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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 little or no health insurance.
FOR
Qualified NYC Children
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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 Plans

Low-cost plans 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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