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MetroPlusHealth Stats

MetroPlusHealth was created over 35 years ago by New York City doctors who felt the City deserved accessible health care. Since our founding, our mission has stayed the same, but our network has grown.

35+

Years of serving New Yorkers

700K

Members strong

34K

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Important & Urgent Notifications

January 30, 2020
2019 NOVEL CORONAVIRUS ALERT
Recently, a novel (new) coronavirus was detected in a number of people worldwide, primarily in China. A “novel coronavirus” is…
Read more
January 01, 2019
CHANGE TO OPIOIDS PHARMACY BENEFIT
As a result of updated CMS guidance, MetroPlus is required to make changes to our Pharmacy benefits regarding Opioids for…
Read more
July 31, 2019
CHANGE TO PRIOR AUTHORIZATIONS PROCESS – SPECIALTY PHARMACY
As of August 5, 2019, MetroPlus will internally review prior authorizations for specialty medications only. Previously these requests were reviewed…
Read more
March 06, 2020
CORONAVIRUS UPDATE: METROPLUS WILL WAIVE COST-SHARING FOR CORONAVIRUS TESTING
On March 2, 2020, Governor Andrew M. Cuomo announced that health insurers throughout New York State, including MetroPlus Health Plan,…
Read more
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In-network Care

cvs-pharmacy-logo
https://www.cvs.com/
walgreens-logo-png-transparent
https://www.walgreens.com/
DuaneReade_WalgreensFamily-Logo-DD
https://www.walgreens.com/topic/duane-reade/duane-reade.jsp
logo__independently-owned-comunity-pharmacies
NYU_Langone_Health_Logo
https://med.nyu.edu/
nyc-health-hospitals-logo-feature
https://www.nychealthandhospitals.org/
mountsinai-og-logo
https://www.mountsinai.org/
LHR-logo
https://www.radnet.com/lenox-hill-radiology/
Labcorp_Logo_Horizontal_Color_RGB
https://www.labcorp.com/
991px-montefiore-logo
https://www.montefiore.org/
CMD_h_rgb
https://www.citymd.com/

Pharmacies covered by MetroPlusHealth are available in all five boroughs, including some 24-hour drugstores. We also pay for delivery-based services like Capsule and mail order medication through PillPack or CVS Pharmacy.

How can MetroPlusHealth help you?

COVID-19 changed life around us and has had a tremendous impact here in New York City. We know that you have questions about the virus and its variants (Delta, Omicron) and how it can affect you and your family.

How large is the MetroPlusHealth network?

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What is the billing process?

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What does the reimbursement process look like?

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What is the fee schedule?

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What does the authorization process look like?

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How many specialists are in network?

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How many hospitals are in network?

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MetroPlusHealth is here to help.

We provide a caring, high-quality experience to help providers preserve and improve the health. Find someone in your borough and in your language.

Provider Service Team

FPO_virtual_9 1
Mack Ricci
They/Them
Language(s)
English, Italian, Spanish
1-800-273-8255
[email protected]
FPO_virtual_3 1
Timberlene Woodard
She/Her
Language(s)
English
1-800-273-8255
[email protected]
FPO_virtual_1 1
Michelle Ralte
She/Her
Language(s)
Bengali, English, Hindu
1-800-273-8255
[email protected]

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last updated: January 4, 2024

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