Haris Ashley
MetroPlusHealth is a health insurance provider that has offered low-cost, quality healthcare for over 35 years to more than 700,000 New Yorkers. The company provides affordable, high-quality health plans, including Medicaid, Medicare, Essential Plan, and Marketplace coverage. With no monthly premiums or copays, MetroPlusHealth's Medicaid Managed Care Plan offers comprehensive coverage, including doctor visits, prescriptions, and preventive care. This raises the question: is MetroPlus Medicaid considered primary health insurance?
| Characteristics | Values |
|---|---|
| Number of members | 690,000-713,000+ |
| Cost of health insurance | Low-cost or no-cost health coverage |
| Choice of primary care physician | Yes |
| Choice of other doctors | Comprehensive list of doctors and specialists in all five boroughs |
| Covered services | Emergency visits, prenatal care, doctor visits, prescriptions, preventive care, hospital stays, contact lenses, vision care, medically tailored meals program |
| Premiums and copays | None |
| Deductibles | None |
| Renewal fee | None |
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What You'll Learn
- MetroPlusHealth offers low-cost or no-cost health coverage to New Yorkers
- Medicaid Managed Care has a year-round open enrollment period
- Members can access a comprehensive list of doctors and specialists
- Covered services include emergency visits and prenatal care
- Members can earn rewards for making healthy choices
MetroPlusHealth offers low-cost or no-cost health coverage to New Yorkers
MetroPlusHealth has been offering low-cost, quality health care to New Yorkers for over 35 years. It is a trusted healthcare partner serving over 700,000 New Yorkers. They provide affordable, high-quality health plans, including Medicaid, Medicare, Essential Plan, and Marketplace coverage. With low-cost or $0 premiums, an extensive provider network, and valuable member benefits, they ensure their members receive the care they deserve.
MetroPlusHealth members can access the Member Portal to find doctors, specialists, and pharmacies, and view member benefits. They can also find MetroPlusHealth offices, events, and local family care sites right near them. The Member Portal also provides answers to frequently asked questions about health insurance, including costs and what's covered.
MetroPlusHealth Medicaid Managed Care offers low- or no-cost health coverage to New Yorkers who live anywhere in New York City. Members can choose their own primary care physician (PCP) and pick from a comprehensive list of doctors and specialists in all five boroughs. Covered services range from emergency visits to prenatal care, doctor visits, prescriptions, preventive care, and hospital stays. There are no monthly premiums or copays.
MetroPlusHealth focuses on primary and preventive care. Their plans offer access to doctors and specialists, 24/7 telehealth, prescription drug coverage, and prepackaged medications. Their network includes NYC Health + Hospitals, NYU Langone, Mt. Sinai, CityMD, Montefiore, Labcorp, and Lenox Hill Radiology, among many others. They also offer rewards for making healthy choices, such as visiting your doctor or getting a flu shot.
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Medicaid Managed Care has a year-round open enrollment period
MetroPlusHealth is a health insurance provider that has offered low-cost, quality healthcare for over 35 years to more than 700,000 New Yorkers. They provide affordable, high-quality health plans, including Medicaid, Medicare, Essential Plan, and Marketplace coverage.
MetroPlusHealth Medicaid Managed Care offers low- or no-cost health coverage to New Yorkers living in New York City. This plan allows individuals to choose their own primary care physician (PCP) and provides a comprehensive list of doctors and specialists across all five boroughs to choose from for other medical needs. The covered services range from emergency visits to prenatal care, and the plan comes with no monthly premiums or copays.
To enroll in MetroPlusHealth Medicaid Managed Care, individuals can visit the NY State of Health website at https://nystateofhealth.ny.gov/ or call 1.855.355.5777. The hotline is open Monday through Saturday from 8 am to 8 pm and on Sundays from 9 am to 5 pm Eastern Time. Additionally, individuals can call Medicare directly at 1-800-MEDICARE or 1-800-633-4227.
It is important to note that Medicaid and Medicare have different enrollment processes and requirements. While Medicaid is a state-run program that provides health coverage for low-income individuals, Medicare is a federal program primarily for those aged 65 and over. When enrolling in either program, individuals should carefully review the eligibility criteria and plan benefits to ensure they are selecting the most suitable option for their needs.
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Members can access a comprehensive list of doctors and specialists
MetroPlusHealth has offered low-cost, quality health care for New Yorkers for more than 35 years. Members can access a comprehensive list of doctors and specialists in all five boroughs. Members can access the Member Portal to find doctors, specialists, and pharmacies, and view member benefits.
The Member Portal is user-friendly and ensures members get the care they need when they need it. Members can also use the "Find a Doctor, Dentist, or Specialist" tool to connect with a vast network of trusted professionals near them. This includes primary care physicians, dental experts, and specialists for specific health concerns.
The MetroPlusHealth network includes over 34,000 providers and specialists, with more than 40 hospitals and urgent care centers. These include NYC Health + Hospitals, NYU Langone, Mt. Sinai, CityMD, Montefiore, Labcorp, and Lenox Hill Radiology. Members can also access 24/7 telehealth services right from their smartphone, tablet, or computer.
MetroPlusHealth members can choose their own primary care physician (PCP). Covered services range from emergency visits to prenatal care, with no monthly premiums or copays. Members can also earn rewards for taking healthy steps like visiting their doctor or getting a flu shot.
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Covered services include emergency visits and prenatal care
MetroPlusHealth Medicaid Managed Care offers low- or no-cost health coverage to New Yorkers across New York City. It is a primary health insurance plan that covers a range of services, including emergency visits and prenatal care.
One of the key benefits of MetroPlusHealth is that members can choose their own primary care physician (PCP). This means that individuals can select a doctor that suits their needs and preferences, ensuring they feel comfortable and confident in their healthcare journey. In addition to this, members have access to a comprehensive list of doctors and specialists across all five boroughs, making it convenient to find the right care no matter where they are in the city.
The coverage provided by MetroPlusHealth includes emergency visits, ensuring that members can seek urgent medical attention when needed without the burden of financial worry. This is particularly important for unexpected incidents and accidents, providing peace of mind for individuals and families.
Prenatal care is also a covered service, which is crucial for expectant mothers to receive proper medical attention and support throughout their pregnancy. This includes important services such as ultrasounds, blood tests, and check-ups with obstetricians and gynaecologists.
Furthermore, MetroPlusHealth offers additional benefits to enhance the overall healthcare experience. Members have access to dental care, including check-ups, cleanings, X-rays, and fillings. The plan also includes vision care, providing coverage for eye examinations, prescribed lenses, and frames.
MetroPlusHealth is committed to making healthcare accessible and affordable for all New Yorkers, and with their low-cost or $0 premiums, they have been serving the community for over 35 years. The plan's extensive provider network and valuable member benefits ensure that individuals receive the care they need and deserve.
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Members can earn rewards for making healthy choices
MetroPlusHealth has offered low-cost, quality health care for New Yorkers for over 35 years. Their plans include Medicaid, Medicare, Essential Plan, and Marketplace coverage. With no monthly premiums or copays, an extensive provider network, and valuable member benefits, MetroPlusHealth ensures its members receive the care they deserve.
The Member Rewards Program is also available for Partnership in Care (PIC) members. This program supports members' journeys to better health while rewarding their efforts. Members can sign up to start earning rewards for prioritizing their well-being.
In addition to the rewards program, MetroPlusHealth also offers $0 premium and doctor visits, $0 urgent care and mental health services, and $1,000 for staying in the gym. With these initiatives, MetroPlusHealth empowers its community with accessible and comprehensive care solutions, ensuring that everyone has access to high-quality health insurance.
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Frequently asked questions
Yes, MetroPlusHealth Medicaid Managed Care offers low- or no-cost health coverage to New Yorkers who live anywhere in New York City.
MetroPlusHealth's Medicaid Managed Care Plan includes doctor visits, prescriptions, preventive care, and hospital stays. Covered services range from emergency visits to prenatal care.
You can choose your own primary care physician (PCP) with MetroPlusHealth. You can find a doctor or specialist within the MetroPlusHealth network by using their doctor or specialist search tool, which provides access to over 34,000 doctors and specialists located across the five boroughs who accept MetroPlusHealth insurance.
MetroPlusHealth members can access the Member Portal to find doctors, specialists, and pharmacies, and view member benefits. There are no monthly premiums or copays, and members can earn rewards for making healthy choices, such as visiting the doctor or getting a flu shot.
You can learn more about Medicaid and how to enroll with MetroPlusHealth by visiting the NY State of Health website or calling their phone number.
