Elderly woman receiving home care assistance from a MetroPlusHealth caregiver through the Managed Long Term Care plan in New York.

Managed Long-Term Care

Care Where You Need It

Why choose MetroPlusHealth?

Quality Care When and Where You Need It

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?

Is a not-for-profit organization (prioritizing you, not profits)
Was created by New Yorkers, for New Yorkers
Proudly provides customer service from real people who live in NYC
Offers you 34,000+ providers across all five boroughs

National Health Care Chains

Prioritize their bottom line profits (not you)
Are based outside of NYC
Provide impersonal customer service
Offer uncertain provider networks
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Who qualifies for MetroPlusHealth’s Managed Long Term Care Plan?

You’re eligible if you are:

  • Are 21 or older
  • Have Medicaid
  • Live in any NYC borough (Bronx, Brooklyn, Manhattan, Queens, or Staten Island)
  • Expected to require at least one of the community based long term services and support (CBLTSS) for a continuous period of more than 120 days from the date of enrollment: Can safely stay in your home with support

Find out if you’re eligible today

<strong>We are available 6 days a week</strong>

Monday – Friday | 8am – 6pm (ET), Saturday | 9am – 5pm (ET)

MetroPlusHealth Managed Long-Term Care Plan Benefits

On-Call Services Available 24 Hours a day, 7 Days a week:

  • Adult Day Health care
  • Care Coordination
  • Chore Service and Housekeeping
  • Consumer Directed Personal Assistance Services (CDPAS)
  • Dental Care
  • Durable Medical Equipment, including Medical and Surgical Supplies, Prosthetics, Orthotics, and Orthopedic Footwear
  • Eye exam and eyeglasses
  • Foot Care
  • Hearing Exams and Hearing Aides (including hearing aide batteries)
  • Home Care including nursing, home health aides, rehabilitation therapies, and medical social work
  • Home Delivered or Congregate Meals
  • Home Safety Modification/Improvement
  • Long-Term Placement at a Veterans’ Home
  • Nursing
  • Nursing Home Care (certain Medicaid restrictions apply)
  • Nutritional Counseling and Nutritional Supplements
  • Personal Care Services
  • Personal Emergency Response System (PERS)
  • Private Duty Nursing
  • Rehabilitation Therapies (Physical, Occupational, and Speech Therapy) provided in Setting other than Home
  • Respiratory Therapy
  • Respiratory Therapy and Oxygen
  • Scheduled Transportation to Health related Appointments
  • Social Adult Day Care
  • Social Care Network (SCN) benefits (effective January 1, 2025)
  • Social and Environmental Support
  • Telehealth

Planning For Your Care: Your Voice Matters

Who would make your health decisions if you couldn’t speak for yourself? Learn about Advance Directives and resources for planning ahead.

Your Personalized Care Plan
When you join MetroPlusHealth Managed Long-Term Care, you’ll get a dedicated Care Manager who will:

  • Work closely with you, your family, and your doctor
  • Create a care plan tailored to your unique needs
  • Address your medical, physical, emotional, and social requirements
  • Review your plan every six months (or sooner, if needed)
  • Provide you with a copy of your care plan

Let’s Build Your Plan Together
Your care plan specifies exactly which services you need, how often you’ll receive them, and for how long—all based on a comprehensive assessment of your situation.

Members and providers accessing MetroPlusHealth's online resource library
MetroPlusHealth Virtual Visit

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

Explore all MetroPlusHealth Plans

last updated: June 25, 2025
MetroPlusHealth
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