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.
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.
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:
Plan Materials
For our CHP, EP, HARP, QHP, MEDICAID, AND HIV SNP PLAN members. Earn rewards for making healthy choices.
Effective April 1, 2023, Residential Rehabilitation Services for Youth (RRSY) are included with Child Health Plus coverage. Learn more here.
June 1, 2020 Member Handbook Insert
April 1, 2020 Member Handbook Insert
EFFECTIVE JANUARY 1, 2023
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
