SilverPlus 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
MetroPlusHealth SilverPlus Plans
2025 SilverPlus*
S1
Standard
S3
Child-Only
S5 (ADULT)
AI / AN-Standard
S3-4 (CHILD)
AI / AN 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).
□ AI / AN – American Indian / Alaskan Native
2025 SilverPlus*
S1-1
Standard FPL 100 – 150%
S1-2
Standard FPL 150 – 350%
S1-3
Standard FPL 350 – 450%
* These charts are brief descriptions of benefits for plan.
** Prescription Drug: Generic / Formulary Brand / Non-Formulary Brand
◊ Deductible must be met first before cost sharing begins. Family cost is multiplied by (2)
□ FPL = Federal Poverty Level
2025 SilverPlus*
S3-1
Standard / Child-Only FPL 100-150%
S3-2
Standard / Child-Only FPL 150-200%
S3-3
Standard / Child-Only FPL 200-250%
* These charts are brief descriptions of benefits for plan.
** Prescription Drug: Generic / Formulary Brand / Non-Formulary Brand
◊ Deductible must be met first before cost sharing begins. Family cost is multiplied by (2).
□ FPL = Federal Poverty Level
Cost Sharing Reductions (CSR) Plans are available to people who have incomes between 100% and 250% of the Federal Poverty Level (FPL).
2022 Poverty Guidelines for 48 States and the District of Columbia (Excludes Alaska and Hawaii)
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?
Representative was very professional and helpful, showed empathy for my well being with no attitude …. Thank you….. 😊 👍👍
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
