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FAQs
- Do I need to do anything else?
- I want to move my current plan to the Essential Plan 200-250 offered by MetroPlusHealth. What happens next?
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- I received a letter about switching to the Essential Plan 200-250 offered by MetroPlusHealth. Why did I get this?
- Are Vision and Dental Included in $0 Health Insurance?
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- Can I Go to CityMD With $0 Health Insurance?
- Can I Go to the Emergency Room With $0 Health Insurance?
- If I see an H+H provider, will my coworkers be able to access my personal health records?
- Can I only see NYC Health + Hospitals Providers?
- What other benefits do I get with the Gold plan?
- Is The NY Essential Plan Medicaid?
- What’s The Difference Between NY’s Essential Plan 1 and 2?
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- What do I need to do because of this change?
- Why did you change dental partners?
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- Is there a network provider in my neighborhood?
- Does MetroPlusHealth cover vision care?
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- What do MetroPlusHealth plans cover?
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- Who is eligible for the Essential Plan?
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- Who is it for?
- What MetroPlus Members Need to Know About Coronavirus (COVID-19)
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- What is the treatment for coronavirus?
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Events
Press
- The 2023 NYC Motherhood Report
- 70% OF WOMEN WISH THEY KNEW MORE ABOUT POSTPARTUM MENTAL HEALTH BEFORE GIVING BIRTH, WITH HIGHER PERCENTAGES IN MINORITY COMMUNITIES: METROPLUSHEALTH SURVEY
- The 2023 Power of Diversity: Asian 100
- Expanded Health Coverage is a Win for All; State Leaders Should Include it in Final Budget Deal
- Joint Legislative Budget Hearing on Health in Albany – Dr. Talya Schwartz’s Testimonial
- Dahlia Philips, M.D., Named Medical Director of MetroPlusHealth's Partnership in Care (PIC) Special Needs Plan
- NYC Health + Hospitals Leadership Named to City & State’s “2023 Health Care Power 100” List
- NYC HEALTH + HOSPITALS AND METROPLUSHEALTH OFFER FREE TAX PREPARATION FOR ELIGIBLE PATIENTS AND NEW YORKERS
- NYC Dream Weavers Media Kit
- MetroPlusHealth Announces Winning FIT Designs for NYC Dream Weaver Uniform Design Challenge
- MetroPlusHealth Rings in the Year of the Rabbit with Lunar New Year Celebrations Across New York City
- IMPORTANT NOTICE TO OUR APPLIED BEHAVIORAL ANALYSIS (ABA) PROVIDERS REGARDING 2023 ABA BENEFIT CHANGES
- IMPORTANT NOTICE TO OUR PEDIATRIC PRIMARY CARE PROVIDERS REGARDING 2023 ENHANCED CHILDREN’S BENEFITS
- IMPORTANT NOTICE FOR PROVIDERS: Understanding How Adverse Childhood Experiences Affect Patients' Health Across the Lifespan
- IMPORTANT NOTICE TO 1915(c) CHILDREN’S WAIVER RESPITE HCBS PROVIDERS:
- MetroPlusHealth Spreads Local Holiday Cheer with Community Resource Fairs
- IMPORTANT NOTICE: PHARMACY BILLING GUIDANCE EXCEPTIONS FOR NON-ENROLLED PRESCRIBERS
- IMPORTANT MESSAGE ANNOUNCING AN END OF YEAR BONUS PAYMENT FOR OUR PROVIDERS IN ASSISTING MEMBERS TO OBTAIN THEIR KEY WELLNESS TESTS/VISITS.
- MetroPlusHealth to Distribute 7,000 Bags of Produce to New Yorkers in Need for the Holidays
- Dr. Wendy Wilcox, Dr. Michelle McMacken, and Roger Milliner Named Power Players in Health Care
- MetroPlusHealth Opens Enrollment to City Employees For its Gold Health Plan
- mPulse Mobile Recognizes Leaders in Health Equity and Innovation in its Fifth Annual Activate 2022 Awards
- Mayor Adams Expands Efforts to Connect Patients Experiencing Homelessness to Stable, Affordable Housing, Delivers on Promise in Housing Blueprint Released Earlier This Year
- MetroPlusHealth Announces Eight FIT Student Finalists for NYC Dream Weaver Uniform Re-Design Challenge
- COVID-19 VACCINE UPDATES
- IMPORTANT NOTICE FOR OUR PROVIDERS
- The STARS Align - MetroPlusHealth Earns 4 Star-Rating From The Centers for Medicare & Medicaid Services (CMS)
- iHeartMedia New York To Launch Awareness Campaign Addressing City’s Black Maternal Mortality Crisis
- MetroPlusHealth Board Chair & NYC Health + Hospitals Board Member, Sally Hernández-Piñero Named To Crain’s 2022 Notable Hispanic Leaders List
- METROPLUSHEALTH NAMES ERIN M. DRINKWATER NEW CHIEF OF GOVERNMENT RELATIONS & STRATEGIC PARTNERSHIPS
- METROPLUSHEALTH ANNOUNCES REBRAND TO SHOWCASE A HEALTH PLAN MADE FOR THE NEEDS OF NEW YORKERS – PUTTING PEOPLE, NOT PROFIT, FIRST
- METROPLUSHEALTH OFFERING FREE DIETICIAN VISITS TO GOLD PLAN MEMBERS
- METROPLUSHEALTH OFFERING FREE DIETICIAN VISITS TO GOLD PLAN MEMBERS
- METROPLUSHEALTH PROMOTES LILA BENAYOUN TO CHIEF OPERATING OFFICER
- METROPLUSHEALTH PARTNERS WITH SUNY FIT NYC FOR AN ICONIC NEW YORK CITY BRAND DESIGN CONTEST
- NYS DOH INTRODUCES A NEW PROCESS FOR PERSONAL CARE SERVICES (PCS)
- METROPLUSHEALTH DOUBLES DOWN IN HARLEM WITH NEW FLAGSHIP OFFICE AS PART OF ITS ONGOING COMMITMENT TO SERVING NYC’S DIVERSE COMMUNITIES
- METROPLUSHEALTH PARTNERS WITH CITY AGENCIES TO PROVIDE RESOURCES TO STUDENTS STUDYING IN NEW YORK CITY
- CITY & STATE NAMES THREE NYC HEALTH + HOSPITALS EXECUTIVES TO ITS MANHATTAN “POWER 100” LIST
- SEVEN NYC HEALTH + HOSPITALS EMPLOYEES NAMED TO CRAIN’S 2022 LIST OF “NOTABLE HEALTH CARE LEADERS
- IMPORTANT NOTICE:
- IMPORTANT NOTICE FOR OUR MEDICAID, HIV-SNP, HARP, MLTC, AND CHP PROVIDERS:
- MONKEYPOX CASES ARE RISING. BUT NEW YORKERS CAN GET HELP.
- METROPLUSHEALTH EXPANDS FREE ACCESS TO DIETITIANS TO CITY WORKERS & THEIR FAMILIES UNDER GOLD PLAN
- METROPLUSHEALTH LAUNCHES IN-LIEU-OF SERVICES MEDICALLY TAILORED MEALS PILOT PROGRAM
- METROPLUSHEALTH PROMOTES JULIE MYERS, M.D., M.P.H., TO DEPUTY CHIEF MEDICAL OFFICER
- METROPLUSHEALTH SUPPORTS COMMUNITY ORGANIZATIONS IN PRIDE CELEBRATIONS ACROSS NEW YORK CITY
- IMPORTANT NOTICE TO OUR PROVIDERS: UPDATED GUIDANCE REGARDING COVID COUNSELING BILLING, CODING, AND REIMBURSEMENT
- IMPORTANT INFORMATION FOR OUR PROVIDERS REGARDING BABY FORMULA RESOURCES
- IMPORTANT INFORMATION FOR OUR MEMBERS REGARDING BABY FORMULA RESOURCES
- DISCONTINUED COVERAGE FOR TERSERA THERAPEUTICS LLC DRUGS EFFECTIVE MAY 14, 2022: UPDATE FOR METROPLUSHEALTH MEDICAID MANAGED CARE, PARTNERSHIP IN CARE (PIC) HIV-SNP, AND ENHANCED (HARP) PLAN MEMBERS
- SHARK TANK’S KEVIN O’LEARY HOSTS “RENEWAL FOR NEW YORK” EVENT HONORING METROPLUSHEALTH PRESIDENT & CEO DR. TALYA SCHWARTZ
- METROPLUSHEALTH SURVEY FINDS AAPI WOMEN FACE INCREASED BARRIERS TO MENTAL HEALTH ACCESS AND SUPPORT IN NYC
- METROPLUSHEALTH AND NYC HEALTH + HOSPITALS’ DR. ERIC WEI NAMED TO CITY & STATE’S “2022 POWER OF DIVERSITY: ASIAN 100”
- METROPLUSHEALTH BOARD CHAIR SALLY HERNANDEZ PIÑERO NAMED TO THE CITY & STATE 2022 ABOVE AND BEYOND
- MEDICATION ASSISTED TREATMENT (MAT) FORMULARY UPDATE FOR METROPLUSHEALTH MEDICAID MANAGED CARE, PARTNERSHIP IN CARE (PIC) HIV-SNP, AND ENHANCED (HARP) PLAN MEMBERS
- CRAIN’S 2022 LIST OF “NOTABLE BLACK LEADERS” RECOGNIZES EXECUTIVES AT NYC HEALTH + HOSPITALS, COMMUNITY CARE, AND METROPLUSHEALTH
- CRAIN’S 2022 LIST OF “NOTABLE BLACK LEADERS” RECOGNIZES EXECUTIVES AT NYC HEALTH + HOSPITALS, COMMUNITY CARE, AND METROPLUSHEALTH
- NEW YORK CITY HEALTH + HOSPITALS/ELMHURST JOINS METROPLUSHEALTH IN LUNAR NEW YEAR CELEBRATIONS
- DR. TALYA SCHWARTZ, PRESIDENT AND CEO OF METROPLUSHEALTH, NAMED TO CITY & STATE’S HEALTH CARE POWER 100
- IMPORTANT MESSAGE TO OUR PROVIDERS: PCP IN-OFFICE NON-ALLOWABLE SERVICES
- IMPORTANT MESSAGE TO OUR MEMBERS REGARDING CORE SERVICES
- IMPORTANT MESSAGE TO OUR BEHAVIORAL HEALTH PROVIDERS REGARDING CORE SERVICES
- IMPORTANT MESSAGE TO OUR PROVIDERS REGARDING FOSTER CARE
- IMPORTANT MESSAGE REGARDING OUR PHARMACY NETWORK
- IMPORTANT MESSAGE FOR OUR PROVIDERS: ANNUAL MEDICARE SPECIAL NEEDS PROGRAM (SNP) MODEL OF CARE (MOC) PROVIDER TRAINING
- DR. MITCHELL KATZ AND DR. TALYA SCHWARTZ NAMED TO AMNY METRO AND POLITICSNY’S 2021 “POWER PLAYERS IN HEALTHCARE” LIST
- METROPLUSHEALTH BRINGS BEHAVIORAL HEALTH SERVICES IN-HOUSE, CITING NEED FOR INTEGRATED CARE OF BODY AND MIND
- CULTURAL COMPETENCY TRAINING FOR OUR MEDICAID, PIC, AND HARP PROVIDERS:
- METROPLUSHEALTH LAUNCHES CAMPAIGN TO EDUCATE NEW YORK CITY MUNICIPAL EMPLOYEES ABOUT HEALTH INSURANCE OPTIONS
- MORE THAN HALF (55%) OF NEW YORKERS SAY PANDEMIC HAS NEGATIVELY AFFECTED THEIR MENTAL HEALTH IN SURVEY COMMISSIONED BY METROPLUSHEALTH
- CLOZAPINE RISK EVALUATION AND MITIGATION STRATEGY (REMS) PROGRAM
- IMPORTANT NEWS ABOUT VACCINE COUNSELING INCENTIVE PROGRAM
- IMPORTANT REMINDER TO OUR PROVIDERS ABOUT EP BENEFIT CHANGE
- FLUSHING DEVELOPMENT CENTER TO HOST 21ST ANNUAL MID-AUTUMN FESTIVAL IN FLUSHING, QUEENS. METROPLUSHEALTH HOSTS PRE-EVENT PRESS CONFERENCE
- IMPORTANT NEWS FOR BEHAVIORAL HEALTH
- METROPLUSHEALTH OPENS FLAGSHIP OFFICE IN THE HEART OF FLUSHING, QUEENS – PART OF ONGOING COMMITMENT TO SERVING NEW YORK CITY’S DIVERSE COMMUNITIES
- METROPLUSHEALTH RANKS #1 IN 2020 MEDICAID QUALITY INCENTIVE PROGRAM OUTPERFORMS ALL NEW YORK HEALTH INSURANCE PLANS IN NEW YORK STATE QUALITY INCENTIVE RANKINGS
- METROPLUSHEALTH TO PROVIDE HEALTH INSURANCE COVERAGE AND COMPREHENSIVE CARE MANAGEMENT TO OVER 1,000 NEW YORK CITY YOUTH IN FOSTER CARE
- IMPORTANT REMINDER FOR ALL HEALTH CARE PROVIDERS FROM NYS DOH
- IMPORTANT NOTICE TO OUR MEDICAID MEMBERS: ANNOUNCING A NEW FOSTER CARE TRANSITION TO MEDICAID MANAGED CARE- SPECIAL POPULATION
- IMPORTANT NOTICE TO OUR PROVIDERS: ANNOUNCING A NEW FOSTER CARE TRANSITION TO MEDICAID MANAGED CARE- SPECIAL POPULATION FOR MEDICAID AND SPECIAL NEEDS PLAN MEMBERS
- LIEUTENANT GOVERNOR KATHY HOCHUL JOINS METROPLUSHEALTH CEO AND PROMINENT NEW YORKERS AT VIRTUAL TOWN HALL TO STAND UP AGAINST ANTI-ASIAN HATE
- METROPLUSHEALTH TO HOST VIRTUAL TOWN HALL: STAND UP AGAINST ANTI-ASIAN HATE
- EARLY AGE ONSET COLORECTAL CANCER SUMMIT
- METROPLUSHEALTH ANNOUNCES NEW EXECUTIVE APPOINTMENT: LAUREN LEVERICH CASTALDO AS CHIEF FINANCIAL OFFICER
- METROPLUSHEALTH CEO DR. TALYA SCHWARTZ’S OP-ED ADDRESSING IMPACT OF AMERICAN RESCUE PLAN FEATURED IN TODAY’S AMNY
- METROPLUSHEALTH CEO DR. TALYA SCHWARTZ’S OP-ED ADDRESSING IMPACT OF AMERICAN RESCUE PLAN FEATURED IN TODAY’S AMNY
- NYC HEALTH + HOSPITALS OPENS NEW COVID-19 “CENTERS OF EXCELLENCE”
- METROPLUSHEALTH NAMES LESLEIGH IRISH-UNDERWOOD NEW CHIEF BRAND AND EXTERNAL RELATIONS OFFICER
- CITY & STATE NAMES DR. MITCHELL KATZ TO “2021 NYC POWER 100” LIST
- CITY & STATE NAMES DR. MITCHELL KATZ TO “2021 NYC POWER 100” LIST
- METROPLUSHEALTH ANNOUNCES NEW EXECUTIVE APPOINTMENT: MICHELLE REAY AS CHIEF OPERATING OFFICER
- METROPLUSHEALTH RANKED NEW YORK CITY’S HIGHEST-RATED HEALTH PLAN, AWARDED 5 STARS BY ITS MEMBERSHIP IN ANNUAL SURVEY OF NEW YORK CITY’S STATE-SPONOSORED HEALTH INSURANCE PLANS
- IMPORTANT PROVIDER NOTIFICATION
- PROVIDER NOTIFICATION NEW FAX NUMBER
- COVID-19 VACCINES UPDATE
- RENTAL ASSISTANCE IS HERE FOR NEW YORKERS IN NEED
- METROPLUSHEALTH TEAMS UP WITH ARTISTS AND CREATORS TO HELP UNEMPLOYED ASIAN AMERICAN NEW YORKERS IMPACTED BY COVID-19
- COVID-19 VACCINES UPDATE
- THE GREAT AMERICAN SMOKEOUT 2020 EVENT
- GET VACCINATED FOR FREE!
- ELECTRONIC VISIT VERIFICATION (EVV)
- IN-OFFICE LAB APPROVAL LIST
- NEW MEDICARE PART B DRUGS STEP THERAPY, EFFECTIVE DECEMBER 1, 2020
- DFS CIRCULAR LETTER REGARDING NOT CHARGING MEMBERS FOR PPE RELEASED
- METROPLUS HEALTH PLAN’S DEPUTY CHIEF MEDICAL OFFICER, DR. AMANDA PARSONS, PUBLISHES PAPER IN THE AMERICAN JOURNAL OF PUBLIC HEALTH
- METROPLUS HEALTH PLAN TO RECEIVE AWARD FOR LAUNCH OF VITAL 24/7 TELEHEALTH SERVICES TO MEMBERS IN MIDST OF COVID-19 PANDEMIC
- NEW YORK CITY PHARMACIES PARTICIPATING IN THE FREE NYC EMERGENCY OVERDOSE RESCUE KIT PROGRAM
- NEW YORK CITY PHARMACIES PARTICIPATING IN THE FREE NYC EMERGENCY OVERDOSE RESCUE KIT PROGRAM
- EXTREME HEAT AND YOUR HEALTH
- HELP PREVENT HEAT-RELATED ILLNESS AND DEATH AMONG HEAT-VULNERABLE PEOPLE DURING THE COVID-19 PANDEMIC
- METROPLUS HEALTH PLAN, IN CONJUNCTION WITH THE NYC COVID-19 RAPID RESPONSE COALITION, PARTNERS TO CONNECT 80,000 OF PLAN’S MOST AT-RISK MEMBERS TO CRUCIAL HEALTH & SOCIAL SERVICES
- IMPORTANT INFORMATION FOR INSURERS AND PROVIDERS ON COVERAGE FOR MENTAL HEALTH SERVICES FOR ESSENTIAL WORKERS
- IMPORTANT UPDATE: TIMELY CLAIM FILING REQUIREMENTS
- NO TELEHEALTH/TELEPHONE COST-SHARING FOR MEMBERS
- METROPLUS HEALTH PLAN CEO TALYA SCWARTZ, M.D., AMONG TOP CITY LEADERS TO DISCUSS NYC’S POPULATIONS MOST VULNERABLE TO THE CORONAVIRUS PANDEMIC IN SPECIAL CITY & STATE WEBINAR
- METROPLUS HEALTH PLAN, RESPONDING TO COVID-19 CRISIS, ANNOUNCES NEW INITIATIVE TO DELIVER FOOD AND SAFETY CARE PACKAGES TO 10,000 OF ITS MOST VULNERABLE MEMBERS
- METROPLUS HEALTH PLAN, RESPONDING TO COVID-19 CRISIS, ANNOUNCES ENHANCED ONLINE WEBSITES, RADICALLY IMPROVING ENGAGEMENT FOR NEARLY 545,000 MEMBERS AND MORE THAN 23,000 OF THE PLAN’S PROVIDERS
- IN RESPONSE TO THE COVID-19 CRISIS, METROPLUS HEALTH PLAN NOW OFFERING MEDICAL AND MENTAL TELEHEALTH PROVIDER VISITS VIA VIDEO TO ITS MEMBERS
- NO TELEHEALTH/TELEPHONE COST-SHARING FOR METROPLUS MEMBERS
- CORONAVIRUS UPDATE: METROPLUS WILL WAIVE COST-SHARING FOR CORONAVIRUS TESTING
- CORONAVIRUS UPDATE: METROPLUS WILL WAIVE COST-SHARING FOR CORONAVIRUS TESTING
- METROPLUS ANNOUNCES NEW ASSOCIATE MEDICAL DIRECTOR – JULIE MYERS, M.D., M.P.H
- FACT SHEET: WHAT YOU NEED TO KNOW ABOUT THE NEW FEDERAL PUBLIC CHARGE RULE AND HEALTH INSURANCE
- 2019 NOVEL CORONAVIRUS ALERT
- 2019 NOVEL CORONAVIRUS ALERT
- METROPLUS MEDICARE ADVANTAGE J-CODE AUTHORIZATION UPDATE
- CHOOSING WISELY: LABORATORY TESTS
- PROVIDER EDUCATION MESSAGE FROM CMS
- DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSMES) SERVICES
- METROPLUS ANNOUNCES START OF ANNUAL OPEN ENROLLMENT PERIOD FOR ITS GOLD HEALTH PLAN OPTION OFFERED TO CITY EMPLOYEES
- AS PART OF NATIONAL BREAST CANCER AWARENESS MONTH, METROPLUS HEALTH PLAN CEO, TALYA SCHWARTZ, M.D., OUTLINES STRATEGIES TO COMBAT THIS DISEASE
- METROPLUS HEALTH PLAN REDESIGNS ITS WEBSITE TO SUPPORT MEMBERS AND PROVIDERS AND BE MOBILE FOCUSED
- FLU SEASON IS HERE! METROPLUS HEALTH PLAN URGES ALL NEW YORKERS TO GET THEIR FLU SHOT. PROTECT YOURSELVES AND OTHERS!
- FLU SEASON IS HERE! METROPLUS HEALTH PLAN URGES ALL NEW YORKERS TO GET THEIR FLU SHOT.
- NEW MEDICAID MANAGED CARE INFERTILITY SERVICES
- REVISED AND CLARIFIED PLACE OF SERVICE CODING INSTRUCTIONS
- CHANGE TO PRIOR AUTHORIZATIONS PROCESS – SPECIALTY PHARMACY
- CHILDREN’S MEDICAID SYSTEM TRANSFORMATION GUIDANCE FOR THE TRANSITIONAL PERIOD JANUARY 1, 2019 – JANUARY 1, 2020
- METROPLUS CONTRACTS WITH HMS IN DISALLOWANCE PROCESS
- MEDICARE PART D STRATEGIES TO COMBAT OPIOID OVERUSE
- CHANGE TO OPIOIDS PHARMACY BENEFIT
- CHILDREN’S SPECIAL SERVICES (CSS) PROGRAM
- PUBLIC HEALTH RISK ALERT – CANDIDA AURIS
- CHILDREN’S MEDICAID SYSTEM TRANSFORMATION BILLING AND CODING MANUAL
- METROPLUS TO MANAGE IMAGING UM
- INTEGRA PARTNERS TO MANAGE DME UTILIZATION
- UPDATE TO UNIVERSAL BILLING CODES FOR LONG-TERM CARE SERVICES
- FOR PROVIDERS WHO SERVE OUR MEDICAID AND HARP MEMBERS:
- FOR PROVIDERS WHO SERVE OUR MEDICAID AND HARP MEMBERS:
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last updated: July 12, 2022
