MetroPlus Platinum Plan (HMO) 2026
Beyond basic Medicare coverage.
Access Top-Rated Healthcare Providers
MetroPlus Platinum Plan (HMO) 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
Plan Materials
MetroPlusHealth has updated the MetroPlus Platinum Plan (HMO) Summary of Benefits, Evidence of Coverage, and Annual Notice of Changes for 2026 with 2026 Medicare Part A coinsurance amounts. Please review the updated documents for more information.
A detailed explanation of your coverage, what we must do, your rights, and what you must do as a member of our plan.
A summary of changes to your benefits and costs for the next year. These changes take effect on January 1, 2026.
MetroPlus Platinum Plan (HMO) provides all the benefits of Original Medicare PLUS:
Primary and urgent care visits: You pay $0.
Preventive Care: You pay $0.
Specialist Visits: $40 copay per visit
Urgently Needed Services: You pay $0.
Hearing Services: A new hearing aid every 3 years
(limit up to $500)Prescription Drug Coverage
Telehealth: No additionl cost, 24/7 virtual access to doctors and therapists with MetroPlusHealth Virtual Visit
Member Rewards: Member Rewards program where you earn rewards just by completing healthy activities.
Disclaimer: Limitations may apply.
Plan Benefits
Get complete Medicare coverage plus extra benefits all in one plan.
Pharmacy Information
Low Income Subsidy is available under the Medicare Part D prescription drug program. Eligible beneficiaries who have limited income may qualify for a government program that helps pay for Medicare Part D prescription drug costs. If you receive “Extra Help” from Medicare, your monthly plan premium will be lower. The Low Income Subsidy (LIS) Premium Table shows you what your monthly premium will be if you get “Extra Help”.
Directories
Forms
Who is eligible for MetroPlus Platinum Plan (HMO)?
- Have Medicare Part A
- Are enrolled in Medicare Part B
- Live in New York City
Experience enhanced Medicare coverage designed to provide you with more benefits and greater peace of mind.
Simplify your healthcare journey with expanded Medicare coverage that offers more benefits with less hassle.
How to Enroll in MetroPlus Platinum Plan (HMO) for 2026:
- Call 833.965.1526 (TTY: 711)
- Speak with our helpful representatives to enroll by phone.
- Start enjoying your comprehensive benefits.