GoldCare II Plan
Thousands of doctors across all of NYC, with access to 33 hospitals. Low monthly premiums. Plus the same low cost for office visits and medications.
Who is it for?
All New York City day care workers of the Day Care Council Of NY, Local 205, DC 1707 Welfare Fund
Their eligible spouses and dependents
Plan Features
Eligibility
Monthly Premium
Deductible
Out of Pocket Maximum
PCP Office Visits
Specialist Office Visits
Hospital Admission
Emergency room co-pay (waived if admitted)
Prescription Drug Coverage
NYC Daycare Employees
$59.23–$172.05 (see chart below)
$0
$6,850 single / $13,700 family
$15 copay per visit
$30 copay per visit
$300 copay per hospital admission
$150 copay per visit
$10 generic / $20 brand / $50 non-formulary / Mail-Order Discounted
What does the GoldCare II Plan provide?
Low-premiums starting at $59.23 per month
No deductibles for any covered services
No paperwork (bills, claims, forms) for in-network services
Low co-pays for specialists, lab and X-rays
Thank you. It was super easy to get appt and to be able to speak to my doctor.
GoldCare II Plan Materials
For a comprehensive listing of benefits, review your Certificate of Coverage.
For a quick review of GoldCare II, including monthly rates, review your Summary of Benefits.
Access to your 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.
GREAT NEWS: STARTING JANUARY 1, 2023, METROPLUSHEALTH MEMBERS WILL RECEIVE THEIR DENTAL BENEFITS FROM DENTAQUEST.
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
Explore all MetroPlusHealth Plans
