MetroPlus Insurance – Everything You Need to Know

MetroPlus Insurance is a health insurance provider that offers affordable healthcare coverage to low-income individuals and families in New York City. Founded in 1985, MetroPlus Insurance is a subsidiary of the New York City Health and Hospitals Corporation and is the only provider of Medicaid Managed Care Plans in the city.

What is MetroPlus Insurance?

MetroPlus Insurance is a not-for-profit health insurance provider that offers a range of affordable healthcare plans to low-income individuals and families in New York City. The company is committed to improving access to quality healthcare services for all New Yorkers, regardless of their income or health status.

With more than 500,000 members, MetroPlus Insurance is one of the largest Medicaid Managed Care plans in New York City. The company is dedicated to providing its members with access to high-quality healthcare services, including medical, dental, vision, and behavioral health services.

MetroPlus Insurance Plans

MetroPlus Insurance offers a range of healthcare plans to meet the diverse needs of its members. The company’s plans include:

Plan
Description
Medicaid Managed Care
Provides comprehensive healthcare coverage to low-income individuals and families who qualify for Medicaid.
Child Health Plus
Provides healthcare coverage to children under the age of 19 who do not qualify for Medicaid.
Essential Plan
Provides healthcare coverage to low-income individuals and families who do not qualify for Medicaid.
Medicare Advantage
Provides healthcare coverage to individuals over the age of 65 who qualify for Medicare.

Each plan comes with a range of benefits, including access to primary care, specialist care, prescription drugs, hospitalization, and emergency services. Members also have access to a network of healthcare providers throughout New York City.

Benefits of MetroPlus Insurance

There are many benefits to choosing MetroPlus Insurance as your healthcare provider. These include:

  • Low-cost healthcare coverage
  • Access to a network of healthcare providers throughout New York City
  • Comprehensive healthcare coverage, including medical, dental, vision, and behavioral health services
  • Access to preventive care services, including routine check-ups, vaccinations, and cancer screenings
  • 24/7 customer service and support

Who is Eligible for MetroPlus Insurance?

MetroPlus Insurance is available to low-income individuals and families who meet certain eligibility requirements. Eligibility is based on income, household size, and other factors. To be eligible for MetroPlus Insurance, you must:

  • Live in New York City
  • Be a US citizen or a qualified alien
  • Meet income requirements

To determine your eligibility for MetroPlus Insurance, you can use the company’s eligibility calculator on its website or contact its customer service department for assistance.

How to Enroll in MetroPlus Insurance?

Enrolling in MetroPlus Insurance is easy. To enroll, you can:

  • Visit the company’s website and use its online enrollment tool
  • Contact the customer service department by phone or email
  • Visit a MetroPlus enrollment center in person

When enrolling, you will need to provide information about your income, household size, and other personal details. You will also need to choose a healthcare plan that best meets your needs.

Conclusion

MetroPlus Insurance is a not-for-profit health insurance provider that offers affordable healthcare coverage to low-income individuals and families in New York City. With a range of healthcare plans to choose from, members have access to comprehensive healthcare coverage, including medical, dental, vision, and behavioral health services. If you’re looking for affordable healthcare coverage in New York City, MetroPlus Insurance is a great option to consider.