All these services and more at ZERO COST to you:

Extra benefits included with your plan:

• $780 Flex Card quarterly for:
  • Over-the-counter medicines
  • Personal Emergency Response System
  • Bathroom safety devices
  • Chiropractic visits
  • Internet, phone, and cable service
  • Your electric and gas bills
  • Healthy Food and Pet Supplies
  • NEW! For 2027 – Rent assistance (through Visa Network)

Enjoy comprehensive coverage designed to support your independence and quality of life—with zero copays and zero hassle.

Disclaimer: Limitations may apply.

Other providers available in our network

Find the medications you need at a price you can afford.

Coverage Information:

• Review our formulary (list of covered drugs) in the Plan Benefits section below
• With Extra Help, you may qualify for $0 copay prescriptions
• We partner with CVS Caremark to provide your prescription coverage

Important Notes:

• MetroPlusHealth may update the formulary during the year
• You’ll receive notifications about changes that affect your medications
• Your coverage level depends on your Extra Help qualification

Access Your Prescription Information:

1. Visit your CVS Caremark account here.
2. Use your MetroPlusHealth Member ID card to register or log in.
3. View your complete prescription benefits and coverage details.

Need help? Contact our Member Services team for assistance with any prescription questions.

Our exciting new Rewards Program is now available! Learn More or Register

Need Help with MetroPlus UltraCare Enrollment?

Contact us directly:

• Call: 833.965.1526 (TTY: 711)
• Hours: 7 days a week, 8:00am-8:00pm
• Our representatives can answer all your questions.

Who can call:

• You
• Your family member
• Your caregiver
• Anyone who helps with your medical services

New to Long-Term Care Services?

Schedule a free evaluation with the New York Independent Assessor (NYIA):

• Call: 1.855.222.8350
• Hours: Monday-Friday, 8:30am-8:00pm Saturday, 10:00am-6:00pm

• Have both Medicare and full Medicaid coverage
• Need long-term care services
• Require assistance with home care and personal care

Complete Coverage in One Plan:

• Medicare benefits
• Medicaid services
• Long-term care support
• Home and community-based services
• Prescription drug coverage
• Potential $0 monthly premium with Extra Help

Personalized Support

Your dedicated Primary Care Manager will:

• Manage your everyday healthcare needs
• Identify potential health issues early
• Create a customized care plan
• Help you remain at home independently for as long as possible

Enjoy comprehensive care with the support you need to maintain your independence and quality of life.

Ready to enroll? It’s simple:

• Call 833.965.1526 (TTY: 711).
• Our representatives will guide you through enrollment by phone.
• New benefits begin January 1, 2027.

Access Your Prescription Benefits:

1. Visit caremark.com/wps/portal.
2. Use your MetroPlusHealth Medicare Member ID card to register.
3. Follow the step-by-step instructions on the Caremark website.

Important notes:

• You can end your membership at any time.
• Changes typically take effect on the first day of the month after we receive your request.
• The process varies depending on your new coverage choice.

How to End Your Membership

Option 1: Join another plan

• This automatically ends your MetroPlus coverage.

Option 2: Switch to Original Medicare

• If you haven’t selected a separate Medicare prescription drug plan, you must request disenrollment by:
  • Submitting a written request
  • Completing our disenrollment form (Coming Soon)
  • Contacting Medicare directly at 1.800.MEDICARE (1.800.633.4227), available 24/7 (TTY users: 1.877.486.2048)

Questions? Call Member Services: 866-986-0356 (TTY: 711) – Monday to Friday, 8am to 8pm; Saturday, 9am to 5pm; and after-hours, at 800.442.2560.

Legal Information:

MetroPlus Health Plan, Inc. offers HMO and HMO D-SNP plans with contracts with Medicare and the New York State Medicaid program. Enrollment in MetroPlus Health Plan, Inc. depends on contract renewal.

MetroPlusHealth is not affiliated with, endorsed by, or otherwise related to the the federal government, CMS, HHS, and /or Medicare. Enrollment in MetroPlus Health Plan, Inc. depends on contract renewal.

MetroPlus Health Plan, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATTENTION: Language assistance services and other aids, free of charge, are available to you. Call 1.866.986.0356 (TTY: 711).

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1.866.986.0356 (TTY: 711).

H0423_MPHwebsite_M_2027 Approved 10012026 MKT26.119