MARKETPLACE
PLANS
We offer a wide variety of comprehensive health plans for individuals and families with great benefits and services – and at very competitive prices.
New Yorkers shopping for a Qualified Health Plan can compare our plan options for 2025 and choose the plan that’s best for them and their families. And, for 2025, MetroPlusHealth is offering some of the lowest rates on the NYSOH.
We offer a wide variety of comprehensive health plans for individuals and families with great benefits and services – and at very competitive prices.
You can enroll with us in a MetroPlusHealth Marketplace plan directly by clicking here (“Off Exchange”) or through the NY State of Health (NYSOH), the Official Health Plan Marketplace (“Exchange”).
To view our 2024 Qualified Health Plans click here
Check out our 2025 plans below. Interested in one? Think you might be eligible for a NYSOH premium subsidy? Call us at 1-855-809-4073 or contact us. One of our representatives will contact you to review your plan options.
Earn rewards for making healthy choices!
To view our 2025 Plain English Premium Rate Changes
Already a MetroPlusHealth Marketplace plan member?
We can help you stay covered!
Questions or ready to re-enroll for 2023?
Email us at [email protected]
Call us, Monday – Friday, 8am to 6pm, and Saturday from 9 AM to 5 PM, at 212.908.3300
Or make a virtual appointment with us using the button below.
We’re here to help.
How do I enroll?
Enrolling is hassle-free and easy as one, two, three! All you need is your:
- Proof of residency in the 5 boroughs of NYC
- Proof of immigration status
- Proof of relationship status for any dependents
Enroll online today. Or call us at 855-809-4073. A representative will contact you shortly to help you enroll.
Shop Marketplace Plans
It’s always easy to get in contact with someone when needed. Best insurance I’ve had!
MetroPlusHealth also offers Medicaid, Child Health Plus, Essential Plans, and other health coverage ALL YEAR LONG – at little or no cost to you.
2024 Final Premium Rates
Additional Member Resources
Did you know that you can get your medications pre-packaged for free? We offer two ways to do it: through any CVS pharmacy or home-delivered by PillPack. Get the details below.
MetroPlusHealth wants our members to be healthy. Take advantage of our gym reimbursement program and maximize your results at minimal cost to you.
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.
Pharmacy Network Change
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.
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