Choosing the right health insurance plan is an important decision—and MetroPlusHealth makes it easier with our Compare Plans page. Whether you’re looking for coverage for yourself, your family, or employees, this tool helps you understand the differences between our affordable, high-quality plans. Compare benefits, premiums, provider access, and added perks side-by-side, so you can find the plan that best fits your needs, lifestyle, and budget.

Find The Best Plan for You

MetroPlusHealth plans offer access to 34,000 providers, 40 hospitals, and 110 urgent care centers. Find a plan that’s right for you.

Deductible

Monthly Premium

$0 24/7 Telehealth

Adult Dental & Vision

Annual Checkup

PCP Copay

Specialist Copay

Eligibility

Emergency room co-pay (waived if admitted)

Enrollment Period

Fitness (Gym) Reimbursement

Hearing

Hospital Admission

Out of Pocket Maximum

Pediatric Dental & Vision

Prepackaged Medications

Prescription Drug Coverage

Weight Loss Program Reimbursement

$0 24/7 telehealth with MetroPlusHealth Virtual Visit

Doctors & Specialists

Discount Drug Program

Wellness Benefit Reimbursement (Online Apps)

Hospital Visits

Construction worker at work putting up concrete barrier in the street
Gold Plan

$0

$0

-

$0

$0

$0

Employees of the city of New York (as well as certain retireees)
and their spouse and children

$100

November 1-30

Up to $700 every 6 months

-

$0

$7,150 Individual $14,300 Family

-

-

-

-

-

-

Daycare worker and child making a cactus craft
GoldCare Plan

-

$0 individual/up to $90 per month for a family

-

$0

$10

$20

NYC Large Employer groups and their spouse and children

$100

October 1 – 30

-

-

$100

$6,850 individual / $13,700 family

-

-

-

-

-

Legs of people sitting on the side of the street
Marketplace Plans

Varies

Varies

-

Available

$0

-

-

All New Yorkers

-

-

$200 every 6 mo. for member,
$100 every 6 mo. for spouse

-

-

-

-

-

-

-

-

People crossing a street within a crosswalk
Essential Plan

$0

$0

-

$0

-

-

Qualified New Yorkers

-

-

$200 every 6 mo. for member

-

-

-

-

-

-

-

Person holding a cell phone waiting for the subway train doors to open
Medicaid Managed Plan

$0

$0

-

-

$0

$0

$0

-

$0

year round

-

$0

$0

-

-

-

-

-

-

Father lifting happy child up above him
Child Health Plus

$0

$0-$60 per month,

depending on income

-

-

$0

$0

$0

Children under age 19 not covered by their parents health insurance plan and not eligible for other coverage such as Medicaid

$0

year round

-

$0

$0

-

-

-

-

-

With all our plans you get:

$
0
4 FREE non-emergency transportation
Trips to the emergency room
Immunization vaccines
Prescription drugs and lab tests
last updated: July 31, 2025
MetroPlusHealth
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