Buried in copays?
$0 health care just got even better
Join thousands of NYC employees who made the switch to Gold.
*$25 copay for urgent care. $100 copay for ER waived if admitted.
Who is eligible for Gold Plan?
Plan Benefits
- $0 per month Premium for individuals and families
- $0 deductible
- $0 copay for over 125 commonly used prescription drugs
- PCP referral no longer required to access in-network specialists
- $0 Telehealth Visits – 24/7 access to doctors and therapists
- 26 dietician visits per year at no cost
- 10 acupuncture visits per year at no cost
- Up to $60 transportation reimbursement per year
MetroPlusHealth Gold: More Value, More Benefits, More Reasons to Enroll
Open Enrollment is November 1 through November 30, and there’s never been a better time to choose MetroPlusHealth Gold.
Gold continues to provide affordable, comprehensive health coverage with:
- $0 monthly premiums
- $0 deductibles
- $0 telehealth visits
- Access to quality care across New York City
For 2027, we’re adding even more value with new and enhanced benefits designed to help you save money, access care faster, and achieve your health and wellness goals.
New and Enhanced 2027 Benefits
- No referrals required for in-network specialist visits
- $0 urgent care copays beginning January 1, 2027
- $0 copays for Primary Care Providers (PCPs) and specialists
- New doula services for expectant parents, including:
- Up to eight prenatal or postpartum visits
- One labor and delivery support visit per pregnancy
- More than 100 commonly prescribed medications available at no cost
- Lower-cost optional pharmacy riders for enhanced prescription drug coverage
Join thousands of city employees who’ve chosen MetroPlusHealth Gold
Access top-rated health care providers
- Tens of thousands of top-rated providers citywide.
- 40+ premiere hospitals including Mount Sinai, NYU Langone, and NY Health + Hospitals
- 110+ urgent care locations including convenient CityMD sites
Frequently asked questions about the Gold Plan
What does the Gold Plan provide?
$0 Cost Benefit
- $0 deductibles
- $0 co-insurance
- $0 employee premium with basic plan
- $0 24/7 virtual access to doctors and therapists
- $0 for select prescription drugs†
- $0 dietician visits
- $0 copay for urgent care, effective 1/1/2027
- Access in-network providers without a referral from your primary care physician.^
Health Care Access
- Tens of thousands of participating physician and hospital locations across NYC
- Expanded urgent care access
- Medications pre-packaged and delivered at no extra cost via PillPack or CVS Pharmacy
Wellness Perks
- Fitness reimbursements up to $1,400 per year
- Up to $300 per year reimbursement for wellness apps
- Transportation reimbursement – up to $60 per plan year
Additional Features
- Low-cost optional prescription drug rider available
- Doula visits
- Member portal to easily manage your account
†Note: This is a drug discount program, not a prescription drug benefit. Drugs on the list are provided to covered individuals at a discounted price of $0 as part of a health and wellness benefit. Coverage for drugs that are not included in the discount program, require purchase of the optional rider and may be subject to copays. List of drugs can be found at metroplus.org/gold-rx-list
^NYC Health + Hospitals specialists may require medical referrals
How can I enroll in the Gold Plan?
- Reach out to your company’s benefits manager for more information about choosing MetroPlusHealth Gold.
- You can also call us at 877.475.3795 or visit us at our Virtual Office to find a representative ready to answer your MetroPlusHealth Gold questions.
What other benefits do I get with the Gold plan?
- You, your spouse and dependents can get up to $1,400 reimbursement for working out
- 10 acupuncture sessions per plan year
- You may qualify for $0 copays* for dietician visits
- $0 24/7 telehealth through MetroPlusHealth virtual visit
- And more!
*$0 copay for urgent care, effective 1/1/2027. $100 copay for ER waived if admitted.
Does MetroPlusHealth Gold plan offer gym reimbursement?
Yes, Gold Plan offers a fitness reimbursement:
- Up to $250 per member, every 6 months
- Up to $250 per spouse, every 6 months
- Up to $100 per dependent (up to 2 dependents), every 6 months
Want to learn more about Gold?
Join a free Webinar!
Webinars are offered on the first Wednesday of each month or the last Friday of each month through December 2026.
Everything you need to know about Gold Plan
last updated: October 1, 2026