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Check Eligibility

Check Your Eligibility

MetroPlusHealth takes pride in providing health plan coverage to a variety of New York City residents. But we have to ask you some questions first. To see if you might qualify for a MetroPlusHealth plan, please fill out the following form. All questions require an answer.

Please be aware: This is just a quick evaluation – and its determination isn’t final. Even if it deems you not eligible, you may still qualify for coverage, especially if you or someone in your household is pregnant.

Please call 1-800-475-6387 (METRO) or TTY: 711 to talk with a MetroPlus representative. Or come chat with us in person. We have Marketplace Facilitated Enrollers – we call ’em FEs for short – all over town, and they’re happy to help you answer your health plan questions. Here’s a list of their locations.

Explore Plans

MetroPlusHealth has offered low-cost, quality health care for more than 30 years.

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MetroPlusHealth Gold

$0 premiums, deductibles, and co-insurance. Basic plan is FREE for NYC workers and their families!
FOR
NYC Employees
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Essential Plan

$0 premiums for all who qualify, and no deductible, so it pays for your care right away.
FOR
Qualified New Yorkers
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Medicaid Managed Care

A plan for New Yorkers who have or are eligible for Medicaid.
FOR
Medicaid Qualified New Yorkers
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Medicare Plans

If you are turning 65 within the next 3 months or you are 65 years of age or older, you may be entitled to additional medical benefits through the Medicare program.
FOR
Qualified New Yorkers
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Child Health Plus

For children under 19 who are not eligible for Medicaid and have no other health insurance or access to the public employees’ New York State Health Insurance Program, NYSHIP.
FOR
Qualified Children Residing in NY State
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Enhanced (HARP) Plan

For Medicaid recipients 21 or older who need additional resources for behavioral health.
FOR
Qualified New Yorkers
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GoldCare Plan

Low-cost plan for daycare workers in New York City.
FOR
NYC Daycare Employees
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Marketplace Plans

Explore Qualified Health Plans (QHP) through the NY State of Health, The Official Health Plan Marketplace.
FOR
Qualified New Yorkers
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Partnership in Care (PIC) HIV - SNP

For New Yorkers living with HIV/AIDS and other select groups.
FOR
Qualified New Yorkers

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last updated: June 27, 2022

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*You can contact us after normal business hours for limited inquiries.

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