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Explore PlansIndividual + Family Plans

Individual + Family Plans

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At MetroPlusHealth, we focus on primary and preventive care. You can choose from more than 34,000 top providers, 40 hospitals and 110 urgent care centers, including NYC Health + Hospitals, NYU Langone, Mt. Sinai and CityMD. We also offer 24/7 telehealth right from your smartphone, tablet, or computer. Explore the plans below.

Explore all Plans for Individuals and Families

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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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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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Medicaid Managed Care

A plan for New Yorkers who have or are eligible for Medicaid.
FOR
Medicaid Qualified New Yorkers
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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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Find the best plan for you. View our plan features and benefits.
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Representative was very professional and helpful, showed empathy for my well being with no attitude …. Thank you….. 😊 👍👍

Betsy J.
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MetroPlusHealth Virtual Visit

Access to a doctor—whenever and wherever you need it!

MetroPlusHealth Virtual Visit is the fast, easy way for our members to see a provider for common physical, mental, emotional, and behavioral health issues that are not emergencies. MetroPlusHealth Virtual Visit is available anytime, from anywhere in New York State, 24/7 – and in your language.

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GREAT NEWS: STARTING JANUARY 1, 2023, METROPLUSHEALTH MEMBERS WILL RECEIVE THEIR DENTAL BENEFITS FROM DENTAQUEST.

Recently, we sent you an announcement along with your new ID Card about our new partnership with DentaQuest, a dental vendor. Starting January 1, 2023, you can begin to use your new ID Card for all your health care needs, including dental services with DentaQuest. Remember to bring your new ID card when you visit your dentist.

Your oral health is important to us. Partnering with DentaQuest, we are able to bring their experience and passion for improving oral health care to you. Their dental network is 65% larger than what we have been offering, with more dentists and specialists available than before. Learn more about your new dental benefit here.

Know your rights and protections against surprise medical bills!

When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn’t be charged more than your plan’s copayments, coinsurance and/or deductible.

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Are you receiving care at an NYC Health + Hospitals facility?

Manage Your Health Online With MyChart. Members who receive care at NYC Health + Hospital facilities now have access to MyChart. MyChart is a free secure portal you can use to manage your health information. MyChart allows you to:

  • Message your primary care provider’s office
  • Request refills of your prescription drugs
  • Access your test results
  • Schedule appointments
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Preventive Services Resources

Learn about all of the free preventive services for adults, women and children. Preventive care includes immunizations, physical exams, lab tests and prescriptions. If you have any questions, call one of our Member Services Representatives. We’re here to help.

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IMPORTANT INFORMATION: MONKEYPOX CASES ARE RISING IN NYC.

Monkeypox cases are rising in NYC. Learn more about Monkeypox, including prevention and treatment, here.

Explore all MetroPlusHealth Plans

Father lifting happy child up above him

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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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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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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GoldCare Plan

Low-cost plan for daycare workers in New York City.
FOR
NYC Daycare Employees
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Managed Long-Term Care

For Medicaid recipients who meet certain income, resource, age, or disability requirements.
FOR
Qualified New Yorkers
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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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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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Medicaid Managed Care

A plan for New Yorkers who have or are eligible for Medicaid.
FOR
Medicaid 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
last updated: August 3, 2022

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Saturday | 9 am–5 pm (ET)

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

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