MetroPlus
Health
Gold Plan
Quality, affordable healthcare for all New York City employees.
Who is it for?
ALL New York City employees, their qualified domestic partners and eligible dependents
Non-Medicare eligible retirees
NYC Health + Hospitals and MetroPlusHealth employees
Plan Features
Eligibility
Monthly Premium
Deductible
Annual Checkup
Doctors & Specialists
$0 24/7 telehealth with MetroPlusHealth Virtual Visit
Hospital Visits
Prescription Drug Coverage
Prepackaged Medications
Fitness Reimbursement
Weight Loss Program Reimbursement
Transportation Reimbursement
NYC Employees
$0 with basic plan
$0
$0
$250 every 6 months for member
$250 every 6 months for spouse
$100 every 6 mo. for member,
$50 every 6 mo. for spouse
Up to $15 per trip (up to four (4) trips per plan year)
What does the MetroPlusHealth Gold Plan provide?
$0 employee premium with basic plan
$0 deductibles
$0 co-insurance
Low-cost optional prescription drug rider is available
Participating physicians and hospitals in over 34,000 sites across New York City
New! $0 dietician visits***
Free 24/7 virtual access to doctors and therapists from your smart phone, tablet or computer
Fitness reimbursements** (up to $1000 per year!)
Wellness programs
Transportation reimbursement – **Up to $15 per trip (up to four (4) trips per plan year)
Member website to help you manage your account
Expanded access to urgent care
MetroPlusHealth will reimburse you up to $300 per year for participating in a weight loss program
Medications pre-packaged and delivered to you at no extra cost. Available through PillPack or CVS Pharmacy.
Representative was very professional and helpful, showed empathy for my well being with no attitude …. Thank you….. 😊 👍👍
How do I enroll?
Contact your benefits manager at work for more information about choosing MetroPlusHealth Gold. Or call us at 1-855-809-4073 or visit us at our Virtual Office. Just click here to find a representative ready to help and answer any of your MetroPlusHealth Gold questions.
Work for NYC Health + Hospitals or MetroPlusHealth?
Work for New York City?
Free or Low-Cost Preventive Health Care Services
At MetroPlusHealth, we always want you to be at your best. That’s why we encourage you and your family to take advantage of preventive care services available to you at low or no cost. We’ve listed dozens of FREE preventive services here for adults, women and children that just may help you be your healthiest yet.
Gold Plan Materials
How Does it Work?
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
Explore all MetroPlusHealth Plans
Speak To Someone In Your Community
Find someone in your neighborhood and in your language
