Father lifting happy child up above him

Child Health Plus

Coverage for kids – at low or no cost.

Who is it for?

All children under age 19 who are New York state residents and are not eligible for Medicaid can enroll in Child Health Plus if they don’t already have health insurance and are not eligible for coverage under the public employees’ state health benefits plan.

Parent holding sleepy child while walking down the street

The Child Health Plus plan provides protection for children under age 19—everything from check-ups to dental care, from the MetroPlusHealth citywide list of providers. It’s available for all children under age 19, who live in New York City and don’t qualify for Medicaid.

What’s more, in many cases, plan coverage comes at no cost. Depending on your family’s income and size, there may be a small monthly premium.

Earn rewards for making healthy choices!

How do I enroll?

You can join Child Health Plus at any time during the year.

To sign up online, visit the NY State of Health Marketplace or call 1-855-355-5777.

If you would like help signing up, contact MetroPlusHealth at 855-809-4073 (TTY: 711).

Child Health Plus is a New York State-sponsored health insurance program.

Speak to MetroPlusHealth

Questions? Ready to sign-up?

Our Member Services team is always here to help. We are here Monday to Friday, 8:00 AM to 6:00 PM, and Saturday from 9:00AM to 5:00PM. Just call 1.800.303.9626 (TTY:711).

Our 24/7 Customer Service Hotline will answer your call at other times and on holidays.

If you are experiencing a mental health crisis, our Behavioral Health Crisis after hours partner — Vibrant Emotional Health — can be reached 24/7 at 1.866.728.1885 (SMS capable for the hearing impaired).

IMPORTANT NOTICE: LEARN MORE BELOW, IN THE PLAN MATERIALS SECTION, ABOUT NEW CHILD HEALTH PLUS BENEFITS, EFFECTIVE JANUARY 1, 2023, INCLUDING:

  • Assertive Community Treatment Services (ACT)
  • Medical Supplies
  • Orthodontic Services for a Severe Physically Handicapping Malocclusion
  • Air Ambulance Services
  • Transportation Between Facilities
  • Children and Family Treatment and Support Services (CFTSS)
  • Core Limited Health-Related Services (in VFCA) / 29-I Health Facility)

Plan Materials

2024 MetroPlus Member Rewards Program

For our CHP, EP, HARP, QHP, MEDICAID, AND HIV SNP PLAN members. Earn rewards for making healthy choices.

Residential Rehabilitation Services for Youth (RRSY)

Effective April 1, 2023, Residential Rehabilitation Services for Youth (RRSY) are included with Child Health Plus coverage. Learn more here.

Child Health Plus Member Guide
NYS Standard Form to Designate a Representative to Assist with Health Insurance Authorizations, Complaints, Grievances, and Appeals

Important Notice: Effective October 1, 2021, our members now access their behavioral health services through MetroPlusHealth. Learn more here.

Complaints and Appeals

We hope our health plan serves you well. But if you have a problem, you can talk with your PCP, or call or write our Member Services. Most problems can be solved right away. If you have a problem or dispute with your care or services, you can file a complaint with us. Problems that are not solved right away over the phone — and any complaint that comes in the mail — will be handled according to our complaint procedure described here.

Important Update

Pharmacy Network Change

Starting January 1, 2022, Walgreens and Duane Reade will no longer be in the pharmacy network for members of these plans:

  • Medicaid Managed Care (including Partnership in Care and HARP Plans)
  • Child Health Plus
  • Exchange / MarketPlace Plans

Where can I find a list of participating network pharmacies?

Members can find a list of network pharmacies or use our online provider search tool.

What do I do if I get my medications from Walgreens or Duane Reade?

Members who have an ongoing prescription including medications, certain supplies such as pen needles, test strips, continuous glucose monitors, and blood glucose test strips at a Walgreens or Duane Reade should call their health care providers to get a new prescription to be sent to a different pharmacy.

Who can I call if I have questions?

If you have any questions, please call the Rx Customer Services Team at 1-(855) 656-0361 for Child Health Plus members or 1-(855) 383-9426 for Exchange Plan members.

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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.

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.

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
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.

Explore all MetroPlusHealth Plans

last updated: January 18, 2024

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