Frequently asked questions

MetroPlusHealth Gold Plan covers primary care visits for injury or illness, specialist visits, preventive care, immunizations, diagnostic tests, diagnostic imaging and facility fees and physician fees for outpatient surgery. Those services cost $0 if you see an in-network provider.

The plan also covers emergency room care, emergency medical transportation, urgent care, facility and physician fees for hospital stays, outpatient and inpatient services for mental health, behavior health or substance abuse, and office visits, childbirth and delivery facility fees.

Emergency room visits cost $100 per visit, while urgent care visits cost $25 per visit.

For recovery services, the Gold Plan covers home health care, rehabilitation services, habilitation services, skilled nursing care, durable medical equipment and hospice services.

MetroPlusHealth’s Gold Plan is for people employed by the City of New York and their families and non-medicare eligible retirees, NYC Health + Hospitals, and MetroPlusHealth employees.

What providers take MetroPlusHealth’s Gold Plan?
There are physicians and hospitals in over 34,000 sites across New York City. For help finding an in-network provider, try our Find a Doctor tool.