PlatinumPlus 2025
Announcements & plan documents
What are you looking for?
Find a doctor or specialist in your area today
Plan Materials
Certificate of Coverage
(includes Contract, Schedule of Benefits, Summary of Benefits and Coverages)
Summary of Benefits
Additional Member Resources
To find in-network providers use our provider search tool.
To check prescription drug coverage for MetroPlusHealth Marketplace Plans, visit the MetroPlusHealth pharmacy page.
Need a hard copy of your Certificate of Coverage?Submit a request online and specify your plan (e.g., GoldPlus G1):
- Child-Only Plans provide coverage for members under age 21 as of the start of the year.
- Non-Standard Plans include extra benefits not found in Standard Plans, with options to add Adult Vision and Dental coverage.
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
