MedPlus 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.

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
MedPlus*
Product  M1
Product Type Standard
Premium $267.61
Deductible $7,150
Max out of Pocket $7,150
PCP 0%
Specialist 0%
Prescription Drugs  0%
Adult Dental / Vision  No
Pediatric Dental / Vision  Yes 
Mail Order RX  Yes 
Exercise Facility Reimbursement  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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Catastrophic MedPlus M1 MedPlus M1