MetroPlus Health Plan Overview

Since 1985, MetroPlus Health Plan, Inc., a prepaid health services plan, has been offering low or no-cost quality health insurance to eligible New Yorkers. We provide government sponsored health insurance to people living in the Bronx, Brooklyn, Manhattan, Queens and Staten Island through Medicaid Managed Care, Child Health Plus and Medicaid HIV Special Needs Plan (SNP). MetroPlus also offers Medicare plans for people who are eligible for Medicare and receive full or partial Medicaid benefits, and for people with HIV/AIDS eligible for Medicare with or without Medicaid. Our MetroPlus Gold plan covers all New York City employees, including NYC Health + Hospitals employees, non-Medicare eligible retirees, their spouses or qualified domestic partners, and eligible dependents.
MetroPlus Health Plan also offers NY State of Health Marketplace plans, a broad range of affordable health insurance products to more New Yorkers than ever before.
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 27,000 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.