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January 30, 2020

Important Member Notices

2019 NOVEL CORONAVIRUS ALERT

Recently, a novel (new) coronavirus was detected in a number of people worldwide, primarily in China. A “novel coronavirus” is a strain that has not…
January 01, 2019

Important Member Notices

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 Medicare members effective January 1,…
July 31, 2019

Important Member Notices

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 by CVS Caremark on behalf…
December 13, 2018

Important Member Notices

CHILDREN’S MEDICAID SYSTEM TRANSFORMATION BILLING AND CODING MANUAL

The Children’s Health & Behavioral Health Medicaid System Transformation Billing and Coding Manual can be accessed online. Read press release>>

All MetroPlusHealth members can choose from more than 34,000 top providers, 40 hospitals and 110 urgent care centers, including NYC Health + Hospitals, NYU Langone, Mt. Sinai and CityMD. Explore resources below.

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New to the Essential Plan?

NON-EMERGENCY TRANSPORTATION BENEFIT:

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

Call 844-666-6270 or Schedule Online!

Member Portal Self Registration

Click here for an easy tutorial video on how to complete your Member Portal Self Registration.

Find Care

Find doctors, specialists, dentists on your plan or in your community.

*Find A Dentist:Participating dental providers for all our health plans, excluding MetroPlusHealth Gold and GoldCare

Member Quick Links

An easy way to access everything you need.

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Renew my Coverage

Check your status and maintain your benefits

Transportation Benefit Guide

Stress less with this easy travel coverage breakdown

Contact Us

Need help? Getting in touch is easy

Here are some answers to frequently asked questions:

Frequently asked Member questions

How do I get my Member ID?
Your Member ID will be available to you via a physical card that will be mailed and virtually through your member portal. . . .
When will I get my physical ID card?
You will receive your MetroPlusHealth ID card within the first 15 days of membership. . . .
Do I need my physical ID card to see a doctor or access services?
No, you can still obtain services as long as you have your MetroPlusHealth ID number. . . .

What Services Do We Cover?

To see what is covered, check the benefits in your health plan via the Member Portal. Search for doctors and dentists, see claims, and view your coverage on our Member Portal.

Clinical Practice Guidelines

Upcoming Events

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When it comes to health care, we’re as local as it gets.

last updated: February 7, 2023

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