MetroPlus Advantage Plan (HMO D-SNP)
2026
Experience one of the most comprehensive health plans for those with Medicare and Medicaid in New York City with MetroPlus Advantage Plan (HMO D-SNP).
Access Top-Rated Healthcare Providers
MetroPlus Advantage Plan (HMO D-SNP) 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
Plan Materials
MetroPlusHealth will update, as needed, the MetroPlus Advantage Plan (HMO D-SNP) Summary of Benefits, Evidence of Coverage, and Annual Notice of Changes for 2026 with 2026 Medicare Parts A & B deductibles and coinsurance amounts.
A detailed explanation of your coverage, what we must do, your rights, and what you must do as a member of our plan.
A summary of changes to your benefits and costs for the next year. These changes take effect on January 1, 2026.
Your Member Handbook has been changed to include additional services
MetroPlus Advantage Plan (HMO D-SNP) Benefits
Extra benefits included with your plan:
- $500 Flex Card for:
- Over-the-counter medications
- Groceries
- Utility payments
- Bathroom safety devices
- And more
- Healthcare Services:
- Dental: $0 coverage
- Vision care
- Hearing aids: Up to $500 per year (both ears)
- Podiatry: 8 visits annually
- Nutrition counseling: 6 sessions yearly
- Acupuncture: 20 visits annually
- Wellness Support:
- Fitness reimbursement: Up to $250 every 6 months
- Post-hospital meals: 20 meals over 5 days
- Transportation: 48 one-way rides to medical appointments
- Convenience Features:
- Free prescription delivery for select medications
- Personalized care coordination
- Online member portal
- NEW for 2026:
- Pet Supplies covered by the Flex Card
- Chiropractic Visits
Disclaimer: Limitations may apply.
Get More with Your MetroPlusHealth Flex Card in 2026
One card, multiple benefits—now with $500 quarterly allowance!
Your MetroPlusHealth Flex Card makes it easier to access:
- Fresh fruits and vegetables
- Other healthy food items
- Over-the-counter medications
- Utility bill payments
- And more!
Where to use your card:
- CVS
- Duane Reade
- Rite Aid
- And many other participating retailers
Find all participating locations via the link below:
Important: Unused balances expire at the end of each quarter or upon disenrollment.
Need help with your Flex Card?
Contact us:
- Phone: 866.986.0356 (TTY: 711)
- Hours: Monday–Friday, 8am–8pm Saturday, 9am–5pm
Accessing Your InComm My Benefits: A Step-by-Step Guide
Everything you need to manage your benefits in one place. Learn how to:
- Access your benefit information online.
- Check your available balance.
- Find participating retailers.
- Redeem your benefits easily.
- Use both the website and mobile app.
Our step-by-step guide makes it simple to navigate the InComm My Benefits Center website and the OTC Network mobile application.
Plan Benefits
MetroPlus Advantage Plan (HMO D-SNP) offers rides to and from your doctor’s appointments at no extra cost to you.
Coming Soon
Directories
Pharmacy Information
Low Income Subsidy is available under the Medicare Part D prescription drug program. Eligible beneficiaries who have limited income may qualify for a government program that helps pay for Medicare Part D prescription drug costs. If you receive “Extra Help” from Medicare, your monthly plan premium will be lower. The Low Income Subsidy (LIS) Premium Table shows you what your monthly premium will be if you get “Extra Help”.
Forms
Ready to Join MetroPlus Advantage Plan (HMO D-SNP)?
Enrolling in MetroPlus Advantage Plan (HMO D-SNP) for 2026 is simple.
Here’s how:
- Call 833.965.1526 (TTY: 711) to enroll by phone.
- Our representatives will guide you through every step.
Access Your Prescription Benefits:
- Visit the CVS Caremark website: caremark.com/wps/portal.
- Register using your MetroPlusHealth Medicare Member ID card.
- Follow the step-by-step instructions on the site.
Switching to MetroPlus? Changing plans is easier than you think!
- Get answers to common questions here.
- Contact our team for personalized assistance.
Who is eligible for MetroPlus Advantage Plan (HMO D-SNP)?
You’re eligible if you:
- Have Medicare Part A
- Are enrolled in Medicare Part B
- Qualify for Medicaid or Medicare cost-sharing assistance
- Live in New York City
Experience one of New York City’s most comprehensive healthcare solutions with coverage designed specifically for dual-eligible individuals.
Stay Safe with a Personal Emergency Response System
Now available through your MetroPlus Advantage Plan benefits
As a MetroPlus Advantage Plan (HMO D-SNP) member, you can use your Flex benefits for a Personal Emergency Response System that provides:
- 24/7 emergency assistance at the push of a button
- Support to help you maintain your independence
- Protection, whether you’re at home or on the go
- Peace of mind for you and your loved ones
How it works: A simple device connects you to help whenever and wherever you need it—simply press the button to get immediate assistance.
Learn about Personal Emergency Response System (PERS) Services:
- [More Information]
- [How to Order]