MetroPlusHealth Member 12.0

MetroPlusHealth Member is a health insurance product offered by MetroPlus Health Plan, Inc., designed to provide comprehensive health coverage for individuals and families.

Eligibility for MetroPlusHealth Member typically includes individuals who reside in New York City and meet certain income and residency requirements.

MetroPlusHealth Member covers a wide range of services including primary care, specialist visits, hospital stays, preventive care, and prescription medications.

You can find a provider by visiting the MetroPlus Health Plan website and using their online provider directory or by calling customer service for assistance.

Yes, members are generally required to select a primary care physician (PCP) to help coordinate their healthcare services.

Yes, MetroPlusHealth Member includes a prescription drug plan that covers various medications based on a formulary.

Copayments and deductibles can vary based on your specific plan. You can refer to your member handbook or contact customer service for detailed information.

You can file a complaint by contacting customer service or using the feedback section on the MetroPlus Health Plan website.

Yes, MetroPlusHealth Member offers various wellness programs focused on preventive care and healthy living for its members.

Renewal usually takes place during the open enrollment period. You can renew your coverage by following the instructions provided in your membership information or through the NY State of Health marketplace.