For additional security, we need to verify your identity before you can sign in to the account. Are you paying more and more out-of-pocket costs? Meet our leadership, join our team, or get in touch with MetroPlusHealth. MetroPlusHealth members can access the Member Portal, find doctors, specialists, and pharmacies, and view member benefits. Fax: 1-212-908-8601 Talk To Us About Any Questions or Concerns. Learn about all of the free preventive services for adults, women and children. They will keep getting services through regular Medicaid. MetroPlus Health Plan 50 Water Street, 7th Floor New York, NY 10004 or by completing our Contact form by clicking here. 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 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. Also startingJuly 1, 2021, some children and youth must join a Medicaid managed care plan, including: Some children and youth placed in foster care cannot join a Medicaid managed care plan. Covered services range from emergency visits to prenatal care. Medicare. These downloadable directories list all the people (doctors, dentists, psychologists, etc. Members can find a list of network pharmacies here or use our online provider search tool. 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! Or call us at 1-855-809-4073 or visit us at our Virtual Office. NY Explore Qualified Health Plans (QHP) through the NY State of Health, The Official Health Plan Marketplace. If you are suffering with respiratory symptoms such as runny nose, cough, sore throat, fever, etc., Dont wait! If you have not received the code or still have trouble signing in, please call member services. This Fall, look out for a new and improved MetroPlusHealth member site designed with you in mind! 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 These downloadable directories list all the people (doctors, dentists, psychologists, etc. But, if an urgent medical issue happens outside of our service area, youwillbe completely covered if you go to an emergency room. A new experience is ahead You asked, we listened. Meet our leadership, join our team, or get in touch with MetroPlusHealth. We are committed to supporting our people with professional development and training opportunities that enable them to develop their skills and further their professional growth, Empower. Preventive care includes immunizations, physical exams, lab tests and prescriptions. Our participating behavioral health providers will now work directly with us to ensure MetroPlusHealth members get the right mental health and substance use care. City and health plan surveys suggest that health plan members may be more likely to respond to vaccine advice from their primary care providers than other sources. $0 premiums for all who qualify, and no deductible, so it pays for your care right away. Fo und email listings include: k***@metroplus.org. Do not check if you are on a public or shared computer. Didn't receive a code? Phone. For children under 19 who are not eligible for Medicaid and have little or no health insurance. Our network of over 40 hospitals includes NYU Langone, Mount Sinai, NYC Health + Hospitals, and more. Medicaid Managed Care. Preventive Services. MyChart is a free secure portal you can use to manage your health information. 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. Be sure to use the correct account number when making your payment. Arabic. Please fill out the application below. Thats anywhere nationwide, whether its in our network or not. You can also choose from more than 34,000 top providers and sites. The training is online, free, and offers several provider-specific modules. Our providers who may be serving members receiving CORE services are required by the DOH to take specific trainings. Speak to a doctor NOW by clicking. Your oral health is important to us. Justclickhereto find a representativeready to help and answer anyof your MetroPlusHealth Gold questions. We are seeing an increase in RSV, COVID-19 and Flu cases in New York City. Our health insurance plans are affordable. 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). Best of all, MetroPlusHealth Medicaid Managed Care comes with no monthly premiums or copays. To get covered services, you need to see providers in the MetroPlusHealth network. or by completing our Contact form by clicking here. MyChart allows you to: Learn about all of the free preventive services for adults, women and children. MetroPlusHealth Virtual Visit is available anytime, from anywhere in New York State, 24/7 - and in your language. 646-825-6300. - Prefer to pay your premium online or by telephone? MetroPlus Gold is available to all NYC employees, non-Medicare eligible retirees, their spouses or qualified domestic partners, and eligible dependents. 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). Funded by New York State Office of Mental Health. 2022 TomTom, 2023 Microsoft Corporation. A plan for New Yorkers who have or are eligible for Medicaid. Low-cost plans for daycare workers in New York City. 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. See jobs Follow View all 1,370 employees Overview Jobs Life. MetroPlusHealth Virtual Visit is available anytime, from anywhere in New York State, 24/7 and in your language. All MetroPlusHealth Gold members have access to a mail order option for their medications. Resend. Looking for a pharmacy with free delivery? Learn more about your new dental benefit here. MetroPlus Health Plan Enrollment Application. 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). In these cases, you shouldnt be charged more than your plans copayments, coinsurance and/or deductible. Please be sure to complete this requiredMedicare Special Needs Program (SNP) Model of Care (MOC) provider trainingon or beforeDecember 31, 2022. For additional guidance, read the CMS memo here. If you are suffering with respiratory symptoms such as runny nose, cough, sore throat, fever, etc., Dont wait! Medicare LLC 454 subscribers Subscribe 133 views 1 year ago Visit: https://www.medicarellc.com/www-cvs-c. to View or access the FREE GUIDE on how & where to go to manage (login / register /. With $0 premiums, $0 copays, and $0 deductibles, MetroPlus Gold's basic plan is offered at no cost to the employee. All our most popular online features at your fingertips. For children under 19 who are not eligible for Medicaid and have little or no health insurance. Get inspired on our Blog, find answers to your questions in our FAQs, and explore our health library. Medications pre-packaged and delivered to you at no extra cost. Contact your benefits manager at work for more information about choosing MetroPlusHealth Gold. Click on the change PCP button on the top left of your screen and you will now be directed to a page that has information on your old and newly-selected PCP. Read the CORE training memo here for more information. We are seeing an increase in RSV, COVID-19 and Flu cases in New York City. or by completing our Contact form by clickinghere. MetroPlusHealth has partnered with Medly Pharmacy to offer free delivery and more! 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). They will keep getting services through regular Medicaid. Metroplus health plan continuously reviews records of providers and facilities, but there may be changes between updates. If you are seeking information about a rate application that applies to you, select your Company Name from the listing in the Navigation Pane to the left. Remember to bring your new ID card when you visit your dentist. Care. 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. Fax. Metroplus Health Plan Provider Portal. If you have more questions, please call our Customer Services team at 1-800-303-9626. . As part of our ongoing commitment to access, quality of service and care for our members, MetroPlusHealth provides this training annually and during the new orientation process to all network providers, as well as to providers who regularly see our SNP members. NYU Langone Urology Associates. New York, MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. Fluoride varnish is a reimbursable service. We can help you find a doctor. Empower. Please allow 2 business days for account balance to update. If you are suffering with respiratory symptoms such as runny nose, cough, sore throat, fever, etc., dont wait! MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. Learn morehere. You can also contact ushere. Care. Experiential Marketing Product Associate What do I do if I get my medications from Walgreens or Duane Reade? Enter the code from your phone (please note: you will need to have a valid cellphone number connected to your account to receive this). 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. Call 646-929-7800 or. Just clickhereto find a representative in your neighborhood who speaks your language and is ready to help. MetroPlus Health Plan has been providing quality, affordable health insurance to residents of the Bronx, Brooklyn, Manhattan, and Queens for over 30 years. Your coverage and benefits, including vision and dental effective and termination dates, Selecting or changing your Primary care physician. Unite. 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. 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. https://www.caremark.com/portal/asset/mof_unauth.pdf. We believe that Health care is a right, not a 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. We believe that Health care is a right, not a Customer Success Consultant - New York, NY Empower. Empower. 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). If you are making your first ever payment to MetroPlusHealth, please use the one-time payment option. Beacon Health Options Contact Information: Non-Dental Practitioner Application of Fluoride Varnish in a Primary Care Setting. Health Insurance Plan of Greater New York, Inc. Health Republic Insurance of New York, Corp. (formerly Freelancer Health Service Corp). Get rewarded for performing this important public service. Download our App. Find MetroPlusHealth offices, events, and local family care sites right near you. Beacon health strategies (for behavioral health services); Ada compliant facilities meet all regulations set by the americans with. Member ID (you should find this on your MetroPlusHealth ID card), Name (exactly as it appears on the ID card and/or your registration document). All other existing BH HCBS will remain available as BH HCBS with previously established requirements, workflows, and processes. Participamos en la gestin del servicio pblico de transporte masivo de mediana capacidad tipo brt (buses de trnsito rpido) del valle de aburr, a travs de la generacin de infraestructura, y la ejecucin, asesora y consultora de. Essential Plan. 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 . Care. We believe that Health care is a right, not a , Project Manager I Kelia Brown's Phone Number and Email. MetroPlusHealth has offered low-cost, quality health care for New Yorkers for more than 35 years. Metroplushealth members can access the member portal, find doctors, specialists, and pharmacies, and view member benefits. Current members with questions can always call the dedicated MetroPlusHealth Gold Concierge Team at 1-877-475-3795, Monday through Saturday, 8 AM to 8 PM. This person is a food and nutrition expert and will help give guidance and support in choosing healthy foods. Please review the links below and register for trainings as soon as possible. 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. Find a plan that's right for you. Overview Current Company Experience Organization Chart Elizabeth Moo's Email and Phone Number Medical Management Quality Examiner at Metroplus Health Plan Elizabeth Moo is a Medical Management Quality Examiner at Metroplus Health Plan. If you have any questions, call one of our Member Services Representatives. 222 East 41st Street, New York, NY 10017. Hire In Rate: $47,000.00. Youre ready to go! Attn: Operations From there, in the window directly below this one, you will be able to navigate to the application you're interested in by selecting the following options, each of which will lead you to the next: Once you find the application you're seeking, you will find all documents related to that application. Learn about all of the free preventive services for adults, women and children. Accessibility icons indicate facilities that are wheelchair accessible. Creating an account will enable you to save your application and return at a later time to complete it. Become a member today! You may need to log into your account again on the member portal. Click here to learn more. Help from a registered dietitian and nutritionist. 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. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. Unite. We accept Mastercard, Visa and Discover Card. If you are suffering with respiratory symptoms such as runny nose, cough, sore throat, fever, etc., Dont wait! Off Exchange Enrollment Application MetroPlusHealth members can access the Member Portal, find doctors, specialists, and pharmacies, and view member benefits. Call us at1-855-809-4073or visit us at our Virtual Office. 50 Water Street, 7thFloor Choose how you want to receive or enter your security code. See Plan information, Health Rewards, and Messages, Find someone in your neighborhood and in your language. Protect yourself and your loved ones. Justclick hereto find a representative ready to help and answer any of your MetroPlusHealth Gold questions. Recently, we sent you an announcement along with your new ID Card about our new partnership with DentaQuest, a dental vendor. 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. Marketplace Individuals & Families. Stay well! 2022 tomtom, 2023 microsoft corporation. 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. If you are seeking information about a rate application that applies to you, select your Company Name from the listing in the Navigation Pane to the left. Contact your benefits manager at work for more information about choosingMetroPlusHealth Gold. 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. Explore Qualified Health Plans (QHP) through the NY State of Health, The Official Health Plan Marketplace. 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. Or call us at1-855-809-4073or visit us at our Virtual Office. Talk To Us About Any Questions or Concerns. For assistance with enrollment and metroplus health plan options. If you have any questions or have trouble getting the code, please email us at help.memberexperience@metroplus.org . ), places (hospitals, urgent care centers), and pharmacies in the metroplushealth network. For general information about Project TEACH contact 716-878-2454 orinfo@projectteachny.org. For members who are 21 or older, covered by Medicaid, and enrolled in a Health and Recovery Program (HARP), CORE services may be just right. MetroPlusHealth has offered low-cost, quality health care for New Yorkers for more than 35 years. 0 Providers MetroPlus Health Plan 160 Water St, 3rd Floor New York, NY 10038. We are committed to supporting our people with professional development and training opportunities that enable them to develop their skills and further their professional growth COVID-19 Message Via the web: www.beaconhealthoptions.com For MetroPlus Health Plan members: 1-855-371-9228 For provider referrals, authorization or clinical matters: 1-855-371-9228 For provider relations: 1-855-371-9228 For claims: 1-855-371-9228 Provider Tools View the NYS Health Care Proxy form here. Certificate of Coverage (with Drug Coverage), Certificate of Coverage (with Drug Coverage/Grandfathered). Sign up here or call Medly at (929) 454-5090. Empower. MetroPlusHealth members can access the Member Portal, find doctors, specialists, and pharmacies, and view member benefits. New York, Find a plan that's right for you. 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. 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. Also startingJuly 1, 2021, some children and youth must join a Medicaid managed care plan, including: Some children and youth placed in foster care cannot join a Medicaid managed care plan. Are you getting the services you need such as choice of provider or network? Metroplus health plans, in partnership with fair health, is pleased to bring you this free medical cost. OMH: Adult-BH-HCBS@omh.ny.gov NY If you have any questions, call one of our Member Services Representatives. 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