hospitals facility?
Manage your health online with MyChart. Members who receive care at NYC Health + Hospital facilities now have access to MyChart. MyChart is a free secure portal you can use to manage your health information. MyChart allows you to:
- Message your primary care provider’s office
- Request refills of your prescription drugs
- Access your test results
- Schedule appointments
