Other providers available in our network

Find the medications you need at a price you can afford.

Coverage Information:

• Review our formulary (list of covered drugs) in the Plan Benefits section below
• With Extra Help, you may qualify for $0 copay prescriptions
• We partner with CVS Caremark to provide your prescription coverage

Important Notes:

• MetroPlusHealth may update the formulary during the year
• You’ll receive notifications about changes that affect your medications
• Your coverage level depends on your Extra Help qualification

Access Your Prescription Information:

1. Visit your CVS Caremark account here.
2. Use your MetroPlusHealth Member ID card to register or log in.
3. View your complete prescription benefits and coverage details.

Need help? Contact our Member Services team for assistance with any prescription questions.

Our exciting new Rewards Program is now available! Learn More or Register

Need Help with MetroPlus UltraCare Enrollment?

Contact us directly:

• Call: 833.965.1526 (TTY: 711)
• Hours: 7 days a week, 8:00am-8:00pm
• Our representatives can answer all your questions.

Who can call:

• You
• Your family member
• Your caregiver
• Anyone who helps with your medical services

New to Long-Term Care Services?

Schedule a free evaluation with the New York Independent Assessor (NYIA):

• Call: 1.855.222.8350
• Hours: Monday-Friday, 8:30am-8:00pm Saturday, 10:00am-6:00pm

• Have both Medicare and full Medicaid coverage
• Need long-term care services
• Require assistance with home care and personal care

Complete Coverage in One Plan:

• Medicare benefits
• Medicaid services
• Long-term care support
• Home and community-based services
• Prescription drug coverage
• Potential $0 monthly premium with Extra Help

Personalized Support

Your dedicated Primary Care Manager will:

• Manage your everyday healthcare needs
• Identify potential health issues early
• Create a customized care plan
• Help you remain at home independently for as long as possible

Enjoy comprehensive care with the support you need to maintain your independence and quality of life.

Ready to enroll? It’s simple:

• Call 833.965.1526 (TTY: 711).
• Our representatives will guide you through enrollment by phone.
• New benefits begin January 1, 2026.

Access Your Prescription Benefits:

1. Visit caremark.com/wps/portal.
2. Use your MetroPlusHealth Medicare Member ID card to register.
3. Follow the step-by-step instructions on the Caremark website.

Already Have Coverage?

• Switching to MetroPlusHealth’s UltraCare Plan is easy.
• Contact our team for personalized assistance.
• Get answers to common questions here.

Important notes:

• You can end your membership at any time.
• Changes typically take effect on the first day of the month after we receive your request.
• The process varies depending on your new coverage choice.

How to End Your Membership

Option 1: Join another plan

• This automatically ends your MetroPlus coverage.

Option 2: Switch to Original Medicare

• If you haven’t selected a separate Medicare prescription drug plan, you must request disenrollment by:
  • Submitting a written request
  • Completing our disenrollment form (Coming Soon)
  • Contacting Medicare directly at 1.800.MEDICARE (1.800.633.4227), available 24/7 (TTY users: 1.877.486.2048)

Questions? Call Member Services: 866-986-0356 (TTY: 711), available 24/7

Legal Information: MetroPlus Health Plan, Inc. is an HMO, HMO D-SNP plan with a Medicare contract. MetroPlus Health Plan has a contract with New York State Medicaid for MetroPlus UltraCare (HMO D-SNP) and a Coordination of Benefits Agreement with the New York State Department of Health for the MetroPlus Advantage Plan (HMO D-SNP). Enrollment depends on contract renewal.

Language Assistance:

• English: 866.986.0356 (TTY: 711)
• Español: 866.986.0356 (TTY: 711)
• 中文: 866.986.0356 (TTY: 711)

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