4-Star Rated
Medicare in NYC*
Medicare in NYC*
Get more from your Medicare coverage with plans that include $0 premiums, over $3,100 a year in OTC benefits, up to $2,000 for hearing aids, $500 for eyewear, and more.**
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Rated 4 Stars for quality two years in a row,*
MetroPlusHealth Medicare gives New Yorkers more.
Enjoy comprehensive coverage, a large network of doctors and hospitals, and some of New York City’s most valuable Medicare benefits, including dental, vision, hearing, and wellness programs. MetroPlusHealth is also the only plan backed by NYC Health + Hospitals, the largest municipal health system in the U.S. Get the care you need and the extras you deserve with a plan built for NYC.
Other providers are available in our network.
Coming Soon: Learn more about our 2027 Medicare rating.
Experience 4-Star Rated Medicare Plans in NYC*
If you are Medicare eligible and live in New York City, you may be eligible to join one of our plans. We offer quality, affordable care – and exciting new member extras designed with you in mind, as well.
Additional Medicare Plan Details
MetroPlus Platinum Plan (HMO)
$0 premiums and $0 preventive care; $60 per quarter to use for OTC drugs and more, $500 for eyewear each year, up to $1,500 per year for comprehensive dental (implants not included), up to $2,000 for both ears for hearing aids every year.
MetroPlus Platinum Plan (HMO) is a plan designed for those Medicare beneficiaries who live in New York City and are eligible for Medicare Parts A and B. When you join our Platinum plan, you will receive your traditional Medicare benefits, plus the extra benefits offered by MetroPlusHealth. Medicare beneficiaries who may not qualify for Extra Help for Part D may like this plan.
MetroPlus Advantage Plan (HMO D-SNP)
Up $780 per quarter for OTC items and more, up to $250 every six months for gym/fitness membership reimbursement, 50 single rides to doctor visits, dental, hearing, and vision coverage
MetroPlus Advantage Plan (HMO D-SNP) is a Dual-Eligible Special Needs Plan designed for those Medicare beneficiaries who live in New York City, are eligible for Medicare Parts A and B, and receive assistance from New York State Medicaid. Depending on your level of Medicaid eligibility, you may pay as low as $0 for covered services.
MetroPlus UltraCare (HMO D-SNP)
Up to $780 per quarter for OTC items and more, up to $250 every six months for gym/fitness membership reimbursement, 80 single non-emergency rides to doctor visits $0 dental coverage (limitations apply)
MetroPlus UltraCare (HMO D-SNP) is a Medicaid Advantage Plus plan designed for people who are dual eligible for Medicare and full Medicaid, live in New York City, and need long-term care services such as home care and personal care. The plan covers most Medicare and Medicaid benefits, including long-term care or home and community-based services, plus Prescription Drug coverage. Premiums may be as low as $0 per month for those that receive Extra Help paying for their prescription drug premium.
Are you a MetroPlusHealth Medicare member?
Join us for a seminar near you to learn more about the changes for 2027. View the video for more information.
Frequently Asked Questions
Who is eligible for Medicare?
- People who are 65 or older
- People under 65 with certain disabilities
- People with End-Stage Renal Disease (permanent kidney failure)
Do I need to sign up for Medicare before I turn 65?
Some people are automatically enrolled in Original Medicare (Part A and Part B) and other people have to sign up for it. In most cases, if you’re turning 65 and will be getting benefits from Social Security or the Railroad Retirement Board (RBB) at least 4 months before you turn 65, you will automatically get Medicare Part A and Part B starting the first day of the month you turn 65. If you’re under 65 and have a disability, you’ll automatically get Medicare Part A and Part B after you get disability benefits from Social Security or certain disability benefits from the RRB for 24 months. You don’t need to sign up if you automatically get Medicare Part A and Part B. You will get your Medicare card in the mail three months before your 65th birthday or 25th month of disability.
When can I join or switch my Medicare plan?
You can join or switch plans during certain times of the year. Since your health and finances may change from year to year, it’s smart to review your health care needs every year to see if you need to change to a plan that works better for your current needs. You can join or switch plans during the following times:
- Initial Enrollment Period: You can enroll three months before you turn 65 (or 25th month of disability), during your birthday month (or 25th month of disability) and up to three months after your birthday (or 25th of disability).
- Medicare Annual Enrollment Period (October 15-December 7): During this period, you can enroll in or switch plans, including adding or dropping prescription drug coverage or switch from a Medicare Advantage Plan back to Original Medicare. Your new coverage will start on January 1 of the following year.
- Special Election Period: If you qualify for Medicaid, “Extra Help” or meet other special circumstances, you may be eligible for this period. If you are eligible, you can add new coverage or make changes to your current coverage depending on your situation.
- Medicare Advantage Open Enrollment Period (January 1-March 31): During this time, you have a one-time opportunity to switch from one Medicare Advantage plan to a different one. You can also drop your current plan and return to Original Medicare with the option to purchase a stand-alone Medicare Part D Prescription Drug Plan.
What is MetroPlusHealth plan’s contact info?
MetroPlus Health Plan
50 Water Street, 7th Floor
Phone: 1-866-986-0356, TTY users: 711
Monday to Friday, 8am to 8pm; Saturday, 9am to 5pm; and after-hours, at 800.442.2560.
Fax: 1-212-908-8601
What if I miss a Medicare enrollment period?
Call us at 1.866.986.0356 (TTY users: 711), Monday to Friday, 8am to 8pm; Saturday, 9am to 5pm; and after-hours, at 800.442.2560 to speak with a representative for help. You can also call Medicare directly at 1.800.MEDICARE or 1.800.633.4227. TTY users: 1.877.486.2048. Explain your circumstances to a representative. It may be possible to switch plans at other times, depending on your situation.
Get the Medicare facts you need to know in just a few minutes
2027 Edition is Coming Soon
Get our free 2027 Medicare E-Book
What’s inside:
- What is Medicare and understanding the different parts
- Original Medicare vs. Medicare Advantage
- The basics to help you choose with confidence
- Enrollment periods explained
- Understanding Medicare costs in NYC and how to get extra benefits
- How to lower your costs and information about local resources