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More than you expected.
Exactly what you need.

Explore your benefits

Why is MetroPlusHealth Gold top-rated?

*$25 copay for urgent care. $100 copay for ER waived if admitted.
†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

Who is eligible for Gold Plan?

  • ALL employees of the City of New York, their qualified domestic partners and eligible dependents
  • Non-Medicare eligible retirees
  • NYC Health + Hospitals employees

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

Get Rewarded for Staying Healthy

Get rewarded for healthy choices. With the MetroPlusHealth Member Rewards Program, eligible members earn gift cards for completing key health activities like checkups, screenings, and vaccinations – making wellness more rewarding.

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 2025.

Why Choose a New York-Only Health Care Plan?

$0 copays*
Earn up to $250 in Rewards by doing heathy activities
Up to $300 in wellness app reimbursements like Citibike, Noom, Peloton and more
Not-for-Profit
By New Yorkers, for New Yorkers
Customer service from real people who live in NYC

National Health Care Chains

$20 / $30 / $50 copays
No rewards program
No wellness app reimbursement
Focused on the bottom line: their profits
Based outside of New York City
Impersonal customer service
*$25 copay for urgent care. $100 copay for ER waived if admitted.

Join thousands of city employees who’ve made the switch.

Open enrollment starts on November 1st.

Up to $5,000 in value to keep you healthy

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

Health Care Access

  • Over 34,000 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
  • 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

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!
*$25 copay for urgent care. $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

4+ stars from over 700,000 MetroPlusHealth members

It’s always easy to get in contact with someone when needed. Best insurance I’ve had!

Alicia S.
Google Review

Representative was very professional and helpful, showed empathy for my well being with no attitude …. Thank you….. 😊 👍👍

Betsy J.
Google Review

They’re very helpful and took care of me when I had an emergency 👍🏾👌🏾💯

Mateo V.
Google Review

Personally I’ve always had and still have very great experiences with MetroPlusHealth, I would recommend it to anyone who is looking for the best health insurance services. Thank you MPH for always taking great care of me and mines.

Michaelle J.
Google Review

Thank you. It was super easy to get appt and to be able to speak to my doctor.

Lourdes S.
Google Review

I have been with them for many years and have only good things to say about MetroPlusHealth. They are always helpful, understanding, and working with me.

Ireen S.
Google Review
last updated: September 10, 2025
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