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Managed Long-Term Care

Accessible in each of the five boroughs
MetroPlusHealth Managed Long-Term Care is a health care plan especially designed for people 21 years or older, who live in the Bronx, Brooklyn, Queens, Manhattan, and Staten Island who need long-term care services, and have Medicaid. MetroPlusHealth Managed Long-Term Care offers the assistance you need to live safely at home.

Have questions about your long-term care options? Visit our Virtual Office here. Our MLTC representatives can answer your questions and help you from the comfort of your own home.

You Are Eligible if You Are…

  • 21 years old or older

  • Eligible for Medicaid

  • Living in the Bronx, Brooklyn, Manhattan, Staten Island or Queens

  • In need of long-term care or nursing home-level care

  • Able to remain in your home without jeopardizing your health or safety

  • In need of long-term care services for at least four months from the time of enrollment

Who would make your health care decisions if you were too sick to speak for yourself? Learn more about Advance Directives and get resources for planning ahead.

Your Care Plan:

When you join MetroPlusHealth Managed Long-Term Care, you will be assigned a Care Manager. Your Care Manager will work with you, your family, your primary care physician (PCP) or others that you choose to work on your behalf. Your Care Manager will develop an individual care plan for you.

Your Care Manager will develop a care plan that is specific to meeting your individual medical, physical, emotional, and social needs, based on the initial comprehensive assessment. Your written care plan covers the services you need, how often you need them and how long you will need them for. Your care plan is reviewed at least every six months, but can be reviewed more often if your condition and needs change. You will receive a copy of your care plan.

Questions? Need support?

You can reach us at:

MetroPlusHealth Managed Long-Term Care (MLTC)
50 Water Street, 7th Floor
Call: 855.355.6582 (TTY: 711)
24 hours a day, 7 days a week
Fax: 212.908.5282

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

Plan Benefits

  • 24 Hours a day, 7 Days a week On-Call Services
  • Adult Day Health care
  • Care Coordination
  • Chore Service and Housekeeping
  • Dental Care
  • Durable Medical Equipment, including Medical and Surgical Supplies, Prosthetics, Orthotics, and Orthopedic Footwear
  • Eye exam and eyeglasses
  • Foot Care
  • Hearing Exams and Hearing Aides (including hearing aide batteries)
  • Home Care including nursing, home health aides, rehabilitation therapies, and medical social work
  • Home Delivered or Congregate Meals
  • Home Safety Modification/Improvement
  • Long-Term Placement at a Veterans’ Home
  • Nursing
  • Nursing Home Care (certain Medicaid restrictions apply)
  • Nutritional Counseling and Nutritional Supplements
  • Personal Care
  • Personal Emergency Response System (PERS)
  • Private Duty Nursing
  • Rehabilitation Therapies (Physical, Occupational, and Speech Therapy) provided in Setting other than Home
  • Respiratory Therapy
  • Respiratory Therapy and Oxygen
  • Scheduled Transportation to Health related Appointments
  • Social Adult Day Care
  • Social and Environmental Support
  • Telehealth
YOUR MEMBER HANDBOOK HAS BEEN CHANGED TO INCLUDE ADDITIONAL SERVICES  

Dental Services – MLTC

Starting January 31, 2024, MetroPlusHealth will be covering crowns and root canals in certain circumstances so that you can keep more of your natural teeth.

Plan Materials

NYS Standard Form to Designate a Representative to Assist with Health Insurance Authorizations, Complaints, Grievances, and Appeals
Managed Long-Term Care Plan Handbook
NYS Standard Form to Designate a Representative to Assist with Health Insurance Authorizations, Complaints, Grievances, and Appeals

To search our provider network for our Managed Long-Term Care Plans, please use our Find a Doctor search tool.

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. Learn more here.

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.

For more information and to sign up go to
https://www.nychealthandhospitals.org/mychart/

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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.

GREAT NEWS: STARTING JANUARY 1, 2023, METROPLUSHEALTH MEMBERS WILL RECEIVE THEIR DENTAL BENEFITS FROM DENTAQUEST.

Recently, we sent you an announcement along with your new ID Card about our new partnership with DentaQuest, a dental vendor. Starting January 1, 2023, you can begin to use your new ID Card for all your health care needs, including dental services with DentaQuest. Remember to bring your new ID card when you visit your dentist.

Your oral health is important to us. Partnering with DentaQuest, we are able to bring their experience and passion for improving oral health care to you. Their dental network is 65% larger than what we have been offering, with more dentists and specialists available than before. Learn more about your new dental benefit here.

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.

IMPORTANT INFORMATION: MONKEYPOX CASES ARE RISING IN NYC.

Monkeypox cases are rising in NYC. Learn more about Monkeypox, including prevention and treatment, here.

Explore all MetroPlusHealth Plans

last updated: February 14, 2024

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