BronzePlus Plans


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.

Learn if you qualify

Our cost treatment calculator is intended for individuals who are uninsured or covered by private insurance. Cost estimates reflect health care professional fees and are not the negotiated rates which may be available through insurance plan networks. 

Calculate Costs

Access the NY State of Health Tax Credit and Premium Rate Estimator 

Check Eligibility 

Get The Details

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Product  B1 B2 B3 B5 (Adult) /
B3-4 (Child-Only)
Product Type Standard Non-Standard Child-Only AI/NA-Standard AI/NA-Non-Standard
Premium $409.25 $412.32 $168.61 $0 $0
Deductible $4,000 $4,000 $4,000 $0 $0
Max out of Pocket $7,150 $7,150 $7,150 $0 $0
PCP 50% 50% 50% 0% 0%
Specialist 50% 50% 50% 0% 0%
Prescription Drug** $10/$35/$70 $10/$35/$70 $10/$35/$70 0% 0%
Adult Dental/Vision No Yes No No Yes
Pediatric Dental / Vision Yes Yes Yes Yes Yes
Mail Order RX Yes Yes Yes Yes Yes
Exercise Facility Reimbursement Yes Yes Yes Yes Yes

* This chart is a brief description of benefits for plan. 
** Prescription Drug: Generic / Formulary Brand / Non-Formulary Brand 
 Deductible must be met first before cost sharing begins. Family cost is multiplied by (2).
 AI / NA - American Indian / Native Alaskan 


Premiums listed are example base rates for individuals. Rates may differ based according to family size, income level, and eligibility for tax credits.

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Certificate of Coverage
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Individual Standard BronzePlus B1 BronzePlus B1
Individual Non-Standard BronzePlus B2 BronzePlus B2
Child-Only BronzePlus B3 BronzePlus B3
American Indian / Child-Only BronzePlus B3-4 BronzePlus B3-4
American Indian Standard BronzePlus B5 BronzePlus B5
American Indian Non-Standard BronzePlus B6 BronzePlus B6
Child-Only Plans offer benefits to members who are under the age of 21 at the beginning of the year.
Non-Standard Plans offer additional benefits not included on the Standard Plans and allows members to purchase Adult Vision and Dental coverage.