Medicare 2019

MetroPlus Medicare: Now Available on Staten Island! 

If you are Medicare eligible and live in the Bronx, Brooklyn, Manhattan, Queens -- and now, Staten Island-- you may be eligible to join one of our plans. We offer quality, affordable care - and exciting new member extras designed with you in mind, as well. MetroPlus is the only Medicare plan backed by NYC Health + Hospitals, the largest municipal health system in the United States.

Learn more about which Medicare plan works best for you. 

  Medicare Advantage Plan 2019 MetroPlus Medicare Advantage Plan (HMO SNP) provides all the benefits of Original Medicare PLUS
Medicare Advantage Plan 2019

MetroPlus Medicare Advantage Plan (HMO SNP) is a dual eligible Special Needs Plan designed for those Medicare beneficiaries who reside in the MetroPlus service area, are eligible for Medicare Parts A and B and receive assistance from New York State Medicaid.

Get the details   See if you are eligible for this plan


Medicare Platinum Plan 2019 MetroPlus Medicare Platinum Plan (HMO) provides all the benefits of Original Medicare PLUS
Medicare Platinum Plan 2019

MetroPlus Medicare Platinum Plan (HMO) is a plan designed for those Medicare beneficiaries who reside in the MetroPlus service area and are eligible for Medicare Parts A and B. This plan has a low premium. Medicare beneficiaries who may not qualify for Extra Help for Part D may like this plan.

Get the details   See if you are eligible for this plan

PLEASE NOTE: Effective January 1, 2019, CMS announced new strategies to further help Medicare Part D plans prevent and combat opioid overuse, including additional safety alerts at the time of dispensing as a proactive step to engage both patients and prescribers about overdose risk and prevention. Click here to learn more.
 
Provider / Pharmacy Directories
Updated: 03/2019
 
The Bronx  Download
Kings  (Brooklyn) and Richmond (Staten Island)  Download
New York (Manhattan) Download
Queens Download
Comprehensive Formulary
Updated: 03/2019
Download
 

Request a Hard Copy of Provider/Pharmacy Directory:

Members can create a new account or sign in to an existing account on their member portal and follow the instructions to request a hard copy directory. 

Member Portal

If you want a Provider/Pharmacy Directory mailed to you or if you need help finding a network provider/pharmacy, please call 1.866.986.0356 (TTY: 711). You may also email your request for the directory at metroplus.org/contact-us. You can always access our online directory on our Provider Directory Page.


Member Extras

Join one of our Medicare plans, and in addition to your plan benefits, you'll receive exclusive member extras.

Additional Information

For more information about Medicare, click here. For assistance with Medicare issues, please visit: Medicare.gov

Click here for important information regarding your official Medicare card.

 

Health Risk Assessments  

For more information about Medicare, click here. For assistance with Medicare issues, please visit: Medicare.gov

File a Complaint at Medicare.gov       
Ombudsman Information at Medicare.gov
 

HRA can be returned to:

MetroPlus Health Plan
160 Water Street, 3rd Floor
New York, NY 10038

or by clicking here.


Star Ratings* 

*Medicare evaluates plans based on a 5-star rating system. Star ratings are calculated each year and may change from one year to the next.


MetroPlus Medicare Multi-Language Interpreter Services (PDF)

View the MetroPlus Privacy Notice

View the MetroPlus Disaster Information Policy 
 

Benefits, formulary, pharmacy network, provider network, premium, and/or copayments/coinsurance may change on January 1 of each year. You must use contracted network pharmacies to access your prescription drug benefit except under nonroutine circumstances, in which case, quantity limitations and restrictions may apply. Premiums, copays, coinsurance, and deductibles may vary based on the level of help that beneficiaries may receive; beneficiaries should contact the plan for further details. This information is not a complete description of benefits. Call 1.866.986.0356 (TTY:711) for more information. 
MetroPlus Health Plan is an HMO plan with a Medicare contract and a Coordination of Benefits Agreement with the New York State Department. Enrollment in MetroPlus Health Plan depends on contract renewal. MetroPlus Healh Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1.866.986.0356 (TTY:711). 注意:如果您使用繁體中文,您可以免費獲得語言援助服 務。請致電1.866.986.0356 (TTY:711)