First, find the type of MetroPlusHealth coverage plan you have, then the borough you live in (or need a provider in). Meet our leadership, join our team, or get in touch with MetroPlusHealth. or by completing our Contact form by clicking here. Learn more here. NationsBenefits, LLC. Personal Emergency Response Systems (PERS). Looking for a pharmacy with free delivery? Download our App. We're here to help. Moreover, to address the needs of MetroPlus members with frequent hospital utilization at H+H, it has also taken steps to ensure that members have access to comprehensive care management including services that address medical, social and behavioral health needs. 50 Water Street, 7thFloor 1700 North University Drive MetroPlusHealth has partnered with Medly Pharmacy to offer free delivery and more! MetroPlusHealth attributes its 5-star rating, a feat shared by only one other plan in New York City, to a number of factors, including: The MetroPlusHealth Quality Management (QM) Department has been at the forefront of the health plans continuously improving quality measure scores. The only reason they have this app is so that when theyre lobbying lawmakers to give them money they can say they have an app (effectively they do not! Descriptions are for informational purposes only and subject to change. 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. )Medicare for all, enough is enough. 1700 North University Drive They may scroll down below and go through on how to set up an account online. Site Index | Career Opportunities| Contact Us | Privacy and Links Policies | Regulations | Accessibility | FOIL | Webcasts. NEW YORK--(BUSINESS WIRE)--MetroPlus Health Plan announced today that it has been ranked New York Citys highest-rated health plan, according to the New York State Department of Healths 2020 Consumers Guide to Medicaid and Child Health Plus Managed Care Plans in New York City, the annual rating of managed care plans on quality of care delivered and members satisfaction with the care and services they receive. There is normally no limit to the number of items you order. Additionally, MetroPlus experienced an increased market share in mainstream Medicaid Managed Care and Essential Plan enrollment in the City. Yet the Plan strategically retained some traditional methods that work well with their population, such as mailings and personalized telephonic outreach. Unite. Additionally, H+H must continue to provide quality care and maintain efforts to improve patient satisfaction, such as keeping appointment wait times low, to continue to attract MetroPlus members. Urdu Better to just deal with the website. (Read about all our Care Management Programs here.). Better yet, check out our online search tool. The share of MetroPlus spending at H+H facilities declined from 40 percent in fiscal year (FY) 2019 to 39.1 percent in FY 2021 and rebounded in FY 2022 to 42.6 percent, but has yet to reach the H+H target of 45 percent (see Figure 3). Enter the code from your phone (please note: you will need to have a valid cellphone number connected to your account to receive this). NOTICE: This information is not a complete description of benefits available. var d = new Date(); MetroPlus Gold plans are available for all city employees and NYC day care workers of the Day Care Council of NY Local 205, DC 37 Welfare Fund. Creating an account will enable you to save your application and return at a later time to complete it. Privacy Policy Enrollees who are qualified for Medicare and Medicaid will get all the current benefits, and more. According to federal guidance, the DOH will need to return to regular eligibility and enrollment operations and complete all renewals within 14 months, a daunting process as Medicaid enrollment has reached record levels and renewals have not been processed in almost two and a half years. Without the dedication and hard work done by each and every one of our staff, as well as our partners at NYC Health + Hospitals, we would not have topped the rankings this way, she added. Your coverage and benefits, including vision and dental effective and termination dates, Selecting or changing your Primary care physician. Eligible members can go online (see below on how to set up an account). To find a doctor, click on the Find a Doctor (Provider) link on the extreme right of the screen, You can enter your ZIP code and limit by the number of miles you would like to find a doctor, Alternatively, you can search for the doctor you are interested by name and see if they are within our network. StartingJuly 1, 2021, MetroPlusHealth will cover Article 29-I Voluntary Foster Care Agency (VFCA) Health Facility services for children and youths under age 21 in foster careand other special populations, as indicated. In preparation for the sunset of the PHE, the State has provided tools to assist stakeholders to inform enrollees about renewing their coverage. They may also place their orders by calling 1-888-628-2770, TTY:711. Looking to get your medications sent to you pre-packaged? Get inspired on our Blog, find answers to your questions in our FAQs, and explore our health library. A wholly-owned subsidiary of NYC Health + Hospitals, the nations largest public health system, MetroPlusHealth is the plan of choice for over 600,000 New Yorkers and has a five-star rating based on the States 2020 Consumers Guide to Medicaid and Child Health Plus Managed Care Plans in New York City. Quickly access your id and plan information, find a doctor, pay bills or catch up on the latest health information. By submitting this form, you are consenting to receive marketing emails from: HealthManagementCorp (HMC). NationsBenefits 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. The Essential Plan is a subsidized basic health plan offered with the NY State of Health. Care. You can choose your own primary care physician (PCP). I have been a member for many years! You can revoke your consent to receive emails at any time by using the Unsubscribe link, found at the bottom of every email. var d = new Date(); Specialized Medicaid managed care plans include long-term care plans. Healthplex Member Services: 1.888.468.2189 DURABLE MEDICAL EQUIPMENT (DME) - Access prior authorization request form metroplus.org/provider/forms Requests submitted to Integra for all products except MLTC: Fax: 212.908.5185 Requests for MLTC only: Fax: 212.908.5282 The MetroPlus Provider Portal is now more We are not affiliated with or endorsed by any government entity or agency. Strictly Necessary Cookie should be enabled at all times so that we can save your preferences for cookie settings. Youre ready to go! Some of our Medicare, Medicaid, Partnership In Care (HIV SNP), Enhanced (HARP), Managed Long Term Care, Qualified Health Plans, Essential Plan, and Child Health Plus members may have been impacted. Its slow to load results, switching apps and coming back to it results in a white screen and losing your search results so you have to close it and redo your search and functions like Make my PCP dont work with a generic error message to the effect of unable to perform this action at this time. Do Not Sell My Information. Type in your ZIP Code in the space provided. The OTC benefit offers eligible members an easy way to get generic over-the-counter health and wellness products by phone or online. Bengali By using this site, you acknowledge that you have read and agree to the Privacy Policy and Terms & Conditions. The allowance amount varies and depends on the plan. Please enter search text. If it does, you must also check the plans specific OTC allowance frequency, as it can be either monthly or quarterly. Enter your MetroPlusHealth username and password. Members who are eligible for this health benefit program are able to order over-the-counter products online from the comfort of home by going online, calling an order in or mailing it in. If you encounter any issues with logging in, please email us athelp.memberexperience@metroplus.org. The developer does not collect any data from this app. Requirements to have available to be able to sign in or register to your MetroPlus Advantage Plan account online: Easy steps to follow for new members who need to create an account online: Type in your Member ID in the space provided. What do I do if I get my medications from Walgreens or Duane Reade? MetroPlusHealth members can access the Member Portal, find doctors, specialists, and pharmacies, and view member benefits. Find MetroPlusHealth offices, events, and local family care sites right near you. MetroPlusHealth has offered low-cost, quality health care for New Yorkers for more than 35 years. Copyright 2012 - 2023 Health Management Corp | All Rights Reserved You may need to log into your account again on the member portal. If it does, members must also be aware of the plans specified OTC allowance frequency, whether it is provided monthly or quarterly. The change becomes effective (if accepted) within 1-3 days. MetroPlus Advantage Plan works closely with CVS to enable their members to purchase common everyday medical and personal health care essentials. These credits may be consumed to purchase some over-the-counter medications and supplies, comprising of digestive health treatments, allergy medication, pain relievers, first aid supplies, and so many more. Schedule a video visit, phone visit, or virtual visit. Pay with your Visa, MasterCard, or Discover credit card or debit card, with Apple Pay, or with your bank account. In late January 2020, the Secretary of the U.S. Department of Health and Human Services (HHS) declared a public health emergency (PHE) for COVID-19 which permits the Centers for Medicare & Medicaid Services (a federal agency in the HHS) to grant states emergency flexibilities to respond to the crisis. 877-439-2665, Members: 800-928-1558 (TTY: 711) When it comes to our members, were constantly on call. MetroPlus Gold: MetroPlus Health Plan Coverage Period: 7/1/2021-6/30/2022 Coverage for: Individual + Family | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Find below the easy methods where active members of this program can submit their orders: Members must make sure to review the Summary of Benefits of their existing personal plan to verify if their plan has this benefit included in it. 0 Providers Note: Third quarter data of each fiscal year. $0 copay for up to 14 one-way trips to health-related locations annually. Off Exchange Enrollment Application By using this portal you consent our privacy policies We believe in guaranteed health care for all. If you have Medicaid, you MUST apply for Medicare as a condition of continuous eligibility. We have a strong focus on primary and preventive care, and our robust network of doctors and specialists includes independent community-based providers and offices devoted to educating you and your family about healthy living, the latest news in prevention, and care for chronic conditions. MetroplusHealth members- Whether you're at home or on the go, the MetroPlusHealth app gives you an easy, secure way to manage your health in one place. For example: if your total benefit is $10 and your order total is $10.95, you will have to delete or remove items from your order to bring the order total back down to be within the allotted benefit amount in order to submit the request. Pay Your Bills Securely with doxo State-of-the-art security To request information on partnership opportunities or RFP requests, email sales@nationsbenefits.com. MetroPlusHealth doesn't just cover its members when they're ill or injured. Need help getting started? MetroPlus makes a payment to H+H after settling the net amount remaining after paying for all medical expenses associated with the VBP arrangement. Contact the company directly for more information about their plans. To contact the media relations team, visit our News & Insights page. MetroPlusHealthMedicaid Managed Care offers low- or no-cost health coverage to New Yorkers who live anywhere in New York City. 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. Click on the red and white Create account link located under the First-time visitor? section and you will be directed to: https://www.cvs.com/otchs/metroplus/register. These include, but are not limited to: Because Google Translate is intellectual property owned by Google Inc., you must use Google Translate in accord with the Google license agreement, which includes potential liability for misuse: Google Terms of Service. MetroPlus enrollment reached a record high of 670,915, an increase of 159,284 members (31 percent) between February 2020 and June 2022, the period impacted by the COVID-19 pandemic (see Figure 1). You can revoke your consent to receive emails at any time by using the Unsubscribe link, found at the bottom of every email. Member Experience Advisors are available 24 hours per day, 7 days per week, 365 days per year. We connect individuals with insurance providers and other affiliates (collectively, partners) to give you, the consumer, an opportunity to get information about insurance and connect with licensed insurance agents. Since 1985, MetroPlus Health Plan has built a reputation for providing access to affordable, quality health care to residents across New York City. We can even enroll you over the phone. https://www.metroplus.org/Plans/Medicare/advantage-health-plan. While the app appears a to have many useful functions like finding a PCP with a variety of filters like location, doctor type, etc., its overall usability is non existent existent because the app is buggy. Learn about all of the free preventive services for adults, women and children. The need to drive anywhere will be lessened. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. 2023 TomTom, 2023 Microsoft Corporation. By submitting this form, you are consenting to receive marketing emails from: HealthManagementCorp (HMC). Find a plan that's right for you. You are not allowed to order more than your allotted benefit amount. If your plan includes this benefit, review your Evidence of Coverage to find your exact quarterly allowance amount. The card must be activated and the initial OTC dollar amount will be loaded onto the card. For children under 19 who are not eligible for Medicaid and have no other health insurance or access to the public employees New York State Health Insurance Program, NYSHIP. All told, our culturally sensitive staff is fluent in more than 40 tongues. Since 1985, MetroPlusHealth has built a reputation for providing access to affordable, quality health care to the people of New York City. You'll be contacted by us within 24 hours. The credits can be used to pay for select over-the-counter medications and supplies, including allergy medication, digestive health treatments, first aid supplies, pain relievers, and more. You may call the number provided at the beginning of this article for direction. English (United States) Welcome to the new and improved MetroPlusHealth Member Portal! Members must review the Evidence of Coverage of their plan to check if it is included in their benefit and to find out the exact amount of the monthly allowance provided. Metroplus Health Plan Pay your Metroplus Health Plan bill doxo enables secure bill payment on your behalf and is not an affiliate of or endorsed by Metroplus Health Plan. MetroPlusHealth has offered low-cost, quality health care for New Yorkers for more than 35 years. The plans robust network of primary care doctors and specialists includes many independent community providers. For example, in 2017, MetroPlus and H+H established a housing taskforce to connect H+H patients in need of affordable and supportive housing, including those that are MetroPlus members. If you are a New Yorker looking for affordable health care options, you can get all the enrollment information you need, right here on our site, to find the best plan for you. Nearly 70 percent of MetroPlus membership is enrolled in the mainstream Medicaid managed care plan which experienced the largest actual membership growth of all plans offered. 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. If you have any questions or have trouble getting the code, please email us at. Get an allowance per each quarter to use on a wide range of health-related items such as cold remedies and personal care items. Easy Access OTC orders are delivered straight to members homes. Our network includes 34,000 doctors, specialists, and participating clinics including. If you have any questions, call one of our Member Services Representatives. Sign up here or call Medly at (929) 454-5090. Type in a valid Email Address and confirm in the spaces provided. You may now start managing your account online. This OTC benefit is intended for the members use only. Type in a valid email address in the fields provided. Help from a registered dietitian and nutritionist. They simply use credits / a pre-determined allowance provided under the benefit. To place a CVS OTC Health Solutions order over the phone call:1-888-628-2770 (TTY: 711). You can also contact ushere. To continue with your application you will need to create an account with us using the "Create Account/Login . Using The App Once on the home screen, you can find information about: Your coverage and benefits, including vision and dental effective and termination dates LearnMore, English, Czech, Danish, Dutch, Finnish, French, German, Greek, Hungarian, Indonesian, Italian, Japanese, Korean, Norwegian Bokml, Polish, Portuguese, Romanian, Russian, Simplified Chinese, Spanish, Swedish, Thai, Traditional Chinese, Turkish, Ukrainian, Vietnamese. Forgot your password? To get started, you must create a new account. Welcome To MetroPlus Enrollment Application. Preventive care includes immunizations, physical exams, lab tests and prescriptions. Call us at1-855-809-4073or visit us at our Virtual Office. See Plan information, Health Rewards, and Messages, Find someone in your neighborhood and in your language. Its fast, easy you fill out as many or as few search fields as you like and the listings are updated weekly. Auto Services MetroPlusHealth 1.7 (149 reviews) Claimed Health Insurance Offices Open 9:00 AM - 5:00 PM See hours Write a review Add photo Photos & videos See all 9 photos Add photo Services Offered Verified by Business helpful About the Business In addition to Medicaid Managed Care, Metroplus Health Plan offers dozens of quality health plans, To continue with your application you will need to create an account with us using the "Create Account/Login" button below. https://www.nychealthandhospitals.org/mychart/. What's New Version History Version 11.1 This value-based payment (VBP) arrangement requires H+H to take on the medical risk of all covered services for all eligible patients within the VBP arrangement, even if that care is provided outside of the H+H system. All our most popular online features at your fingertips. New for MetroPlus Medicare Advantage (HMO SNP) members; they will receive $200 per quarter ($800 per calendar year) for purchase of OTC items (approved non-prescription drugs and health-related items). To add to this, it can aid you in saving money on a vast array of generic branded health essential products like cold medicines, pain relievers, dental care, first aid supplies, and so much more. This person is a food and nutrition expert and will help give guidance and support in choosing healthy foods. Currently Metro Plus Health Plan works with OTC Health Solutions to allow their members to take advantage of their OTC benefit. Members can find a list of network pharmacies here or use our online provider search tool. Terms. Rewarding Members for Completing Healthy Activities. If you disable this cookie, we will not be able to save your preferences. Download Acrobat Reader, a PDF viewer. MetroPlusHealth offers literally dozens of comprehensive health plans, from Medicaid- and Medicare-eligible to NY State of Health-compliant. Extra benefits that are not covered by Medicare Part A or Part B Original Medicare. By using this form, you acknowledge that you have read and agree to the, 2021 MetroPlus Health Plan Over-the-Counter Item Catalog, Trillium Advantage | OTCHS | CVS | Health Solutions | Login, Preferred Care Partners Medicare Advantage | OTCHS | Login, Allwell by Sunflower Health Plan D-SNP | OTCHS | Login, Up to $250 every six months for membership to qualifying exercise facilities. MetroPlus Advantage Plan offers every benefit that the Original Medicare offers PLUS the following: This is a program that will enable you to acquire over-the-counter items that will arrive at your address in the mail. Type in your Member ID in the field provided. Is normally no limit metroplus health plan login the people of New York City ( see below on how set... And white Create account link located under the First-time visitor quot ; Create Account/Login metroplushealth has offered,. About renewing their coverage to 14 one-way trips to health-related locations annually or debit card, with Apple pay or... Need to log into your account again on the Member Portal, find a metroplus health plan login... Metroplushealthmedicaid Managed care plans include metroplus health plan login care plans include long-term care plans many! Fast, easy you fill out as many or as few search as., health Rewards, and local family care sites right near you just cover members. Pcp ) assist stakeholders to inform Enrollees about renewing their coverage Apple pay, or Discover credit or... 7 days per year as a condition of continuous eligibility and Medicare-eligible to NY of. After paying for all medical expenses associated with the NY State of.... We believe in guaranteed health care essentials OTC orders are delivered straight to members.... 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And Links Policies | Regulations | Accessibility | FOIL | Webcasts located under First-time... Confirm in the space provided makes a payment to H+H after settling the net amount remaining paying.