Child Health Plus
Coverage for kids – at low or no cost
Every child deserves access to quality healthcare. MetroPlusHealth’s Child Health Plus Plan offers affordable coverage for children under 19 who are not eligible for Medicaid and do not have other health insurance or access to the New York State Health Insurance Program (NYSHIP). This comprehensive plan ensures your child receives the medical, dental, and vision care they need to grow up healthy and strong. With MetroPlusHealth, giving your child the care they deserve is simple and stress-free.
Access top doctors, hospitals, and care.
MetroPlusHealth does more than offer great benefits. Our network includes 34,000+ of the City’s top doctors, 40+ hospitals including Mount Sinai, NYU Langone, and NY Health + Hospitals, and 110+ urgent care sites including CityMD locations.
A New York-only health care plan.
National Health Care Chains
Child Health Plus Features
Deductible
Monthly Premium
$0 24/7 telehealth with MetroPlusHealth Virtual Visit
Adult Dental & Vision
Annual Checkup
PCP Copay
Specialist Copay
Eligibility
Emergency room co-pay (waived if admitted)
Enrollment Period
Fitness (Gym) Reimbursement
Hearing
Hospital Admission
Out of Pocket Maximum
Pediatric Dental & Vision
Prepackaged Medications
Prescription Drug Coverage
Weight Loss Program Reimbursement
$0
$0-$60 per month,
depending on income
-
$0
$0
$0
Children under age 19 not covered by their parents health insurance plan and not eligible for other coverage such as Medicaid
$0
year round
-
$0
$0
-
Who is Eligible for the Child Health Plus?
Covered Preventive Care Services
How do I enroll?
You can join Child Health Plus at any time during the year.
To sign up online, visit the NY State of Health Marketplace or call 1-855-355-5777.
If you would like help signing up, contact MetroPlusHealth at 833.215.7511.
Child Health Plus is a New York State-sponsored health insurance program.
Questions? Ready to sign-up?
Our Member Services team is always here to help. We are here Monday to Friday, 8:00 AM to 6:00 PM, and Saturday from 9:00AM to 5:00PM. Just call 1.800.303.9626 (TTY:711)
Our 24/7 Customer Service Hotline is available anytime, including holidays.
If you are experiencing a mental health crisis, our Behavioral Health Crisis after hours partner — Vibrant Emotional Health — can be reached 24/7 at 1.866.728.1885 (SMS capable for the hearing impaired)
Language assistance services and other aids, free of charge, are available to you.
Frequently asked questions about the Child Health Plus Plan
How can I enroll in Child Health Plus?
You’ve got a few options:
Online: Visit the NY State of Health website
By Phone: Call 1.855.355.5777.
With Personal Assistance: Contact MetroPlusHealth at 833.215.7511.(TTY: 711)
Questions? Call the number above and our team will help you understand Child Health Plus requirements and guide you through the simple enrollment process.
*Child Health Plus is a New York State-sponsored health insurance program offered by MetroPlusHealth.
When can I apply for Child Health Plus?
You can enroll in Child Health Plus any time throughout the year – there’s no waiting period or enrollment window.
Does Child Health Plus cover vision and dental services?
Yes, your child is covered for dental cleanings and X-rays every 6 months as well as other dental care. Orthodontic care is typically not covered.
Your child is also covered for annual vision tests and a pair of glasses each year.
How do I enroll my child?
Call us at 855-809-4073 (TTY: 711).
When can I enroll my child?
CHPlus enrollment is open year-round for those eligible.
How much do I have to pay out of pocket for Child Health Plus?
There are no copays or deductibles for covered services with CHPlus. Depending on your income, you may have to pay a monthly premium. The chart below shows premiums by income level and number of children in the household.
| Cost | 1- Child | 2 – Children | 3 – Children | 4 – Children |
| $0 premium / month | $23, 196 – $33, 444 / year | $31, 488 – $45, 384 / year | $39,768 – $57, 324 / year | $48, 048 – $69, 264 / year |
| $15 / month, $180 / year | $33, 445 – $37,656 / year | $45, 385 – $51, 108 / year | $57, 325 – $64, 560 / year | $69, 265 – $78, 000 / year |
| $30 / month, $360 / year | $37, 657 – $45, 180 / year | $51, 109 – $61, 320 / year | $64, 561 – $77, 460 / year | $78, 001 – $93, 600 / year |
| $45 / month, $540 / year | $45, 181 – $52, 716 / year | $61, 321 – 71, 544 / year | $77, 461 – $90, 372 / year | $93, 601 – $109, 200 / year |
| $60 / month, $720 / year | $52, 717 – $60, 240 / year | $71, 555 – $90, 372 / year | $90, 373 – $103, 285 / year | $109, 201 – $124, 800 / year |
Does my child have to be a citizen or a green card holder to qualify?
All children who live in New York are eligible for CHPlus, regardless of immigration status.
Does Child Health Plus cover prescription drugs?
Yes, CHPlus covers prescription drugs as well as non-prescription drugs ordered by a licensed provider.
Important Notifications
4+ stars from over 700,000 members
Plan Materials
For our CHP, EP, HARP, QHP, MEDICAID, AND HIV SNP PLAN members.
Earn rewards for making healthy choices.
Effective April 1, 2023, Residential Rehabilitation Services for Youth (RRSY) are included with Child Health Plus coverage.
June 1, 2020 Member Handbook Insert
April 1, 2020 Member Handbook Insert
EFFECTIVE JANUARY 1, 2023
Complaints and Appeals
We hope our health plan serves you well. But if you have a problem, you can talk with your PCP, or call or write our Member Services. Most problems can be solved right away. If you have a problem or dispute with your care or services, you can file a complaint with us. Problems that are not solved right away over the phone — and any complaint that comes in the mail — will be handled according to our complaint procedure described here.
Pharmacy Network Change
Access to a doctor—whenever and wherever you need it!
MetroPlusHealth Virtual Visit is the fast, easy way for our members to see a provider for common physical, mental, emotional, and behavioral health issues that are not emergencies. MetroPlusHealth Virtual Visit is available anytime, from anywhere in New York State, 24/7 – and in your language.
Know your rights and protections against surprise medical bills!
When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn’t be charged more than your plan’s copayments, coinsurance and/or deductible.
Are you receiving care at an NYC Health + Hospitals facility?
Manage your health online with MyChart. Members who receive care at NYC Health + Hospital facilities now have access to MyChart. MyChart is a free secure portal you can use to manage your health information. MyChart allows you to:
- Message your primary care provider’s office
- Request refills of your prescription drugs
- Access your test results
- Schedule appointments
