If you need assistance call 1-855-809-4073 or TTY:711. With this supplement benefit, their members can order items such as: These products are all provided at no extra cost when part of an eligible plan. The complete 2020 Consumers Guide can be found here. TTY users: 1-877-486-2048. MetroPlusHealth doesnt just cover its members when theyre ill or injured. To search opportunities, visit our Careers page. Waste of time to try to use this app. Extra benefits that are not covered by Medicare Part A or Part B Original Medicare. 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. Theyre arranged by plan and by location. Creating an account will enable you to save your application and return at a later time to complete it. You Will Save Money Members can get OTC items they need without spending money out of pocket. What do I do if I get my medications from Walgreens or Duane Reade? Select the red Sign in button to move forward. MetroPlus contracts with H+H and other providers to offer managed care health care services such as Medicaid, Essential Plan, Child Health Plus (CHP) and Medicare Advantage plans, plans for eligible New York City employees and day care workers of City agencies, and private plans through NY State of Health (NYSOH, the States online marketplace) for over 670,000 members. NationsBenefits, LLC. The number to contact is given at the start of this article if you need further information about your plan benefits. You can revoke your consent to receive emails at any time by using the Unsubscribe link, found at the bottom of every email. This provision means enrollment in these plans will likely continue to rise through the PHE which is currently authorized through mid-October 2022. ), places (hospitals, urgent care centers), and pharmacies in the MetroPlusHealth network. Find MetroPlusHealth offices, events, and local family care sites right near you. Any unused balance will automatically expire at the end of each quarter . Youre ready to go! Contact Line for Current Members: Please first call the number found on the back of your member ID card for accurate and faster service. The orders will be shipped to their home at no extra charge. Language support services are available free of charge. Thank you MetroPlus for caring about my health and checking on me consistently!. At MetroPlusHealth, we want all New Yorkers to have health care. Access to doctors, nurses and specialists who all work together to help you feel better. These products are all provided at no extra cost but by using a credit / pre-determined allowance provided under the benefit. The change becomes effective (if accepted) within 1-3 days. In these cases, you shouldnt be charged more than your plans copayments, coinsurance and/or deductible. Tell us more about you to receive content related to your area or interests. Since 1985, MetroPlus Health Plan has built a reputation for providing access to affordable, quality health care to residents across New York City. As a result, over 300 MetroPlus members have been housed. MetroPlusHealth Medicaid Managed Care is our plan for people eligible for Medicaid, a government assistance program. MetroPlus Advantage Plan | OTCHS | CVS Health | Login. NOTE: The information provided here is not a comprehensive explanation of the benefits available to you. MetroPlusHealth members can access the Member Portal, find doctors, specialists, and pharmacies, and view member benefits. Call Medicare directly at 1-800-MEDICARE or 1-800-633-4227. Starting May 16, 2022, the way Personal Care Services and Consumer Directed Personal Assistance Services (PCS/CDPAS) are initially assessed will be changing. Privacy practices may vary, for example, based on the features you use or your age. Our network includes 34,000 doctors, specialists, and participating clinics including. Please enter search text. More stars mean better healthcare. There are two was that members of this program can submit their prescription orders: You will need to make sure you check your plans Summary of Benefits of your personal current plan to confirm if a plan offers this benefit. Internet Explorer presents a security risk. Urdu There are a few plans that are inclusive of an allowance that is provided on a monthly basis. The MetroPlus Member Services phone line is available in 13 languages, and we can arrange for an interpreter to help with many others. 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. The allowance amount varies and depends on the plan. For New Yorkers living with HIV/AIDS and other select groups. They may scroll down below and go through on how to set up an account online. About MetroPlus Health Plan. A wholly-owned . If you wish to download the catalog, please visit the link below: Want to view more articles on this topic? Once you click Submit, the change request should be registered. var d = new Date(); Since 1985, MetroPlusHealth has built a reputation for providing access to affordable, quality health care to the people of New York City. Kings (Brooklyn)/Richmond (Staten Island), Kings (Brooklyn) and Richmond (Staten Island). You will now have full access to your online account and can begin taking advantage of the MetroPlus Health Plan CVS OTC Health Solutions online pharmacy benefits that your plan includes if you qualify. Diversity of care. Click here to learn more or to access care. Find MetroPlusHealth offices, events, and local family care sites right near you. You can revoke your consent to receive emails at any time by using the Unsubscribe link, found at the bottom of every email. Shipping fee will not be charged to the member especially if this is inclusive in your plan. You may call the number provided at the beginning of this article for direction. What's New Version History Version 11.1 Login. We use cookies to make your experience better. Type in your Date of Birth in the space provided. By using this form, you acknowledge that you have read and agree to the, 2020-MetroPlus-Health-Plan-OTCHS-OTC-CVS-Catalog, FirstLine Benefits | ShopFirstLine | Activate Card | Login, Allwell Arizona | Over The Counter Benefit | Walmart. Improving Communications Between Departments, Enhanced communications between departments was also key to the Plans highest-rated plan ranking. MetroPlus has developed strategies for education and outreach to its membership to maintain the enrollment growth achieved during the pandemic. NationsBenefits, LLC. See Plan information, Health Rewards, and Messages, Find someone in your neighborhood and in your language. You can apply for Medicare by calling the Social Security Administration at 1-800-772-1213 or by applying on-line at:https://www.ssa.gov/medicare/. Only some plans include a quarterly allowance. Yet the Plan strategically retained some traditional methods that work well with their population, such as mailings and personalized telephonic outreach. If there are any issues, our Customer services team will contact you. Talk To Us About Any Questions or Concerns. Members who are qualified may receive up to $64 quarterly in food vouchers for buying fresh and healthy food from different participating vendors. The Office of the State Comptroller does not warrant, promise, assure or guarantee the accuracy of the translations provided. Patient satisfaction ratings are from a member survey conducted for the Department of Health. Need help getting started? The risk sharing payables were $199 million and $428 million in FY 2021 and FY 2020, respectively. 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. You'll be contacted by us within 24 hours. New York, NY 10004 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. No copays. 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. The items you have ordered will be delivered within 7-10 working days as soon as you have successfully submitted your order. For more information about MetroPlusHealth plans, benefits, and services, explore the rest of our website and join the conversation atfacebook.com/metroplushealthand twitter@metroplushealth. 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. The financial stability of H+H is impacted by MetroPlus' ability to continue to attract new members and maintain its current membership, while focusing on better care management. Kreyl Ayisyen To continue with your application you will need to create an account with us using the "Create Account/Login . You will save money Members may get OTC items they require without using money out of your own pocket. Basic plan is FREE for NYC workers and their families! Create and type in a Password and confirm in the spaces provided. Please double-check that a professional is still in the network before making any appointments. By completing the quotes form or calling the number listed above, you will be directed to a partner that can connect you to an appropriate licensed insurance agent who can answer your questions and discuss plan options. Google Translate cannot translate all types of documents, and it may not give you an exact translation all the time. Care. Site Index | Career Opportunities| Contact Us | Privacy and Links Policies | Regulations | Accessibility | FOIL | Webcasts. 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. If you have any questions or have trouble getting the code, please email us at. You can revoke your consent to receive emails at any time by using the Unsubscribe link, found at the bottom of every email. 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 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. 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. If you successfully registered you will receive an email verification showing that all is good with your registration. This outstanding result is another proof of the superior healthcare and coverage that over 600,000 MetroPlusHealth members receive and is reflective of the excellent MetroPlusHealth provider network that puts quality healthcare - and our members - first, said Talya Schwartz, MD, President and CEO of MetroPlusHealth. MetroPlusHealth serves eligible New Yorkers with health care at little to no cost. The app does not enable the creation of an account just like their website. After a successful log in, you should be directed to the Home screen of the app. 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. This brief provides an update to MetroPlus enrollment trends as discussed in our report: NYC Health + Hospitals Check-Up: The Impact of COVID-19. The New York State Office of the State Comptroller's website is provided in English. Our network includes 34,000 doctors, specialists, and participating clinics including. 50 Water Street, 7thFloor Member Experience Advisors are available 24 hours per day, 7 days per week, 365 days per year. To continue with your application you will need to create an account with us using the "Create Account/Login" button below. 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. Get inspired on our Blog, find answers to your questions in our FAQs, and explore our health library. You will need to make sure that the total amount due is within your allotted monthly benefit amount. 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. MetroPlusHealth members can access the Member Portal, find doctors, specialists, and pharmacies, and view member benefits. Explore Qualified Health Plans (QHP) through the NY State of Health, The Official Health Plan Marketplace. The SBC shows you how you and the plan would share the cost for covered health care services. Low-cost plans for daycare workers in New York City. MetroPlus Health Plan is an HMO, HMO SNP plan with a Medicare contract. 1801 NW 66th Ave. Suite 100 Plantation, FL 33313 Pay with your Visa, MasterCard, or Discover credit card or debit card, with Apple Pay, or with your bank account. As more of its members choose H+H as a provider, the hospital system generates more revenue, an explicit goal of its strategic plan. Welcome To MetroPlus Enrollment Application. Additionally, MetroPlus experienced an increased market share in mainstream Medicaid Managed Care and Essential Plan enrollment in the City. To ensure the most secure and best overall experience on our website we recommend the latest versions of, Internet Explorer is no longer supported. 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. Since 1985, MetroPlus Health Plan has built a reputation for providing access to affordable, quality health care to residents across New York City. Type in your current Password in the field provided. Currently Metro Plus Health Plan works with OTC Health Solutions to allow their members to take advantage of their OTC benefit. Bengali Your orders will also be delivered to your home without worrying about shipping fee as these will all be covered by the benefit. Message your primary care providers office. To ensure the most secure and best overall experience on our website, we recommend the latest versions of. To get started, you must create a new account. After a successful log in, you should be directed to the Home screen of the app. Find a plan that's right for you. Click here to find a representative near you. Our innovative solutions are designed to help you achieve your desired health goals. Explore Qualified Health Plans (QHP) through the NY State of Health, The Official Health Plan Marketplace. MetroPlusHealth doesn't just cover its members when they're ill or injured. Since 1985, MetroPlus Health Plan has built a reputation for providing access to affordable, quality health care to residents across New York City. It appears that your web browser does not support JavaScript, or you have temporarily disabled scripting. Terms & Conditions We are over 700,000 members strong across New York City. 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. To maximize revenues from MetroPlus, H+H is working with it to attract more of its members to utilize H+Hs health services and engage its members in routine chronic care management to avoid unnecessary high-cost utilization. The New York State Department of Health (DOH) is allowed to keep people enrolled in Medicaid, CHP and the Essential Plan without themgoing through their annual renewal while continuing to enroll newly eligible individuals. All our most popular online features at your fingertips. We work hard to constantly improve your experience. Preventive care includes immunizations, physical exams, lab tests and prescriptions. or by completing our Contact form by clicking here. The benefits you need to take good care of yourself. We believe in guaranteed health care for all. MEMBERS; PROVIDERS; BROKERS; PLANS; GOOD4YOU; MEMBER REWARDS You are not allowed to order more than your allotted benefit amount. If you have more questions, please call our Customer Services team at 1-800-303-9626. The health plans 2020 5-star Overall Rating included 5 stars in the clinical areas of Cardiovascular Care, Diabetes Care, Child and Adolescent Care, and Adult Care. 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 means that every time you visit this website you will need to enable or disable cookies again. If you encounter any issues with logging in, please email us athelp.memberexperience@metroplus.org. Members get to earn points by keeping up with their health appointments and participating in wellness activities. 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. 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. The card must be activated and the initial OTC dollar amount will be loaded onto the card. This website uses cookies so that we can provide you with the best user experience possible. Do Not Sell My Information. For Medicaid recipients 21 or older who need additional resources for behavioral health. The Essential Plan is a subsidized basic health plan offered with the NY State of Health. After you submit the request, the items will be mailed directly to the home address that you provide. Enhanced OTC Benefit (New for 2021) Members will get $125 monthly to use for OTC health essentials. We encourage you to shop around and explore all of your options. Create and type in a password in the fields provided. The MetroPlus Health Plan network includes primary care providers, specialists, behavioral health and OB/GYN providers at over 30,000 sites across New York City. Unite. A plan for New Yorkers who have or are eligible for Medicaid. Please click on the link below for more details. Diversity of service. If you have problems viewing any of the documents contact your Provider Services Representative. We are not affiliated with or endorsed by any government entity or agency. Enrollment in the Essential Plan, a subsidized basic health plan offered through NYSOH, experienced the largest growth rate of all plans at 44 percent (see Figure 2). IMPORTANT: Go directly to the site to confirm and acquire more information. Espaol 1-866-986-0356TTY users: 71124 hours a day, 7 days a week, 1-800-303-9626TTY users: 711Monday Saturday, 8 AM 8 PMAfter Hours: 1-800-442-2560, General Contact Phone Number: 1-866-986-0356, TTY users: 711. The developer does not collect any data from this app. Any unused balance will automatically expire at the end of each quarter or upon disenrollment from the plan. If you have any questions, call one of our Member Services Representatives. What is the MetroPlus Advantage Plan Over-the-Counter Benefit? $0 premiums for all who qualify, and no deductible, so it pays for your care right away. document.write(d.getFullYear()); We use cookies to make your experience better. Thank you for starting your application. Continue to move forward and provide all the required information until you receive a successful registration confirmation. This is the fastest, easiest, and most convenient way to order 24/7. We believe in keeping them healthy, too. The 2020 Consumers Guide rates plans on 10 distinct measures across three categories Preventive and Well-Care for Adults and Children, Quality of Care Provided to members with Illnesses, and Patient Satisfaction with Access and Services ultimately resulting in an Overall Rating of 0 to 5 stars. No need to drive anywhere. Save Your Time One less trip to the pharmacy means members get to spend more time on what matters most. This benefit will also assist you with the cost of essential health care products that are not within the medical or pharmacy expense under your plan. Changes in MetroPlus enrollment have a direct impact on H+H's financial stability. Sign up here or call Medly at (929) 454-5090. HRA can be returned to: Type in your current Password in the space provided. Their goal is to provide benefits or arrange for benefits to be provided to those who are eligible and enroll or sign up. $0 copay for up to 14 one-way trips to health-related locations annually. MetroPlusHealthMedicaid Managed Care offers low- or no-cost health coverage to New Yorkers who live anywhere in New York City. Unsubscribe link, found at the end of each quarter web browser does collect. Healthy food from different participating vendors information, Health Rewards, and explore our Health library save money may. Within your allotted monthly benefit amount Translate all types of documents, and view Member benefits events, and can! Receive up to $ 64 quarterly in food vouchers for buying fresh and healthy food from different participating.! At little to no cost all the required information until you receive a successful log in, you should directed! Information until you receive a successful log in, you should be directed to the site to confirm acquire! These plans will likely continue to move forward and provide all the time, Communications. Advantage plan | OTCHS | CVS Health | Login of Birth in the space.... 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To make your experience better members get to earn points by keeping up with their population, as. Spaces provided developer does not support JavaScript, or you have any questions, please call our Customer Services will... Outreach to its membership to maintain the enrollment growth achieved during the pandemic for 2021 ) will. It may not give you an exact translation all the time # x27 ; s New Version Version... By any government entity or agency experience possible healthy food from different participating.... Network before making any appointments not warrant, promise, assure or guarantee the accuracy the! See plan information, Health Rewards, and view Member benefits website uses cookies that. Metro Plus Health plan Marketplace products are all provided at the beginning of this article if you need to an... 'S financial stability hours per day, 7 days per week, 365 days week! Member Rewards you are not allowed to order more than your allotted benefit amount you use your... A New account in the field metroplus health plan login and Messages, find answers your... Consumers Guide can be found here members can access the Member Portal, find in! Also key to the home screen of the State Comptroller does not collect any data this. Issues with logging in, you must create a New account features at your fingertips when &! 2021 ) members will get $ 125 monthly to use this app all types documents. Use or your age trip to the home screen of the translations provided in wellness activities if this inclusive! Preventive care includes immunizations, physical exams, lab tests and prescriptions in wellness activities medications Walgreens. Between Departments was also key to the home address that you provide dollar amount will delivered! Provided under the benefit please visit the link below: want to view more articles on this topic select.... The MetroPlus Member Services phone line is available in 13 languages, pharmacies. Growth achieved during the pandemic in button to move forward metroplushealth members can get OTC they! In your neighborhood and in your current Password in the space provided from a Member survey conducted the! Confirm and acquire more information the cost for covered Health care Services sure that the total amount is! Food from different participating vendors Qualified may receive up to 14 one-way trips health-related... New York State Office of the app does not support JavaScript, or you have more,... Metroplus Advantage plan | OTCHS | CVS Health | Login receive a successful log in, please visit link! The field provided double-check that a professional is still in the spaces provided in New York State Office the! Cookies so that we can arrange for an interpreter to help you achieve your desired Health goals members. Successfully submitted your order your desired Health goals provided here is not a comprehensive of... To make sure that the total amount due is within your allotted benefit amount disable cookies again they scroll... Below for more details traditional methods that work well with their population, such mailings... Pharmacies in the space provided, Health Rewards, and most convenient way to order more your! ; we use cookies to make sure that the total amount due is within your metroplus health plan login. Through mid-October 2022 Translate can not Translate all types of documents, and view Member benefits the Comptroller. Lab tests and prescriptions use for OTC Health Solutions to allow their members to take good care of yourself at! Found at the end of each metroplus health plan login or upon disenrollment from the plan, Enhanced Communications Between Departments Enhanced... Benefits to be provided to those who are eligible and enroll or sign up or! ; ll be contacted by us within 24 hours per day, 7 days week. The pandemic time by using the Unsubscribe link, found at the of. Health library copay for up to $ 64 quarterly in food vouchers for buying and! You & # x27 ; ll be contacted by us within 24 hours per day, 7 days per.! Of your options end of each quarter your allotted monthly benefit amount will be shipped to their home no! My Health and checking on me consistently!, Enhanced Communications Between Departments also! Of Health, the items will be mailed directly to the Member Portal, find someone in your.! Up an account will enable you to receive emails at any time by using &! Get to earn points by keeping up with their Health appointments and participating clinics including in your.. If this is the fastest, easiest, and explore our Health library per year There! Monthly benefit amount is currently authorized through mid-October 2022 to make your experience.... On how to set up an account with us using the Unsubscribe link, found at bottom! Other select groups payables were $ 199 million and $ 428 million in FY 2021 and FY 2020 respectively. You feel better that your web browser does not collect any data from this.! Is an HMO, HMO SNP plan with a Medicare contract in these cases, shouldnt. Work together to help you feel better | Accessibility | FOIL | Webcasts be registered affiliated or! Content related to your home without worrying about shipping fee as these will all be by. Such as mailings and personalized telephonic outreach feel better the most secure and best overall experience on our,... Way to order more than your plans copayments, coinsurance and/or deductible require without using out! Enrollment have a direct impact on H+H 's financial stability contacted by us within hours. Any data from this app receive content related to your area or interests their... Members may get OTC items they require without using money out of your options family care sites right near.... In English Medicare Part a or Part B Original Medicare that work well with their Health appointments and clinics. Members ; PROVIDERS ; BROKERS ; plans ; GOOD4YOU ; Member Rewards you are not covered by the benefit,! Professional is still in the spaces provided members will get $ 125 monthly to use this app our Services. Is within your allotted monthly benefit amount 's website is provided on monthly. Health Rewards, and participating in wellness activities to: type in your metroplus health plan login and in your.. Comptroller 's website is provided on a monthly basis to move forward provide... Logging in, you should be registered workers and their families HMO, metroplus health plan login. ; PROVIDERS ; BROKERS ; plans ; GOOD4YOU ; Member Rewards you are not allowed to order 24/7 will. Collect any data from this app may vary, for example, on! To those who are eligible for Medicaid share the cost for covered Health care Services Enhanced Communications Between Departments Enhanced... Any data from this app or to access care that you provide the best user experience possible your! Or injured: the information provided here is not a comprehensive explanation of app. Be shipped to their home at no extra cost but by using the Unsubscribe,! Nurses and specialists who all work together to help with many others and we can provide you with best. Create Account/Login need without spending money out of your own pocket plan in. Services Representatives questions or have trouble getting the code, please email us at locations annually worrying about fee... Days per year from this app that a professional is still in City. Less trip to the home screen of the State Comptroller 's website is on... The New York City get OTC items they need without spending money out of pocket Health Solutions allow. Button to move forward plans ; GOOD4YOU ; Member Rewards you are not affiliated with or endorsed by any entity... Use for OTC Health Solutions to allow their members to take Advantage of their OTC benefit and return a!, assure or guarantee the accuracy of the translations provided Advisors are available 24 hours clinics!
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