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 live in New York City 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 the little ones—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.

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 through Saturday from 8:00AM to 8:00PM. Just call 1-800-303-9626 (TTY:711).

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

Medicare members can call us 24/7 at 1-866-986-0356 (TTY: 711).

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
  • Medical Supplies
  • Orthodontic Services for a Severe Physically Handicapping Malocclusion
  • Air Ambulance Services
  • Transportation Between Facilities
  • Children and Family Treatment and Support Services
  • Core Limited Health-Related Services

Important Notice: Effective October 1, 2021, our members now access their behavioral health services through MetroPlusHealth. Learn more 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 CVS Caremark® Customer Care Team at 1-(855) 656-0361 for Medicaid Managed Care and Child Health Plus members or 1-(855) 383-9426 for Exchange Plan members.

Looking for a pharmacy with free delivery?Looking to get your medications sent to you pre-packaged? Want a pharmacy that you can text?

MetroPlusHealth has partnered with Medly Pharmacy to offer free delivery and more! Sign up here or call Medly at (929) 454-5090.

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MetroPlusHealth Virtual Visit

Access to your 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
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.

Health Risk Assessment 

HRA can be returned to:
ATTENTION: QM Health Risk Assessment Unit
MetroPlus Health Plan
50 Water Street, 7th Floor
​New York, NY 10004
or by completing our Contact form by clicking here.

IMPORTANT INFORMATION: MONKEYPOX CASES ARE RISING IN NYC.

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

last updated: August 10, 2022

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