Javascript Menu by Deluxe-Menu.com    

    Search:
    Go
MetroPlus Family Health Plus

MetroPlus Family Health Plus is a free New York State-sponsored health insurance program for adults aged 19-64 who have income or resources too high to qualify for Medicaid.

To qualify for MetroPlus Family Health Plus, you must live in Brooklyn, Manhattan, Queens or the Bronx and either be a US citizen or a qualified immigrant. Immigrants in many categories, including lawfully admitted permanent residents (green card holders) and persons permanently residing in the US under color of law (PRUCOL), are eligible to join Family Health Plus if they meet all other requirements. Check the chart below to see whether you may qualify for Family Health Plus.

FHPlus Income Eligibility Levels*

Parents with Children Under Age 21 in Their Household, and Children Age 19-20 Residing with Their Parents

Family Size

FHPlus Income Limit

Family Size 1

$ 1,362

Family Size 2

$ 1,839

Family Size 3

$2,317

Family Size 4

$2,794

Family Size 5

$3,272

Family Size 6

$3,749

For each additional person add:

$ 478

Single Adults and Childless Couples, Age 21-64, and Children Age 19-20 NOT Residing with Their Parents

Family Size

FHPlus Income Limit

Single Adult

$ 908

Couple With No Children

$ 1,226

* Effective 4/1/2011; income levels are subject to change.

Check to see if you qualify for MetroPlus Family Health Plus

Family Health Plus offers benefits such as:
• Regular check-ups and office visits with your own Primary Care Provider (PCP)
• Referrals to specialists in our network
• Family planning*
• Live customer service representatives who speak your language
• 24-hour emergency hotline
• Lab tests and x-rays
• Emergency and hospital care
• Dental care
• Vision care
• Prescriptions

* May also be obtained through fee-for-service Medicaid from any provider who accepts Medicaid.

When you enroll in MetroPlus Family Health Plus, you have a choice of at least three PCPs.  If you want to continue to see your current doctor, make sure that your doctor is in the MetroPlus network. 

Note:  If you have employer–sponsored health insurance available, you may be eligible for help to pay for premiums, deductibles, coinsurance and co-payments through the Family Health Plus Premium Assistance program.

For more information, call MetroPlus Customer Services, Monday - Saturday, 8 am - 8 pm, 800-475-METRO (800-475-6387), TTY 800-881-2812

Where to enroll

Documents needed to enroll

Email MetroPlus about enrolling


Privacy Policies