MetroPlus Family Health Plus

Family Health Plus

New York State-sponsored insurance for adults aged 19 to 64 who are not eligible for Medicaid.

Applications for Family Health Plus will not be accepted after December 31, 2013, because of changes under the Affordable Care Act. Starting January 1, 2014, individuals should apply for health insurance coverage through the Health Benefits Exchange Marketplace. Call us at 1.855.809.4073. We'll answer your questions -- and even help you choose a plan. Or visit https://nystateofhealth.ny.gov/ 

Get the details

Those with MetroPlus Family Health Plus live in Brooklyn, Manhattan, Queens or the Bronx and is either 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 enrolled in Family Health Plus and meet all requirements. The chart below list the qualifications needed 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 $1,437
Family Size 2 $1,939
Family Size 3 $2,442
Family Size 4 $2,944
Family Size 5 $3,447
Family Size 6 $3,949
For each additional person add: $503
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 $958
Couple With No Children $1,293

* Effective April 1, 2013; income levels are subject to change.


Family Health Plus offers benefits such as:

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

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


Family Health Plus Member Handbook Insert Smoking Cessation Benefit 

Members enrolled in MetroPlus Family Health Plus 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,
1.800.475.METRO (1.800.475.6387), TTY 800.881.2812.