MetroPlus Health Plan Overview

Over more than 30 years, MetroPlus Health Plan has built a reputation for providing access to affordable, quality health care to residents of New York City. A wholly-owned subsidiary of NYC Health + Hospitals, the largest municipal health system in the United States, MetroPlus is the plan of choice for over half a million New Yorkers. In addition to Medicaid Managed Care, MetroPlus offers dozens of quality health plans, including Child Health Plus; several Medicare Plans; a Medicaid Special Needs Plan (SNP) for people with HIV and their families; a Long-Term Managed Care Plan; MetroPlus Gold, a plan exclusively for New York City employees; HARP plans, and nearly 100 NY State of Health Marketplace products, including the Essential Plans. The company’s robust network of primary care doctors and specialists includes many independent community providers. Culturally sensitive, and fluent in more than 40 languages, MetroPlus staff is as diverse as the great city it serves.
At MetroPlus, we have a strong focus on primary and preventive care. Together with our providers, we continually work to improve member awareness of preventive services and assist members in receiving these services. Our network includes primary care providers, specialists, behavioral health and OB/GYN providers at over 30,000 sites across New York City. In addition to hospital-based providers, our members can also obtain primary and specialty care services at many community-based doctor’s offices and neighborhood family care sites.
Our Care Management Programs help members with chronic conditions stay healthy and provide support to help them manage their illness. Diabetes and Asthma programs encourage members to partner with their PCPs to reduce complications from illnesses and lead healthier lives. Care Management is also available for members with SSI, Behavioral Health, Complex Medical or Transplant issues.
MetroPlus Member Services is available in 13 languages, Monday through Saturday, 8 am - 8 pm. MetroPlus also has access to numerous other languages through interpretation services. At MetroPlus, we are committed to assuring access to quality comprehensive health care, health education and customer services to our culturally diverse membership.

MetroPlus is certified under Section 4403-a of New York Public Health Law and is a wholly-owned subsidiary of NYC Health + Hospitals.