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Broker Resources
Tools & Information For Our Partners
Broker Resources 2023
At MetroPlusHealth, we share your mission—to offer quality, affordable Medicare Advantage health insurance plans to every eligible New Yorker. We believe in being more than just a health plan to our 650,000+ members, and provide many extra benefits and services to help keep them strong and well. Our dedicated Broker Services team works just as hard for you to deliver quick solutions whenever you want them.
And MetroPlusHealth 2023 is a 4-star Medicare plan!
Need anything?
Call our Broker Services at 1-833-917-3525, Monday to Friday, 9am–5pm or e-mail us at [email protected]. We are here to help.
Our Broker Services offers vigorous support to our appointed brokers, including:
- Responding to and troubleshooting your questions, concerns, and inquiries related to your commissions
- Assisting and coordinating your requests for health plan marketing collateral, materials, applications, brochures, fliers, promotional items, and equipment
- Coordinating scheduling of your coverage at designated MetroPlusHealth authorized and approved marketing venues, such as RV, Community Offices, Medical Centers and other MetroPlusHealth-contracted Acute and Ancillary sites
- Managing Medicare External Broker Sales Line, responding to but not limited to:
- Inquiry of client enrollment
- Broker Commission
- Address your questions related to Policies and Procedures
- Acting as liaison to internal MetroPlusHealth departments
- Coordinating your ongoing and routine broker training
- Coordinating Annual Broker Recertification
- Coordinating new broker on-boarding
- Coordinate events and special outreach initiatives planned between MetroPlusHealth and you
- Assisting with troubleshooting technical issues associated with MetroPlusHealth systems and associated software programs utilized by you to assist applicants and members
- Troubleshooting inquires related to applicant and member eligibility and enrollment status
Services Coming Soon For Brokers
- View Book Of Business
- (Active, Members/Pending Applicants)
- View Commission Statements
- View Member Renewal Dates
- Lead Management
- Order Marketing Materials, Collateral, Promotional Items and Forms
- Sign Up for Sales Opportunities and Event Participation
- And much more
Interested in Our Broker Program?
Get Appointed. Contact one of our Field Management Organizations (FMOs) below to learn about getting appointed to sell our Medicare plans.
We look forward to working with you.
As always, for any questions or assistance, you can always call our Broker Support Line at 1-833-917-3525 or e-mail us at [email protected].
Broker Certification and Training
MetroPlusHealth requires our appointed Medicare brokers have AHIP certification.
Face-to-Face training is not required — MetroPlusHealth offers online training modules to brokers.
A broker who certifies for 2022 will be certified for 2023 as well if their license remains valid and they complete product and compliance training for 2023. With changes in products, brokers need to take updated trainings for 2023.
Brokers that are onboarding and certifying for the first time must provide MetroPlusHealth with the following information:
- a current resume
- a copy of their broker license
- background check documents
Access our Broker Training modules here.
Username and Password are provided to the broker by MetroPlusHealth Human Resources department as part of the onboarding process. For questions regarding your username and password access, please email [email protected]. For questions about accessing the training modules, contact the Technical Enterprise Help Desk at [email protected]
To confirm appointment or certification, please send an email to [email protected]
Access our Principles of Professional Conduct here.
As always, for any questions or assistance, you can always call our Broker Support Line at 1-833-917-3525 or e-mail us at [email protected].
MetroPlusHealth has free interpreter services to answer any questions you may have about our health or drug plan. To get an interpreter, just call us at 866.986.0356. Someone who speaks English and other languages can help you. This is a free service. Access our Multi Language Insert message in other languages here.
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Our Medicare Program
At MetroPlusHealth, we offer two products: our Medicare Advantage and Platinum plans with robust benefits and services. Each plan also offers members all the perks of belonging to our health plan, including free 24/7 telehealth, a member rewards program, and much more. Learn more about our Medicare program here.
Our Medicare Advantage Plan
MetroPlusHealth Advantage Plan (HMO-DSNP) 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 their level of Medicaid eligibility, our Advantage members may pay as low as $0 for covered services.
Medicare Advantage Plan
Summary of Benefits (SB)
Medicare Platinum Plan
Summary of Benefits (SB)
Medicare Ultracare
Summary of Benefits (SB)
Marketing Resources
Medicare Enrollment Resources
Star Ratings
Medicare Provider / Pharmacy Directories
UltraCare Provider / Pharmacy Directories
Comprehensive Formulary
last updated: November 22, 2023
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