Enhanced (HARP) Plan
MetroPlusHealth Enhanced is a specialized Health and Recovery Plan (HARP) qualified by New York State, offering expert care, unique tools, and tailored services beyond standard medical plans—helping you take control of your health with confidence.
Access Top-Rated Healthcare Providers
MetroPlusHealth Essential Plan connects you with NYC’s finest healthcare network:
- 34,000+ top doctors across the city
- 40+ premiere hospitals including Mount Sinai, NYU Langone, and NY Health + Hospitals
- 110+ urgent care locations including convenient CityMD sites
Perfect for families: Our health insurance for families covers everyone’s needs with one simple plan.
Care on your schedule: Access online doctor visits and virtual urgent care from home, work, or anywhere with our telemedicine health insurance coverage.
Why Choose a New York-Only Health Care Plan?
National Health Care Chains
Who is eligible for MetroPlusHealth Enhanced (HARP)?
You may qualify if you:
- Are 21 or older
- Are enrolled in Medicaid or an HIV Special Needs Plan (SNP)
- Have a serious mental health condition (mental illness and/or substance use disorder diagnoses)
Note:
IB Duals HARP enrolled in our aligned HMO D-SNP are also eligible for HARP benefits on the State side
How Enrollment Works
Did you know?
If you are turning 65 within the next 3 months or you are 65 years of age or older, you may be entitled to additional medical benefits through the Medicare program. Learn more here. If you have questions, please call Customer Services team at 1-800-303-9626. If you have Medicaid, you MUST apply for Medicare as a condition of continuing eligibility.
You can apply for Medicare by calling the Social Security Administration at 1-800-772-1213 or by applying on-line at: https://www.ssa.gov/medicare/. You may be required to submit proof that you have applied for Medicare so please keep your award or denial letter from SSA or your on line receipt from SSA.
If you have more questions, please call our Customer Services team at 1-800-303-9626.
Pharmacy Network Change
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
