Marketplace 2018

MetroPlus offers a wide variety of comprehensive plans through the NY State of Health Marketplace. Learn more about all the services offered, including Essential Health Benefits, Preventive Care, and more in the links found on this page.

Our NY State of Health Marketplace plans are available under their metal names: MedPlus, BronzePlus, BronzePlus HSA, SilverPlus, SilverPrime, GoldPlus, GoldPrime and PlatinumPlus. You can review these plans by selecting your plan of choice below and when you are ready to enroll, visit www.nystateofhealth.ny.gov to make your selection.
 

Interested in a NY State of Health Marketplace Small Business (SHOP) plan?

MetroPlus offers four Small Business (SHOP) plans, one at each metal level.For more information, click here.

BronzePlus

MetroPlus offers seven different BronzePlus plans, including Small Business (SHOP) plans. Each plan adds additional levels of customization to fit your needs. The plan has an individual deductible of $4,000 and a max out of pocket of $7,150. The family deductible is $8,000 and a max out of pocket of $14,300.  This plan also has a Native American / American Indian plan with a $0 deductible and $0 max out of pocket for those that qualify.

Get the details See if you are eligible for this plan
BronzePlus HSA

MetroPlus offers four different BronzePlus HSA plans, a health saving plan, only offered in Individual Marketplace. Each plan adds additional levels of customization to fit your needs.  The plan has an individual deductible is $5,500 and max out of pocket $6,550. Family deductible $11,000 and max $13,100. This plan also has a Native American / American Indian plan with a $0 deductible and $0 max out of pocket for those that qualify.

Get the details See if you are eligible for this plan
GoldPlus

MetroPlus offers seven different GoldPlus plans, including Small Business (SHOP) plans. Each plan adds additional levels of customization to fit your needs. The plan has an individual deductible of $600 and a max out of pocket of $4,000. The family deductible is $1,200 and a max out of pocket of $8,000.  This plan also has a Native American / American Indian plan with a $0 deductible and $0 max out of pocket for those that qualify.

Get the details See if you are eligible for this plan
GoldPrime

MetroPlus offers three different GoldPrime plans. Each plan adds additional levels of customization to fit your needs. All GoldPrime plans include *three Primary Care Physician (PCP) visits that are not subject to the deductible. The plan has an individual deductible of $650 and a max out of pocket of $5,000 depending on eligibility. It also has a family deductible of $1,300 and a max out of pocket of $10,000 depending on eligibility.

Get the details See if you are eligible for this plan
MedPlus

MetroPlus offers MedPlus, a high deductible plan for people under the age of 30 or people that have received a hardship exemption letter that would allow them to select a catastrophic plan. This plan is only available in the Individual Marketplace. The deductible for an individual in this plan is $7,150 and the max out of pocket is $7,150.

Get the details See if you are eligible for this plan
PlatinumPlus

MetroPlus offers seven different PlatinumPlus plans, including Small Business (SHOP) plans. Each plan adds additional levels of customization to fit your needs. The PlatinumPlus plan has an individual deductible of $0 and a max out of pocket of $2,000. The family deductible is $0 and a max out of pocket of $4,000. This plan also has a Native American / American Indian plan with a $0 deductible and $0 max out of pocket for those that qualify.

Get the details See if you are eligible for this plan
SilverPlus

MetroPlus offers over a dozen different SilverPlus plans, including Small Business (SHOP) plans. Each plan adds additional levels of customization to fit your needs. The plan has an individual deductible of $2,000 and a max out of pocket of $6,750 depending on eligibility. The family deductible ranges from $4,000 and a max out of pocket of $2,000 – $13,500 depending on eligibility.     This plan also has a Native American / American Indian plan with a $0 deductible and $0 max out of pocket for those that qualify.

Get the details See if you are eligible for this plan
SilverPrime

MetroPlus offers twelve different SilverPrime plans. Each plan adds additional levels of customization to fit your needs. All SilverPrime plans include *three Primary Care Physician (PCP) visits that are not subject to the deductible. The plan has an individual deductible of $2,350 and a max out of pocket of $7,150 depending on eligibility. It also has a family deductible ranging of $4,700 and a max out of pocket of $14,300 depending on eligibility.

Get the details See if you are eligible for this plan


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Additional Member Resources
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All MetroPlus Marketplace members have access to a mail order option for their medications. Access the mail order form here: https://www.caremark.com/portal/asset/mof_unauth.pdf