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 set up recurring payments, the amount automatically deducted may be different than the account balance displayed on your latest statement because 1) the minimum payment due is deducted or 2) there was subsequent payment or refund activity. We are happy to walk you through the steps. . See Plan information, Health Rewards, and Messages, Find someone in your neighborhood and in your language. ), places (hospitals, urgent care centers), and pharmacies in the metroplushealth network. Starting October 15 through December 31, 2021, MetroPlusHealth will incentivize our Primary Care Providers for completing Covid-19 Vaccine Counseling with their unvaccinated Child Health Plus, Medicaid, HARP, HIV SNP and Medicare MetroPlusHealth patients. The user can click the training link, then view the training module by selecting Next. MetroPlusHealth has offered low-cost, quality health care for New Yorkers for more than 35 years. We offer two ways to do it: through any CVS pharmacy or home-delivered by PillPack. 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. Starting January 1, 2023, you can begin to use your new ID Card for all your health care needs, including dental services with DentaQuest. If you have Medicaid, you MUST apply for Medicare as a condition of continuous eligibility. 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; MetroPlus Health Plan Enrollment Application. See Plan information, Health Rewards, and Messages. Our employees make our health insurance plan great. To access the required trainings, log in to the CPI Learning Community using your username and password. Click here to learn more. Click here to learn more or to access care. ***for those who qualify. $0 premiums for all who qualify, and no deductible, so it pays for your care right away. We are seeing an increase in RSV, COVID-19 and Flu cases in New York City. Find MetroPlusHealth offices, events, and local family care sites right near you. We believe that Health care is a right, not a , Utilization Review and Case Management Jobs. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. MetroPlusHealth Virtual Visit is available anytime, from anywhere in New York State, 24/7 and in your language. 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. You can also choose from more than 34,000 top providers and sites. Starting May 16, 2022, the way Personal Care Services and Consumer Directed Personal Assistance Services (PCS/CDPAS) are initially assessed will be changing. These downloadable directories list all the people (doctors, dentists, psychologists, etc. Urdu To continue with your application you will need to create an account with us using the "Create Account/Login" button below. All our most popular online features at your fingertips. We can even enroll you over the phone. For additional security, we need to verify your identity before you can sign in to the account. CORE services are covered by health insurance, at no cost to our members. New York, We are proud to offer an environment where our team members can polish their skills and make strides in their careers. You're ready to go! 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). Are you getting the services you need such as choice of provider or network? If you are suffering with respiratory symptoms such as runny nose, cough, sore throat, fever, etc., Dont wait! Talk To Us About Any Questions or Concerns. 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 First, find the type of metroplushealth coverage plan you have, then the borough you live in (or need a provider in). MetroPlus Health Plan 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 Health Insurance Plan of Greater New York, Inc. Health Republic Insurance of New York, Corp. (formerly Freelancer Health Service Corp). Care. Write: MetroPlus Health Plan k***@metroplus.org. Effective February 1, 2022, in order to improve access to services, NYS is transitioning four BH HCBS to a new service array called Community Oriented Recovery and Empowerment (CORE) Services. Protect yourself and your loved ones. MetroPlusHealth has offered low-cost, quality health care for New Yorkers for more than 35 years. The change becomes effective (if accepted) within 1-3 days. If you have any questions, call one of . You may need to log into your account again on the member portal. We believe that Health care is a right, not a MetroPlusHealth has offered low-cost, quality health care for New Yorkers for more than 35 years. Talk To Us About Any Questions or Concerns. If you have not received the code or still have trouble signing in, please call member services. 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. Unite. 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. Requires TIN and NPI . Creating an account will enable you to save your application and return at a later time to complete it. 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! 2022 TomTom, 2023 Microsoft Corporation. 0 Providers We can help you find a doctor. 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. The NYSDOH has provided guidance for providers regarding face-to-face visits during the current health crisis. Fluoride varnish is a reimbursable service. Care. for member, 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. Theyre arranged by plan and by location. Basic plan is FREE for NYC workers and their families! 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 Your oral health is important to us. Justclick hereto find a representative ready to help and answer any of your MetroPlusHealth Gold questions. You can also pay by phone using our automated service. 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. Schedule a video visit, phone visit, or virtual visit. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. From questions on enrollment & eligibility, benefits & extras, or claims, our Concierge Team is ready to help you every step of the way. Empower. All MetroPlusHealth Gold members have access to a mail order option for their medications. For additional security, we need to verify your identity before you can sign in to the account. MetroPlusHealth members can access the Member Portal, find doctors, specialists, and pharmacies, and view member benefits. Message your primary care providers office, Request refills of your prescription drugs. We are seeing an increase in RSV, COVID-19 and Flu cases in New York City. MetroPlus Gold is available to all NYC employees, non-Medicare eligible retirees, their spouses or qualified domestic partners, and eligible dependents. 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 care. But, if an urgent medical issue happens outside of our service area, youwillbe completely covered if you go to an emergency room. Click here to find a representative near you. At MetroPlusHealth, it is critical that our providers know how to communicate effectively with our members in the most culturally appropriate way. This person is a food and nutrition expert and will help give guidance and support in choosing healthy foods. A plan for New Yorkers who have or are eligible for Medicaid. MetroPlusHealth Make a world of difference in the world's greatest city. . Partnering with DentaQuest, we are able to bring their experience and passion for improving oral health care to you. Care. Basic plan is FREE for NYC workers and their families! Employment Type: Full-Time. ALL New York City employees, their qualified domestic partners and eligible dependents, NYC Health + Hospitals and MetroPlusHealth employees, $250 every 6 mo. NY For claims and/or services rendered prior to October 1, 2021, please reach out to Beacon Health Options. 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. If you have more questions, please call our Customer Services team at 1-800-303-9626. We believe that Health care is a right, not a Customer Success Consultant - New York, NY Empower. If you have any questions or have trouble getting the code, please email us at help.memberexperience@metroplus.org . Starting January 1, 2022, Walgreens and Duane Reade will no longer be in the pharmacy network for members of these plans: Where can I find a list of participating network pharmacies? If its your one-year anniversary as an NYC employee, you qualify to switch now to the plan that more and more city workers are choosing: MetroPlusHealth Gold. Please visit the Center for Practice Innovations Homepage and FAQs for more information on the Learning Community. New York, NY 10004. If you have compassion and a collaborative spirit, work with us. Individual Provider and Group (single location) Use this signup option if you want access to an individual practitioner or group practice and have the TIN and NPI numbers available to you. We're here to help. Certificate of Coverage (with Drug Coverage), Certificate of Coverage (with Drug Coverage/Grandfathered). If you are an existing member, you can find this information on our Member Portal. For Medicaid recipients 21 or older who need additional resources for behavioral health. 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. Please reach out to Beacon Health Options pay by phone using our automated service visit, phone,... Spirit, work with us a mail order option for their medications then view the training link, then metroplus health plan login... Or still have trouble signing in, please reach out to Beacon Health Options $ premiums! Services are covered by Health insurance, at no cost to our members selecting.... @ metroplus.org our most popular online features at your fingertips eligible retirees, their spouses Qualified. Not a, Utilization Review and Case Management Jobs you getting the code or still have trouble signing,. The Learning Community and their families make strides in their careers such as runny nose, cough, throat. 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