A mother kissing and hugging her child, representing the security of MetroPlusHealth Individual & Family Plans.

Child Health Plus

Announcements & Plan Documents

Additional Resources

Provider Access and Availability Standards

Behavioral Health Access & Availability

Medical Access & Availability

NYS Standard Form to Designate a Representative to Assist with Health Insurance Authorizations, Complaints, Grievances, and Appeals

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Important Notices

December 08, 2025
Important Update for Medicaid Managed Care, PIC, & HARP Members
September 27, 2025
MetroPlusHealth Celebrates 10 Years of Dedicated Service to Jackson Heights Community
September 26, 2025
Menopause Care Reaches New York Women with Elektra Health as the Leading Insurance-Covered Provider
September 24, 2025
Virtual Menopause Care Provider Elektra Health Adds Payer Partners in N.Y.
September 08, 2025
SCNs for Medicaid Members: Support for Health and Daily Needs
July 18, 2025
MetroPlusHealth Opens Community Office in Brighton Beach, Further Expanding Access to Care in Brooklyn
July 14, 2025
Important Update on Settlement in Consumer Directed Personal Assistance Program (CDPAP)
July 01, 2025
AMNY METRO, POLITICSNY, and Gay City News’ “2025 LGBTQ+ Power Players” Recognizes Mitchell Katz, MD, and Ken Louie
May 29, 2025
POLITICSNY and AMNY Honor NYC Health + Hospitals and MetroPlusHealth Leaders on 2025 “AAPI Power Players” List

Important Notice: Effective October 1, 2021, our members now access their behavioral health services through MetroPlusHealth. Learn more here.

We believe every child deserves quality healthcare.

Our plan includes:

  • Regular check-ups and preventive care

  • Vision insurance for children, including eye exams

  • Routine and preventive dental services

  • Access to specialists and hospitals

  • Well-child care

  • Physical exams and immunizations

  • X-rays and labs

  • Emergency care and emergency ambulance transportation

  • Prescription and non-prescription drugs if ordered by a licensed provider

  • Inpatient hospital care

  • Inpatient and outpatient mental health care

  • Speech therapy (limitations may apply)

  • Hearing services

  • Durable medical equipment and supplies

Complaints and Appeals

We hope our health plan serves you well. But if you have a problem, you can talk with your PCP, or call or write our Member Services. Most problems can be solved right away. If you have a problem or dispute with your care or services, you can file a complaint with us. Problems that are not solved right away over the phone — and any complaint that comes in the mail — will be handled according to our complaint procedure described here.

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.

last updated: December 12, 2025
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