Hey New Yorker,
Let's find a plan
for you
MetroPlusHealth takes pride in providing health plan coverage to a variety of New York City residents. But we have to ask you some questions first. To see if you might qualify for a MetroPlusHealth plan, please fill out the following form. All questions require an answer!
Your Home
Not including roommates,
who do you live with?
Your Home
Not including roommates, how many people live with you?
Your Home
How much did you make from your job(s) this year?
$
You
How old are you?
You
Are you currently married?
You
How old is your spouse?
You
Are you or your spouse pregnant?
You
Do you have children?
You
How many children are under the age of 19?
You
How many children are between the age of 19 and 26?
You
Is there anyone in your household 65 and over?
Just a few more questions
(and then back to streaming your favorite show)
Wrapping up
Does anyone in your household have or is eligible for Medicare?
Wrapping up
Does anyone in your household have or is eligible for Medicaid?
Wrapping up
Are you interested in care for someone in your household who might be suffering with end stage renal disease (ESRD)?
Wrapping up
Would you like to receive information for someone living with HIV/AIDS in your household?
Wrapping up
Is there anyone in your household who might need 120 days of community based long-term care?
last updated: October 1, 2023
