PlatinumPlus 2025
The MetroPlusHealth Marketplace PlatinumPlus Plan is one of the most comprehensive Platinum health insurance plans in NYC, designed to give individuals and families premium coverage with maximum benefits. With access to top hospitals, trusted doctors, preventive care, prescriptions, and wellness programs across New York City, this plan delivers peace of mind and high-quality care close to home. Whether you’re comparing Platinum Marketplace plans, exploring NYC health insurance options, or looking for affordable premium healthcare, the PlatinumPlus Plan offers the balance of value, convenience, and quality you need to stay healthy.
MetroPlusHealth offers several different PlatinumPlus plans. Each plan adds additional levels of customization to fit your needs.
The PlatinumPlus plan has an individual deductible of $0 and a max out of pocket of $2,000. The family deductible is $0 and a max out of pocket of $4,000.
This plan also has an American Indian / Alaska Native plan with a $0 deductible and $0 max out of pocket for those that qualify.
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”).
Check out our 2025 PlatinumPlus 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 here. One of our representatives will contact you to review your plan options.
2025 PlatinumPlus*
* These charts are brief descriptions of benefits for the plan.
** Prescription Drug: Generic / Formulary Brand / Non-Formulary Brand
◊ Deductible must be met first before cost sharing begins. Family cost is multiplied by (2).
□ AI / AN – American Indian / Alaskan Native
Premiums listed are example base rates for individuals. Rates may differ based according to family size, income level, and eligibility for tax credits. In accordance with Section 1303 of the Patient Protection and Affordable Care Act, at least $1.00 of the total premium amount owed per enrollee per month is a payment for coverage of non-Hyde abortion services.
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.
Personally I’ve always had and still have very great experiences with MetroPlusHealth, I would recommend it to anyone who is looking for the best health insurance services. Thank you MPH for always taking great care of me and mines.
Plan Materials
Certificate of Coverage
(includes Contract, Schedule of Benefits, Summary of Benefits and Coverages)
Summary of Benefits
Additional Member Resources
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.
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
