MetroPlus
Health
Gold Plan
Quality, affordable health care for all employees of the City of New York
The MetroPlusHealth Gold Plan is a high-quality, no-cost health insurance option exclusively for employees of the City of New York and their eligible dependents. This comprehensive plan delivers exceptional value with $0 premiums, no deductibles, and access to a wide network of top doctors and hospitals across all five boroughs. Designed with city workers in mind, the Gold Plan ensures you and your family get the care you need — affordably, reliably, and close to home.
Who is it for?
ALL employees of the City of New York, their qualified domestic partners and eligible dependents.
Non-Medicare eligible retirees
NYC Health + Hospitals and MetroPlusHealth employees
Good News! Memorial Sloan Kettering Cancer Center is now part of the Gold Plan network of quality hospitals!
Plan Features
Deductible
Monthly Premium
$0 24/7 Telehealth
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
-
$0
$0
$0
Employees of the city of New York (as well as certain retireees)
and their spouse and children
$100
November 1-30
Up to $700 every 6 months
-
$0
$7,150 Individual $14,300 Family
-
What does the MetroPlusHealth Gold Plan provide?
$0 deductibles
$0 co-insurance
Participating physicians and hospitals in over 34,000 sites across New York City
$0 24/7 virtual access to doctors and therapists from your smart phone, tablet or computer
Expanded access to urgent care
New! $0 dietician visits***
Fitness reimbursements** (up to $1400 per year!)
MetroPlusHealth will reimburse you up to $300 per year for utilizing wellness apps!
Low-cost optional prescription drug rider is available
$0 for select prescription drugs
Medications pre-packaged and delivered to you at no extra cost. Available through PillPack or CVS Pharmacy.
$0 employee premium with basic plan
Member website to help you manage your account
Transportation reimbursement – **Up to $60 per plan year
Gold Plans Discount Prescription Drug Program: $0 for Over 100 Popular Medications
Now all MetroPlusHealth Gold Plan members can enjoy significant savings with the new Discount Drug Program. MetroPlusHealth is offering over 100 of the most commonly prescribed medications at absolutely no cost. That means no copays, no coinsurance – just essential medications at $0.
Important Notices
MetroPlusHealth Gold Plan Materials
How do I enroll?
Contact your benefits manager at work for more information about choosing MetroPlusHealth Gold. Or call us at 877-475-3795 or visit us at our Virtual Office. Just click here to find a representative ready to help and answer any of your MetroPlusHealth Gold questions.
Work for New York City?
NYC Office of Labor Relations
Find out more about your health plan options on the City of New York website.
Representative was very professional and helpful, showed empathy for my well being with no attitude …. Thank you….. 😊 👍👍
Free or Low-Cost Preventive Health Care Services
At MetroPlusHealth, we always want you to be at your best. That’s why we encourage you and your family to take advantage of preventive care services available to you at low or no cost. We’ve listed dozens of FREE preventive services here for adults, women and children that just may help you be your healthiest yet.
How Does it Work?
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
