The MetroPlusHealth GoldCare Plan offers high-quality, employer-sponsored health insurance for businesses in New York City. This plan gives employees access to trusted doctors, top hospitals, preventive care, prescriptions, and mental health services across all five boroughs. With strong coverage and a reliable local network, GoldCare helps support healthier employees and a stronger workforce — giving great value to both employers and their teams.

New York City office employees collaborating, representing coverage with the MetroPlusHealth GoldCare Plan for New York City employer-sponsored insurance.
Healthy employees, strong businesses — MetroPlusHealth GoldCare Plan for New York City employer-sponsored insurance.
Plan Features
Monthly PremiumMay vary by employer group
$0 24/7 telehealth with MetroPlusHealth Virtual Visit
Vision
Annual Checkup$0
PCP Copay$5
Specialist Copay$10
EligibilityNYC Large Employer groups and their spouse and children
Emergency room co-pay (waived if admitted)$100
Hospital Admission$100
Out of Pocket Maximum$6,850 individual / $13,700 family
Prepackaged Medications
Prescription Drug Coverage

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 Co-pays

  • No deductibles for any covered services

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

  • Member website to help you manage your account

Access top-rated health care providers

  • Tens of thousands of top-rated providers citywide.
  • 40+ premiere hospitals including Mount Sinai, NYU Langone, and NY Health + Hospitals
  • 110+ urgent care locations including convenient CityMD sites

Special Note

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
Manhattan
Queens
Brooklyn
The Bronx
Staten Island

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.

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
Certificate of Coverage - GoldCare Plan

Forms

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

Important Notices

September 27, 2025
MetroPlusHealth Celebrates 10 Years of Dedicated Service to Jackson Heights Community
September 26, 2025
Menopause Care Reaches New York Women with Elektra Health as the Leading Insurance-Covered Provider
September 24, 2025
Virtual Menopause Care Provider Elektra Health Adds Payer Partners in N.Y.
September 08, 2025
SCNs for Medicaid Members: Support for Health and Daily Needs
July 18, 2025
MetroPlusHealth Opens Community Office in Brighton Beach, Further Expanding Access to Care in Brooklyn
July 14, 2025
Important Update on Settlement in Consumer Directed Personal Assistance Program (CDPAP)
July 01, 2025
AMNY METRO, POLITICSNY, and Gay City News’ “2025 LGBTQ+ Power Players” Recognizes Mitchell Katz, MD, and Ken Louie
May 29, 2025
POLITICSNY and AMNY Honor NYC Health + Hospitals and MetroPlusHealth Leaders on 2025 “AAPI Power Players” List
April 25, 2025
Coverage for Prenatal Vitamins
Person with a bike with a basket buying produce at an outdoor market

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

Mateo V.
Google Review
Members and providers accessing MetroPlusHealth's online resource library
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
last updated: October 28, 2025
MetroPlusHealth
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