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Who owns MetroPlus?

HHCs own MetroPlus Health Plan is one of the New York areas largest providers of government-sponsored health insurance and is the plan of choice for nearly half a million New Yorkers.

Who is eligible for New York essential plan?

Individuals may qualify if they are 19 to 64 years of age, a New York state resident, do not already have health insurance, and are not eligible for Medicaid.

What type of insurance is Medicare Advantage?

Medicare Advantage is a Medicare-approved plan from a private company that offers an alternative to Original Medicare for your health and drug coverage. These bundled plans include Part A, Part B, and usually Part D. In most cases, you can only use doctors who are in the plans network.

Can I use NYS health insurance in another state?

All health insurance plans regardless of the state of purchase will cover emergency services at any hospital in the United States, with the exception of Hawaii. However, non-emergency care, like primary care visits, might not be covered.

Is MetroPlus New York Medicaid?

MetroPlus UltraCare (HMO D-SNP) is a Medicaid Advantage Plus plan designed for people who are dual eligible for Medicare and full Medicaid, live in New York City, and need long-term care services such as home care and personal care.

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Can MetroPlus be used in other states?

The Short Answer: All plans cover emergency services at any hospital in the United States, regardless of what state plan was purchased from, with the exception of Hawaii. As long an emergency is considered life-threatening, it will be covered as in-network, regardless if the hospital is in your plans network.

Can MetroPlus be used in other states?

The Short Answer: All plans cover emergency services at any hospital in the United States, regardless of what state plan was purchased from, with the exception of Hawaii. As long an emergency is considered life-threatening, it will be covered as in-network, regardless if the hospital is in your plans network.

What is another name for Medicare Advantage?

Medicare Advantage Plans, sometimes called Part C or MA Plans, are offered by private companies approved by Medicare. Medicare pays these companies to cover your Medicare benefits.

Is MetroPlus only for NYC?

MetroPlusHealth serves eligible New Yorkers with health care at little to no cost. We are over 700,000 members strong across New York City.

Who is the CEO of MetroPlus?

Talya Schwartz, M.D. An experienced leader in health plan management and operations, Dr. Talya Schwartz was appointed President CEO of MetroPlusHealth in 2019.

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