We sent a one-time security code to {#maskedTwoFactorEmail}. Your coverage and benefits, including vision and dental effective and termination dates, Selecting or changing your Primary care physician. Metroplus health plans, in partnership with fair health, is pleased to bring you this free medical cost. These downloadable directories list all the people (doctors, dentists, psychologists, etc. ), places (hospitals, urgent care centers), and pharmacies in the metroplushealth network. You may be required to submit proof that you have applied for Medicare so please keep your award or denial letter from SSA or your on line receipt from SSA. or by completing our Contact form by clicking here. You must attest to the training after completion. If you have not received the code or still have trouble signing in, please call member services. MetroPlusHealth - NYC Health Insurance Plans for NYC Employees MetroPlusHealth Locations Pay My Premium Insurance FAQs Gold Plan $0 premiums, deductibles, and co-insurance. We sent a one-time security code to {#maskedTwoFactorSMS}. Contact us FIND A DOCTOR | TELEHEALTH RENEW MY COVERAGE PAY MY PREMIUM RESOURCES Health Information MetroPlus Near You Behavioral Health News & Alerts Pharmacy Member Rewards Program Provider Directory Frequently Asked Questions Back-to-School Support For Medicaid recipients 21 or older who need additional resources for behavioral health. Take Action Now! MetroPlusHealth Make a world of difference in the world's greatest city. $0 premiums for all who qualify, and no deductible, so it pays for your care right away. With $0 premiums, $0 copays, and $0 deductibles, MetroPlus Gold's basic plan is offered at no cost to the employee. Medicare Special Needs Program (SNP) Model of Care (MOC) provider training, Office of Addiction Services and Supports, CORE provider Service Initiation Notification Form, Diabetes Self-Management Education and Support (DSMES), Early Hearing Detection and Intervention (EHDI), Newborn Hearing Screening (NHS), and Early Intervention Program (EIP), Early Periodic Screening Diagnosis and Treatment (EPSDT) Services, Foster Care Services Provider Orientation(, PCP In-Office Non-allowable Services List, Project TEACH, a Mental Health Consult for Pediatricians, Child and Adolescent Immunization Schedule, Immunization Schedules and Vaccine Billing Guide, for a Food and Drug Administration (FDA)-approved indication for which there are no alternative options. If you are suffering with respiratory symptoms such as runny nose, cough, sore . Learn more and access our BH resourceshere. City Employees (Gold & GoldCare) Child Health Plus. Request refills of your prescription drugs. Partnering with DentaQuest, we are able to bring their experience and passion for improving oral health care to you. 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. Please be sure to complete this requiredMedicare Special Needs Program (SNP) Model of Care (MOC) provider trainingon or beforeDecember 31, 2022. Providers, please click hereto be directed to New York State Department of Healths website for training resources. For additional guidance, read the CMS memo here. Call us at1-855-809-4073or visit us at our Virtual Office. Rate Applications by Company Introduction, Summary of Medicare Supplement 2023 Requested Rate Actions, American Family Life Assurance Company of New York, American Progressive Life and Health Insurance Company of New York. MetroPlusHealth has offered low-cost, quality health care for New Yorkers for more than 35 years. Our goal is to give our Providers help finding and managing day-to-day needs. If you are turning 65 within the next 3 months or you are 65 years of age or older, you may be entitled to additional medical benefits through the Medicare program. Find MetroPlusHealth offices, events, and local family care sites right near you. If you are suffering with respiratory symptoms such as runny nose, cough, sore throat, fever, etc., Dont wait! Basic plan is FREE for NYC workers and their families! Our health insurance plans are affordable. Eligibility & Retention Jobs in Manhattan with MetroPlus may include: Meet our leadership, join our team, or get in touch with MetroPlusHealth. Empower. Providers may access the cultural competency training and virtual attestation form here. Please visit the Center for Practice Innovations Homepage and FAQs for more information on the Learning Community. for member, Preventive care includes immunizations, physical exams, lab tests and prescriptions. Learn about all of the free preventive services for adults, women and children. Please fill out the application below. If there are any issues, our Customer services team will contact you. 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. Clickherefor more information. Off Exchange Enrollment Application Email. Write: MetroPlus Health Plan $250 every 6 mo. Creating an account will enable you to save your application and return at a later time to complete it. A plan for New Yorkers who have or are eligible for Medicaid. But, if an urgent medical issue happens outside of our service area, youwillbe completely covered if you go to an emergency room. Or call us at 1-855-809-4073 or visit us at our Virtual Office. Download our App. If you need assistance call 1-855-809-4073 or TTY:711. Care. WE'RE HERE FOR YOU. 0 Providers MetroPlusHealth members can access the Member Portal, find doctors, specialists, and pharmacies, and view member benefits. 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. Members who have an ongoing prescription including medications, certain supplies such as pen needles, test strips, continuous glucose monitors, and blood glucose test strips at a Walgreens or Duane Reade should call their health care providers to get a new prescription to be sent to a different pharmacy. We are proud to offer an environment where our team members can polish their skills and make strides in their careers. Just clickhereto find a representative in your neighborhood who speaks your language and is ready to help. Or call us at1-855-809-4073or visit us at our Virtual Office. If you are making your first ever payment to MetroPlusHealth, please use the one-time payment option. Urdu Become a member today! Message your primary care providers office. Elizabeth Moo got their education from University At Buffalo in the field of For New Yorkers living with HIV/AIDS and other select groups. Contact your benefits manager at work for more information about choosingMetroPlusHealth Gold. Metroplushealth members can access the member portal, find doctors, specialists, and pharmacies, and view member benefits. OASAS: [email protected] MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. Crystal Run Health Insurance Company, Inc. Fidelis (New York Quality Healthcare Corporation), First United American Life Insurance Company, The Guardian Life Insurance Company of America, Hartford Life Insurance Company (NAIC # 88072). New York State is making this change in the initial assessment process to make it easier to get the services you need. From questions on enrollment & eligibility, benefits & extras, or claims, our Concierge Team is ready to help you every step of the way. Care. The New York State Department of Health (DOH) has approved cultural competency training offered by the US Department of Health and Human Services (HHS) Office of Minority Health education program, Think Cultural Health. New York, Schedule an Office Visit. Unite. . Gold Plan for NYC Employees - MetroPlusHealth Plans for NYC Employees MetroPlusHealth Locations Pay My Premium Insurance FAQs Eligibility Monthly Premium Deductible Annual Checkup Doctors & Specialists $0 24/7 Telehealth Hospital Visits Prescription Drug Coverage Prepackaged Medications Fitness Reimbursement Weight Loss Program Reimbursement is chemistry physical or biological science. Covered services range from emergency visits to prenatal care. New York, NY 10004 MetroPlusHealth members can access the Member Portal, find doctors, specialists, and pharmacies, and view member benefits. MetroPlusHealth has offered low-cost, quality health care for more than 30 years. These four services include Community Psychiatric Support and Treatment (CPST), Psychosocial Rehabilitation (PSR), Family Support and Training (FST), and Empowerment Services Peer Support (Peer Support). Message your primary care providers office, Request refills of your prescription drugs. 50 Water Street, 7thFloor Crystal Run Health Insurance Company, Inc. Fidelis (New York Quality Healthcare Corporation), First United American Life Insurance Company, The Guardian Life Insurance Company of America, Hartford Life Insurance Company (NAIC # 88072). Home Insurance MetroPlus MetroPlus MetroPlus Medicaid; MetroPlus Child Health Plus; MetroPlus Enhanced (HARP); MetroPlus Partnership in Care; MetroPlus Essential Plan 1; MetroPlus Essential Plan 2; MetroPlus Essential Plan 3; MetroPlus Essential Plan 4; MedPlus, BronzePlus, SilverPlus, GoldPlus, PlatinumPlus; MetroPlus Medicare Advantage Plan; Fax. If you have more questions, please call our Customer Services team at 1-800-303-9626. Click hereto learn more about MMH resources available to you and your practice. Their dental network is 65% larger than what we have been offering, with more dentists and specialists available than before. For additional security, we need to verify your identity before you can sign in to the account. We are seeing an increase in RSV, COVID-19 and Flu cases in New York City. NY Basic plan is FREE for NYC workers and their families! Funded by New York State Office of Mental Health. MetroPlus will cover these pharmacy issues: A 30- day supply (transition fill) for non-formulary or Prior Auth (PA) required drugs within the first 90 days of enrollment, If the member requires an additional transition fill because of new placement, providers should send the request to CVS and indicate the reason, Members can receive refill-too-soon overrides when transferring between foster homes, Members can fill prescriptions at pharmacies that are out of network when they are placed out of our service area, For MetroPlus Health Plan members: 1-855-371-9228, For provider referrals, authorization or clinical matters: 1-855-371-9228, View updated Medicaid COVID-19 Counseling. Explore Qualified Health Plans (QHP) through the NY State of Health, The Official Health Plan Marketplace. If you have any questions, please call the CVS CaremarkCustomer Care Team at1-(855) 656-0361 for Medicaid Managed Care and Child Health Plus members or 1-(855) 383-9426 for Exchange Plan members. Fluoride varnish is a reimbursable service. MetroPlusHealth Goldhealth plan is available to ALL New York City employees, their qualified domestic partners and eligible dependents, and non-Medicare eligible retirees. Unite. - Contact your benefits manager at work for more information about choosing MetroPlusHealth Gold. Healthplex (for dental services) your insurance is accepted at the following hospitals: Metroplushealth members can access the member portal, find doctors, specialists, and pharmacies, and view member benefits. Get inspired on our Blog, find answers to your questions in our FAQs, and explore our health library. Additionally, some individuals enrolled in HIV-Special Needs Plans or Medicaid Advantage Plus Plans will be eligible for CORE. Find a plan that's right for you. You can choose your own primary care physician (PCP). for spouse, Low-cost optional prescription drug rider is available, Participating physicians and hospitals in over 34,000 sites across New York City, Free 24/7 virtual access to doctors and therapists from your smart phone, tablet or computer, Fitness reimbursements** (up to $1000 per year! What do I do if I get my medications from Walgreens or Duane Reade? Thats anywhere nationwide, whether its in our network or not. MetroPlusHealth has offered low-cost, quality health care for New Yorkers for more than 35 years. For claims and/or services rendered prior to October 1, 2021, please reach out to Beacon Health Options. MetroPlusHealth Virtual Visit is available anytime, from anywhere in New York State, 24/7 - and in your language. MetroPlus Health Plan has been providing quality, affordable health insurance to residents of the Bronx, Brooklyn, Manhattan, and Queens for over 30 years. BH HCBS Short-term and Intensive Crisis Respite services will be transitioned to Crisis Intervention Benefit Crisis Residence services, already available to all adult Medicaid Managed Care enrollees. After logging in to the MetroPlusHealth Portal, training forMAP-MOC for providersand attestation is required. Login Start Your Free Trial Now! With MetroPlusHealth Gold, you get $0 premiums, deductibles, copays, unlimited telehealth visits, unlimited mental health care, and more. Metroplus Health Plan Provider Portal. MetroPlusHealth wants our members to be healthy. Medicaid Managed Care, including Partnership in Care and HARP Plans(click. MetroPlusHealth Virtual Visit is available anytime, from anywhere in New York State, 24/7 and in your language. For Medicaid recipients who meet certain income, resource, age, or disability requirements. Employment Type: Full-Time. MetroPlus Gold is available to all NYC employees, non-Medicare eligible retirees, their spouses or qualified domestic partners, and eligible dependents. Rate Applications by Company Introduction, Summary of Medicare Supplement 2023 Requested Rate Actions, American Family Life Assurance Company of New York, American Progressive Life and Health Insurance Company of New York. New York, NY 10004 We believe that Health care is a right, not a , Utilization Review and Case Management Jobs. All our most popular online features at your fingertips. Accessibility icons indicate facilities that are wheelchair accessible. Arabic. We accept Mastercard, Visa and Discover Card. Requires TIN and NPI . Please contact Provider Services at 1-800-303-9626 (TTY: 711) or Medicare at 1-866-986-0356 if you need help or have questions. Hartford Life Insurance Company (NAIC # 88072) Health Insurance Plan of Greater New York, Inc. Health Republic Insurance of New York, Corp. (formerly Freelancer Health Service Corp) Healthfirst Health Plan, Inc. Healthfirst Insurance Company, Inc. Healthfirst PHSP, Inc. HealthNow New York Incorporated. Youre ready to go! Are you getting the services you need such as choice of provider or network? Empower. ), Member website to help you manage your account, MetroPlusHealth will reimburse you up to $300 per year for participating in a weight loss program. Best of all, MetroPlusHealth Medicaid Managed Care comes with no monthly premiums or copays. For Medicaid recipients 21 or older who need additional resources for behavioral health. Available through PillPack or CVS Pharmacy. If you have any questions, call one of our Member Services Representatives. Take advantage of our gym reimbursement program and maximize your results at minimal cost to you. First, find the type of metroplushealth coverage plan you have, then the borough you live in (or need a provider in). For children under 19 who are not eligible for Medicaid and have little or no health insurance. Please allow 2 business days for account balance to update. Click hereto choose MetroPlusHealth Gold now! MyChart is a free secure portal you can use to manage your health information. Click here to find a representative near you. Manage Your Health Online With MyChart. Get rewarded for performing this important public service. Protect yourself and your loved ones. After a successful log in, you should be directed to the Home screen of the app. MetroPlusHealthMedicaid Managed Care offers low- or no-cost health coverage to New Yorkers who live anywhere in New York City. **The payout may be considered taxable income, and subject to state and federal taxes in the tax year you get it. Are you receiving care at an NYC Health + Hospitals facility? Empower. as a continuation of established therapy if another gonadotropin-releasing hormone (GnRH) product has been tried and failed or if transition to another GnRH is medically contraindicated. Justclickhereto find a representativeready to help and answer anyof your MetroPlusHealth Gold questions. Be sure to use the correct account number when making your payment. Medicaid Managed Care. k***@metroplus.org. https://www.nychealthandhospitals.org/mychart/. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. Click here to find a representative near you. Because changes in placement may occur requiring additional health assessments, MetroPlus will allow members to see participating PCP providers not listed on their ID card, Call MetroPlus Customer Services 800-303-9626 to verify coverage and notify about need for future visits. Essential Plan. Once this training has been completed, our participating providers will be able to provide more effective care delivery to our members and help reduce health disparities. Beginning January 1, 2022, as per CMS guidance, MetroPlusHealth will cover the COVID-19 Vaccine, approved boosters, along with its administration, without cost sharing for our Medicare and UltraCare (MAP) members. Enter the code from your phone (please note: you will need to have a valid cell phone number connected to your account to receive this). Learn more here. For New Yorkers living with HIV/AIDS and other select groups. ***for those who qualify. To get covered services, you need to see providers in the MetroPlusHealth network. Explore Qualified Health Plans (QHP) through the NY State of Health, The Official Health Plan Marketplace. Highmark Western and Northeastern New York Inc. NorthShore-LIJ CareConnect Insurance Company, Inc. State Farm Mutual Automobile Insurance Company, Talcott Resolution Life Insurance Company, Transamerica Financial Life Insurance Company, Transamerica Premier Life Insurance Company, United Healthcare Insurance Company of New York, Approved Applications (by Effective Date). If you have Medicaid, you MUST apply for Medicare as a condition of continuous eligibility. Registration and Helpful Links Starting May 16, 2022, the way Personal Care Services and Consumer Directed Personal Assistance Services (PCS/CDPAS) are initially assessed will be changing. Stay well! Our employees make our health insurance plan great. Empower. Learn about all of the free preventive services for adults, women and children. Medicaid Managed Care(including Partnership in Care and HARP Plans), children and youth placed in foster care in New York City, and, children and youth placed in foster care and a 29-I VFCA Health Facility. New York, This training must be initially completed by appropriate staff within the next 12 months and then on an annual basis. A new experience is ahead You asked, we listened. The NYSDOH has provided guidance for providers regarding face-to-face visits during the current health crisis. Member Rewards | MetroPlus Health Plan Menu Sign In MembersProvidersEmployees Search Search Here Please enter search text MEMBERS PROVIDERS BROKERS PLANS GOOD4YOU MEMBER REWARDS Last updated - 9/7/2021 8:17:51 PM About Us Contact Us Join Our Team Human Resources Members Providers Plans Good4You Health Library Check Eligibility Community Events for spouse, $100 every 6 mo. These downloadable directories list all the people (doctors, dentists, psychologists, etc. ATTENTION: QM Health Risk Assessment Unit MetroPlusHealth serves eligible New Yorkers with health care at little to no cost. If you are filling out the application for YOUR "CHILD ONLY" enter your information (parent or legal guardian's information) in the 'Applicant / Subscriber Information' Section and your Child (ren . 2022 tomtom, 2023 microsoft corporation. If you are attesting on behalf of your group/organization, in doing so, you agree to communicate the information to other providers in your group/organization. A plan for New Yorkers who have or are eligible for Medicaid. 646-825-6399. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. Highmark Western and Northeastern New York Inc. NorthShore-LIJ CareConnect Insurance Company, Inc. State Farm Mutual Automobile Insurance Company, Talcott Resolution Life Insurance Company, Transamerica Financial Life Insurance Company, Transamerica Premier Life Insurance Company, United Healthcare Insurance Company of New York, Approved Applications (by Effective Date). - contact your benefits manager at work for more information about choosingMetroPlusHealth Gold make easier! Partnership with fair health, the Official health plan Marketplace your health information plan! Enable you to save your application and return at a later time to complete it from at! All of the free preventive services for adults, women and children have any questions, reach., if an urgent medical issue happens outside of our member services Representatives other select groups services, should. Our network or not metroplus health plan login visit the Center for Practice Innovations Homepage and FAQs for information. 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