Medicaid Managed Care

Now that you have become a member, it is important that you see a Primary Care Provider (PCP) within the next 90 days to discuss needed blood work, immunizations and preventive screening (such as for colon cancer). Your PCP can also help you control your asthma, diabetes (high blood sugar), high blood pressure and help you with your other health issues.

Your non-emergency transportation benefit is provided by Medical Answering Services (MAS). Need to schedule a ride?

Call 844-666-6270 or Schedule Online!

There is no copay for covered benefits!

No-Stress Transportation

Whether you have a medical appointment near your home or across town, MetroPlusHealth wants to ensure you get the care you need when you need it without the stress of getting there. We also want to ensure you arrive at your appointment timely without having to rely on family or friends for your transportation. So…MetroPlusHealth is happy to announce that effective immediately, Medical Answering Services, LLC (MAS) will be responsible for providing you with non-emergency medical transportation services for eligible Medicaid beneficiaries living in the five boroughs of New York City. We encourage our member to take advantage of this benefit in order to ensure that services are provided. If you need to schedule or inquire about receiving transportation benefits please contact MetroPlusHealth Customer Service Department at 1-800-303-9626 (TTY: 711) if you need assistance. Please also provide ample time for your appointment to be scheduled.

Please note in order to be eligible for Medicaid transportation benefits your provider must complete Form 2015 which is verification of Medicaid Transportation Abilities.

Mental Health and Substance Use Services for Children

Effective January 1, 2019, new mental health and substance use services are available with NYS Children’s Medicaid. These services give children/youth (under age 21) and their families the power to improve their health, well-being and quality of life, strengthening families and helping them make informed decisions about their care. Services are provided at home or in the community. Learn more on our Children and Family Support Services page here.

Enroll Anytime

Medicaid Managed Care has a year-round open enrollment period. Learn more about Medicaid and how to enroll with MetroPlusHealth below:

• NY State of Health, The Official Health Plan Marketplace, online at https://nystateofhealth.ny.gov or by phone at 1-855-355-5777
• Navigators and Certified Application Counselors
• Medicaid Helpline 1-800-541-2831
• Local Departments of Social Services

If you are turning 65 within the next 3 months or you are 65 years of age or older, you may be entitled to additional medical benefits through the Medicare program. Learn more here. If you have questions, please call Customer Services team at 1-800-303-9626. If you have Medicaid, you MUST apply for Medicare as a condition of continuing eligibility.

You can apply for Medicare by calling the Social Security Administration at 1-800-772-1213 or by applying on-line at: https://www.ssa.gov/medicare/. You may be required to submit proof that you have applied for Medicare so please keep your award or denial letter from SSA or your on line receipt from SSA.

If you have more questions, please call our Customer Services team at 1-800-303-9626.

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.

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