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Culturally sensitive, and fluent in more than 40 languages, MetroPlusHealth staff is as diverse as the great city it serves. Improving Communications Between Departments, Enhanced communications between departments was also key to the Plans highest-rated plan ranking. Low-cost plans for daycare workers in New York City. It will take 7-10 business days for you to receive the items you ordered. If you have any questions or have trouble getting the code, please email us at. NationsBenefits, LLC. Members must review the Evidence of Coverage of their plan to check if it is included in their benefit and to find out the exact amount of the monthly allowance provided. Visit: https://www.cvs.com/otchs/metroplus in your internet browser on your device. After a successful log in, you should be directed to the Home screen of the app. MetroPlusHealth has partnered with Medly Pharmacy to offer free delivery and more! Message your primary care providers office. You can revoke your consent to receive emails at any time by using the Unsubscribe link, found at the bottom of every email. MetroPlus Health Plan is a prepaid health services plan and a wholly owned subsidiary of NYC Health + Hospitals (H+H). This website uses cookies so that we can provide you with the best user experience possible. Pay Your Bills Securely with doxo State-of-the-art security In preparation for the sunset of the PHE, the State has provided tools to assist stakeholders to inform enrollees about renewing their coverage. Waste of time to try to use this app. MEMBER SERVICES Contact Line:Please first call the number found on the back of your member ID card for accurate and faster service.

Possible options that may be offered include, but are not limited to, ACA-Qualified Plans, Medicare Plans, Short Term Plans, Christian/Health Sharing Plans, and Fixed Indemnity Plans. NEW YORK--(BUSINESS WIRE)--MetroPlus Health Plan announced today that it has been ranked New York Citys highest-rated health plan, according to the New York State Department of Healths 2020 Consumers Guide to Medicaid and Child Health Plus Managed Care Plans in New York City, the annual rating of managed care plans on quality of care delivered and members satisfaction with the care and services they receive. Without the dedication and hard work done by each and every one of our staff, as well as our partners at NYC Health + Hospitals, we would not have topped the rankings this way, she added. Theyre arranged by plan and by location. This provision means enrollment in these plans will likely continue to rise through the PHE which is currently authorized through mid-October 2022. MetroPlus has developed strategies for education and outreach to its membership to maintain the enrollment growth achieved during the pandemic. We use cookies to make your experience better. In late January 2020, the Secretary of the U.S. Department of Health and Human Services (HHS) declared a public health emergency (PHE) for COVID-19 which permits the Centers for Medicare & Medicaid Services (a federal agency in the HHS) to grant states emergency flexibilities to respond to the crisis. Notes: NY State of Health includes health plans for individuals and small businesses. Member Rewards Program Members get to earn points by keeping up with their health appointments and participating in wellness activities. Get inspired on our Blog, find answers to your questions in our FAQs, and explore our health library. 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. MetroPlusHealth offers literally dozens of comprehensive health plans, from Medicaid- and Medicare-eligible to NY State of Health-compliant. 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. Our innovative solutions are designed to help you achieve your desired health goals. The following are the common medical and personal care items that they offer for their partners: These OTC products are all given to members at no extra cost. We have provided a quick guide for you to find out how you can sign in to a current account or activate a new online account and gain access to manage it online. Preventive care includes immunizations, physical exams, lab tests and prescriptions. MetroPlus share of citywide enrollment in the Essential Plan increased from about 17 percent to 19 percent during the same time period. In New York City, MetroPlusHealth earned 5 stars in a number of categories and an overall rating of 5 stars, the highest possible score. New York State is making this change in the initial assessment process to make it easier to get the services you need. They are a wholly-owned subsidiary of NYC Health + Hospitals, which is the biggest municipal health system in the US. We can even enroll you over the phone. To contact the media relations team, visit our News & Insights page. MetroPlus Health Plan is an HMO, HMO SNP plan with a Medicare contract. Shipping fee will not be charged to the member especially if this is inclusive in your plan. We are over 700,000 members strong across New York City. If there are any issues, our Customer services team will contact you. Additionally, H+H must continue to provide quality care and maintain efforts to improve patient satisfaction, such as keeping appointment wait times low, to continue to attract MetroPlus members. All our most popular online features at your fingertips. In 2020, during the first wave of the COVID-19 pandemic, MetroPlus ranked the highest of 15 Medicaid Managed Care plans across the State in the DOHs quality incentive program which assesses performance covering a wide range of quality measures. Eligible members can go online (see below on how to set up an account). All rights reserved. The orders will be shipped to their home at no extra charge. Visit: www.cvs.com/otchs/metroplus in your internet browser on your device. Valuable guidelines for creating / processing / submitting your order: You may download MetroPlus Medicare Advantage OTC Catalog: MetroPlus Medicare Advantage OTC Over-the-Counter Video Summary: By submitting this form, you are consenting to receive marketing emails from: HealthManagementCorp (HMC). Once you click Submit, the change request should be registered. Nearly 70 percent of MetroPlus membership is enrolled in the mainstream Medicaid managed care plan which experienced the largest actual membership growth of all plans offered. You can choose your own primary care physician (PCP). MetroPlusHealth Virtual Visit is available anytime, from anywhere in New York State, 24/7 and in your language. No matter who you are, how old/young you are, or what you need, we have a plan for you. The allowance amount varies and depends on the plan. Do Not Sell My Information. The number to contact is given at the start of this article if you need further information about your plan benefits. 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. The allowance amount may vary depending on the plan. Honestly surprised this is whats being out out by a private health insurance company with as many resources available to them as they have. Members will get $125 monthly to use for OTC health essentials. MetroPlusHealth Medicaid Managed Care is our plan for people eligible for Medicaid, a government assistance program. Looking for a pharmacy with free delivery? MetroPlusHealth members can access the Member Portal, find doctors, specialists, and pharmacies, and view member benefits. After you submit the request, the items will be mailed directly to the home address that you provide. Easy-to-follow steps are provided below should you feel the need to access the login or registration page. Their team of clinicians, researchers, engineers, financial experts, and a great number of direct sales representatives have outstanding expertise and know everything about healthcare business. Copyright 2023 Apple Inc. All rights reserved. The Member Rewards Program enables members to earn points, redeemable for premium items, by completing essential healthcare services such as well-visits, colonoscopies, medication adherence, and more, and healthy activities such as the STEP-UP CHALLENGE, where members track and work to increase their physical activity. 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. Language Support services are available free of charge. The benefits you need to take good care of yourself. The Essential Plan is a subsidized basic health plan offered with the NY State of Health. MetroPlusHealth continuously reviews records of providers and facilities, but changes can occur in-between updates. You must have JavaScript enabled to use this form. This will give you complete access to your online account and start taking advantage of MetroPlus Advantage Plan OTC pharmacy benefits that is included in your plan. Ratings are based on a comparison of plan rates to statewide averages. To request information on partnership opportunities or RFP requests, email [email protected]. You will need to make sure that the total amount due is within your allotted monthly benefit amount. Type in your Date of Birth in the space provided. In line with the DOHs efforts toward statewide Medicaid payment reform, H+H and MetroPlus have entered an agreement that incentivizes reimbursements based on quality and cost effectiveness of care, from a model that reimburses based on volume. When it comes to our members, were constantly on call. ), places (hospitals, urgent care centers), and pharmacies in the MetroPlusHealth network. Your orders will also be delivered to your home without worrying about shipping fee as these will all be covered by the benefit. Requirements to have available to be able to sign in or register to your MetroPlus Advantage Plan account online: Easy steps to follow for new members who need to create an account online: Type in your Member ID in the space provided. To continue with your application you will need to create an account with us using the "Create Account/Login" button below. This Google translation feature is provided for informational purposes only. We have a strong focus on primary and preventive care, and our robust network of doctors and specialists includes independent community-based providers and offices devoted to educating you and your family about healthy living, the latest news in prevention, and care for chronic conditions. 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. Just quality health care. LearnMore, English, Czech, Danish, Dutch, Finnish, French, German, Greek, Hungarian, Indonesian, Italian, Japanese, Korean, Norwegian Bokml, Polish, Portuguese, Romanian, Russian, Simplified Chinese, Spanish, Swedish, Thai, Traditional Chinese, Turkish, Ukrainian, Vietnamese. 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. For Medicaid recipients 21 or older who need additional resources for behavioral health. var d = new Date(); Find a plan that's right for you. We are not affiliated with or endorsed by any government entity or agency. MetroPlus in coordination with H+H is working to facilitate rapid reenrollment in Medicaid for those still eligible, and shift those who lose eligibility to Essential Plan coverage. It is likely that enrollment in these plans will decline when the process of member renewals returns to normal procedures and some members will not renew or become ineligible for coverage. NationsBenefits Unite. To ensure the most secure and best overall experience on our website, we recommend the latest versions of. For more information about MetroPlusHealth plans, benefits, and services, explore the rest of our website and join the conversation atfacebook.com/metroplushealthand twitter@metroplushealth.

The complete 2020 Consumers Guide can be found here. Learn more here. Sources: MetroPlus Health Plan; OSC analysis Additionally, MetroPlus experienced an increased market share in mainstream Medicaid Managed Care and Essential Plan enrollment in the City. More stars mean better healthcare. The credits can be used to pay for select over-the-counter medications and supplies, including allergy medication, digestive health treatments, first aid supplies, pain relievers, and more. Our network includes 34,000 doctors, specialists, and participating clinics including. Better yet, check out our online search tool. Enhanced OTC Benefit (New for 2021) Members will get $125 monthly to use for OTC health essentials.