MetroPlus Advantage
Plan (HMO D-SNP)
MetroPlus Advantage
Plan (HMO D-SNP)
One of New York City’s most
comprehensive health plans for
New Yorkers with Medicare
and Medicaid
comprehensive health plans for
New Yorkers with Medicare
and Medicaid
*Depending upon your Level of Extra Help.
On this page:
Rated 4 Stars for quality two years in a row,* MetroPlusHealth Medicare gives New Yorkers more.
The MetroPlus Advantage Plan (HMO D-SNP) is a Medicare Advantage Dual Eligible Special Needs Plan designed for individuals who qualify for both Medicare and Medicaid in NYC. With comprehensive medical coverage, prescription drug benefits, access to a broad network of providers, and valuable extra benefits, MetroPlus Advantage Plan helps members get the care they need while maximizing their health care coverage.
Who is eligible for MetroPlus Advantage Plan (HMO D-SNP)?
You’re eligible if you:
- Have Medicare Part A
- Are enrolled in Medicare Part B
- Qualify for Medicaid or Medicare cost-sharing assistance
- Live in New York City
Experience one of New York City’s most comprehensive healthcare solutions with coverage designed specifically for dual-eligible individuals.
Plan Benefits
Get More with Your MetroPlusHealth Flex Card* in 2027
One card, multiple benefits—now with $780 quarterly allowance!
Your MetroPlusHealth Flex Card makes it easier to access:
- Over-the-counter medications
- Healthy food
- Utility bill payments
- NEW for 2027: Rent assistance (through Visa Network)
Where to use your card
Find all participating locations via the link below: InComm My Benefits Portal
Important: Unused balances expire at the end of each quarter or upon disenrollment.
Need help with your Flex Card?
Contact us:
- Phone: 866.986.0356 (TTY: 711)
- Hours: Monday–Friday, 8am–8pm Saturday, 9am–5pm, and after-hours, at 800.442.2560
Additional Flex Card Benefits for Eligible Members
Members enrolled in the MetroPlus Advantage Plan (HMO D-SNP) or MetroPlus UltraCare (HMO D-SNP) may qualify for additional Flex Card benefits through Special Supplemental Benefits for the Chronically Ill (SSBCI). SSBCI is a Medicare program that offers additional Flex Card benefits to eligible members who have one or more complex chronic conditions, are at high risk for hospitalization or adverse health outcomes and require intensive care coordination. See a complete list of conditions here.
Additional Plan Details
Accessing Your InComm My Benefits: A Step-by-Step Guide
Everything you need to manage your benefits in one place. Learn how to:
- Access your benefit information online.
- Check your available balance.
- Find participating retailers.
- Redeem your benefits easily.
- Use both the website and mobile app.
Our step-by-step guide makes it simple to navigate the InComm My Benefits Center website and the OTC Network mobile application.
Stay Safe with a Personal Emergency Response System
Now available through your MetroPlus Advantage Plan benefits
As a MetroPlus Advantage Plan (HMO D-SNP) member, you can use your Flex benefits to get a Personal Emergency Response System (PERS), designed to help you stay safe and independent at home and on the go.
Benefits of a PERS Device
- 24/7 emergency assistance at the push of a button
- Support to help you maintain your independence
- Protection wherever you are, at home or away
- Greater peace of mind for you and your loved ones
How it works
A simple device connects you to help whenever and wherever you need it—simply press the button to get immediate assistance.
Learn More About PERS Services
- Learn About PERS Benefits
- Order Your PERS Device
PERS devices provide quick access to help, giving you added confidence and support every day.
Ready to Join MetroPlus Advantage Plan (HMO D-SNP)?
Enrolling in MetroPlus Advantage Plan (HMO D-SNP) for 2027 is simple.
Here’s how:
- Call 833.965.1526 (TTY: 711) to enroll by phone.
- Our representatives will guide you through every step.
Access Your Prescription Benefits:
- Visit the CVS Caremark website: caremark.com/wps/portal.
- Register using your MetroPlusHealth Medicare Member ID card.
- Follow the step-by-step instructions on the site.
Medicare Advantage Plan Materials
MetroPlusHealth will update, as needed, the MetroPlus Advantage Plan (HMO D-SNP) Summary of Benefits, Evidence of Coverage, and Annual Notice of Changes for 2027 with 2027 Medicare Parts A & B deductibles and coinsurance amounts.
A detailed explanation of your coverage, what we must do, your rights, and what you must do as a member of our plan.
A summary of changes to your benefits and costs for the next year. These changes take effect on January 1, 2027.
Coming Soon
Handbook Inserts
Coming Soon
Coming Soon
Plan Benefits
Directories
Pharmacy Information
Low Income Subsidy is available under the Medicare Part D prescription drug program. Eligible beneficiaries who have limited income may qualify for a government program that helps pay for Medicare Part D prescription drug costs. If you receive “Extra Help” from Medicare, your monthly plan premium will be lower. The Low Income Subsidy (LIS) Premium Table shows you what your monthly premium will be if you get “Extra Help”.
Forms
Coming Soon