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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

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Can I use my NYC health insurance in another state?

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 plan's network.

What is the timely filing for MetroPlus?

Metro Plus Health Plan EDI Claims must be submitted detailing all services rendered for all capitated and fee-for-service encounters within 90 days of the date of service or discharge. Please allow 30 days from claim submission date to receive payment for Medicare claims, 45 days for all other claims.

Is MetroPlus a government agency?

About MetroPlus Health Plan A wholly-owned subsidiary of NYC Health + Hospitals, the nation's largest public health system, MetroPlus is the plan of choice for over half a million New Yorkers.

What is MetroPlus MCD?

MetroPlusHealth Medicaid Managed Care is our plan for people eligible for Medicaid, a government assistance program. You may qualify for Medicaid If you have high medical bills, receive Supplemental Security Income (SSI), or meet certain income, resource, age or disability requirements.

Can I use MetroPlus in other states?

Nonemergency care. Some plans give you access to network providers outside your state. They will cover you as long as you go to a healthcare provider in that network.

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