How do I check my status on MetroPlus?
Please call 1-800-475-6387 (METRO) or TTY: 711 to talk with a MetroPlus representative. Or come chat with us in person. We have Marketplace Facilitated Enrollers – we call ’em FEs for short – all over town, and they’re happy to help you answer your health plan questions.
What type of plan is MetroPlus health?
MetroPlus Advantage Plan (HMO-DSNP) is a Dual-Eligible Special Needs Plan designed for those Medicare beneficiaries who live in New York City, are eligible for Medicare Parts A and B, and receive assistance from New York State Medicaid.
Is MetroPlus the same as Medicare?
MetroPlus Health Plan is an HMO, HMO SNP plan with a Medicare contract.
Is MetroPlus a good health plan?
NEW YORK–(BUSINESS WIRE)–MetroPlus Health Plan announced today that it has been ranked New York City’s highest-rated health plan, according to the New York State Department of Health’s 2020 Consumer’s Guide to Medicaid and Child Health Plus Managed Care Plans in New York City, the annual rating of managed care plans …
Does MetroPlus cover braces?
Class III: Major restorative care, such as crowns, bridges and dentures are often covered at a 50% level. Class IV: Orthodontia, such as braces.
Is MetroPlus only in NYC?
Our network includes primary care providers, specialists, behavioral health and OB/GYN providers at over 30,000 sites across the five boroughs of New York City.
Does MetroPlus Medicaid cover braces?
Orthodontic services. Plans often cover up to 50% of the charge for the services, up to a lifetime dollar maximum. This maximum is the total your plan will pay for the entire course of treatment.
What does MetroPlus cover for dental?
Medicaid members can access dental care using their MetroPlus ID card. Your benefits include dental check-ups, cleaning, x-rays, fillings and follow-up care. You do not need a referral from your PCP to see a dentist.
Is MetroPlus a good insurance?
MetroPlus is the highest rated health plan in NYC. The health plan’s 2018 5-star Overall Rating included 5 stars in the clinical areas of Cardiovascular Care, Diabetes Care, Child and Adolescent Care , Women’s Preventive Care, and Adult Care.
How much is health insurance in NY per month?
Average cost of health insurance by family size
| Family size | Average monthly cost of health plan |
|---|---|
| Premium adult individual | $701 |
| Premium adult and child | $1,193 |
| Premium couple | $1,403 |
| Premium family | $1,894 |
Do you need to call MetroPlus Health Plan?
MetroPlus Health Plan continuously reviews records of providers and facilities, but there may be changes between updates. Please use your Provider Directory and call prior to any appointments. Accessibility icons indicate facilities that are wheelchair accessible.
Where to send paper claims for Metroplus gold?
Paper claims must be submitted on HCFA 1500 or UB-04 forms. Send paper claims for Medicaid, Child Health Plus, Essential Plan and MetroPlus Gold to: Send paper claims for Medicare Plans to: For claim status, log into the MetroPlus Provider Portal or call Member Services.
When do I get my 1095-B form from Metroplus?
Alert: Due to changes in IRS regulations, MetroPlusHealth will not automatically mail 1095-B forms to all members. If you would like a copy of your 1095-B form, please contact Member Services to request one beginning on March 2, 2020.
Do you have to go out of network for Metroplus gold?
To get covered services, you need to see providers in the MetroPlusHealth network. Receiving care from out-of-network doctors or providers is not covered, and you may have to pay for the medical services if you go out of network.
