Daycare worker reading a book to the children

GoldCare Plan

Quality, affordable healthcare for all NYC Daycare Employees.

Who is it for?

  • All New York City Day Care Employees of the Day Care Council Of NY, Local 205, DC 37 Welfare Fund

  • Their eligible spouses and dependents

Plan Features

0-$
Monthly Premium
$0
Deductible

Eligibility

Monthly Premium

Deductible

Annual Checkup

$0 24/7 telehealth with MetroPlusHealth Virtual Visit

Doctors & Specialists

Hospital Visits

Prepackaged Medications

NYC Daycare Employees

$0 – $90.00 for employee

$0

$0

What does the GoldCare Plan provide?

  • Free 24/7 virtual access to doctors and therapists

  • Expanded access to urgent care

  • Medications pre-packaged and delivered to you at no extra cost through PillPack or CVS Pharmacy

  • Low-premiums starting at $0-90 per month

  • No deductibles for any covered services

  • No paperwork (bills, claims, forms) for in-network services

  • Member website to help you manage your account

New plan year effective October 1, 2025!

With thousands of doctors across all of NYC and access to many hospitals, MetroPlusHealth GoldCare is more affordable than ever.

Available exclusively to NYC day care workers of the Day Care Council Of NY Local 205, DC 37 Welfare Fund, MetroPlusHealth GoldCare offers a comprehensive package of benefits, including coverage for prescription drugs.

Who is Eligible for MetroPlusHealth GoldCare?

All verified permanent and non-administrative employees who work in an Administration for Children’s Services/Agency for Child Development (ACS/ACD) funded Day Care Center and/or Family Day Care Centers that are a party to a Labor-Management contract with the Community and Social Agency Employees Union, District Council 37, Local 205, AFSCME and who work a minimum of 30 hours a week.

MetroPlusHealth is proud to offer these plans to members of Local 205. We have a history of caring for New Yorkers for over 35 years, with an extensive network of doctors and hospitals across New York City. Join us

Due to changes in IRS regulations, MetroPlusHealth will not automatically mail 1095-B forms to all members. If you would like a copy of your 1095-B form, please contact Member Services to request one.

Call: 877-475-3795 (TTY: 711)

Write: MetroPlus Health Plan
Attn: Operations
50 Water Street, 7th Floor
New York, NY 10004

Extensive provider and hospital network

MetroPlusHealth has providers in over 27,000 sites in Manhattan, Brooklyn, Queens, the Bronx and Staten Island. PCPs are located in private doctor’s offices, neighborhood family care sites and hospitals. GoldCare Plan members have access to 33 hospitals in NYC, including NYC Health + Hospitals’ facilities and Diagnostics and Treatment Centers.

The GoldCare Plan Provider Network includes primary, OB/GYN, behavioral health and specialty care at thousands of sites across New York City – and at these great hospitals:

METROPLUSHEALTH GOLDCARE PLAN MEMBERS
ManhattanBellevue Hospital Center
Mount Sinai Beth Israel
Harlem Hospital Center
Metropolitan Hospital Center
Mount Sinai Medical Center*
New York Eye and Ear Infirmary
NYU Medical Center
Mount Sinai Morningside
QueensElmhurst Hospital Center
Flushing Hospital Medical Center
Jamaica Hospital Medical Center
Mount Sinai Hospital
Queens Hospital Center
BrooklynMount Sinai – Kings Highway
Coney Island Hospital
Kings County Hospital Center
NYU Langone Medical Center
Maimonides Medical Center
SUNY Downstate Medical Center – University Hospital of Brooklyn*
Woodhull Medical Center
Wyckoff Medical Center
The BronxJacobi Medical Center
Lincoln Medical Center
Montefiore Medical Center*
North Central Bronx Hospital
BronxCare Hospital
Staten IslandRichmond University Medical Center
Staten Island University Hospital

Only specialty services at these hospitals*

Additional Facilities for Care

NYC Health + Hospitals Diagnostic & Treatment Centers
Cumberland D&TC
East New York D&TC
Gouverneur Health
Morrisania D&TC
Renaissance Health Care Network
Segundo Ruiz Belvis D&TC
…and at more than 40 Urgent Care Centers

To learn more about the drugs covered by our GoldCare Plan, please visit the MetroPlusHealth Pharmacy page

Did you know that you can get your medications pre-packaged for free? We offer two ways to do it: through any CVS pharmacy or home-delivered by PillPack. Get the details here (PDF coming soon).

All MetroPlusHealth GoldCare Plan members have access to a mail order option for their medications. Access the mail order form here.

GoldCare Plan Materials

For a comprehensive listing of benefits, review your Certificate of Coverage.

For a quick review of GoldCare, including monthly rates, review your Summary of Benefits.

Summary of Benefits
GoldCare Plan Certificate of Coverage
Member Guide
Women's Health and Cancer Rights Act

Free or Low-Cost Preventive Health Care Services

Preventive Health Care Guidelines

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.

Free or Low-Cost Preventive Health Care Services

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They’re very helpful and took care of me when I had an emergency 👍🏾👌🏾💯

Mateo V.
Google Review
NYS Standard Form to Designate a Representative to Assist with Health Insurance Authorizations, Complaints, Grievances, and Appeals
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MetroPlusHealth Virtual Visit

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
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.

Explore all MetroPlusHealth Plans

last updated: October 21, 2024

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