We are seeing an increase in RSV, COVID-19 and Flu cases in New York City. But, if an urgent medical issue happens outside of our service area, youwillbe completely covered if you go to an emergency room. 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. Click hereto learn more about MMH resources available to you and your practice. You can access the CORE Benefit and Billing Guidance here. If you are suffering with respiratory symptoms such as runny nose, cough, sore . If you have more than one account, please make separate payments for each account number. If you have compassion and a collaborative spirit, work with us. You can apply for Medicare by calling the Social Security Administration at 1-800-772-1213 or by applying on-line at:https://www.ssa.gov/medicare/. WE'RE HERE FOR YOU. MetroPlusHealth members can access the Member Portal, find doctors, specialists, and pharmacies, and view member benefits. ALL New York City employees, their qualified domestic partners and eligible dependents, NYC Health + Hospitals and MetroPlusHealth employees, $250 every 6 mo. Trying to find the "metroplus login provider" Portal and you want to access it then these are the list of the login portals with additional information about. 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 To get covered services, you need to see providers in the MetroPlusHealth network. Protect yourself and your loved ones. Call 646-929-7800 or. BH HCBS Short-term and Intensive Crisis Respite services will be transitioned to Crisis Intervention Benefit Crisis Residence services, already available to all adult Medicaid Managed Care enrollees. Contact your benefits manager at work for more information about choosingMetroPlusHealth Gold. We sent a one-time security code to {#maskedTwoFactorSMS}. HRA can be returned to: Please allow 2 business days for account balance to update. Members can find a list of network pharmacies here or use our online provider search tool. Take Action Now! If you have any questions or have trouble getting the code, please email us at. City and health plan surveys suggest that health plan members may be more likely to respond to vaccine advice from their primary care providers than other sources. Our providers who may be serving members receiving CORE services are required by the DOH to take specific trainings. From there, in the window directly below this one, you will be able to navigate to the application you're interested in by selecting the following options, each of which will lead you to the next: Once you find the application you're seeking, you will find all documents related to that application. MetroPlusHealth Virtual Visit is available anytime, from anywhere in New York State, 24/7 and in your language. Click on the change PCP button on the top left of your screen and you will now be directed to a page that has information on your old and newly-selected PCP. Rate Applications by Company Introduction, Summary of Medicare Supplement 2023 Requested Rate Actions, American Family Life Assurance Company of New York, American Progressive Life and Health Insurance Company of New York. Our health insurance plans are affordable. New York, - Medications pre-packaged and delivered to you at no extra cost. For Medicaid recipients 21 or older who need additional resources for behavioral health. 50 Water Street, 7thFloor MetroPlus Gold is available to all NYC employees, non-Medicare eligible retirees, their spouses or qualified domestic partners, and eligible dependents. MyChart is a free secure portal you can use to manage your health information. If you have any questions, call one of . See Plan information, Health Rewards, and Messages, Find someone in your neighborhood and in your language. Find MetroPlusHealth offices, events, and local family care sites right near you. Did you know that you can get your medications pre-packaged for free? 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. Protect yourself and your loved ones. 0 Providers When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. You can choose your own primary care physician (PCP). Metroplus Health Plan Provider Portal. 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. Overview Current Company Experience Organization Chart Elizabeth Moo's Email and Phone Number Medical Management Quality Examiner at Metroplus Health Plan Elizabeth Moo is a Medical Management Quality Examiner at Metroplus Health Plan. Click hereto access the digital attestation form. Beginning January 1, 2022, as per CMS guidance, MetroPlusHealth will cover the COVID-19 Vaccine, approved boosters, along with its administration, without cost sharing for our Medicare and UltraCare (MAP) members. Elizabeth Moo got their education from University At Buffalo in the field of Click here to find a representative near you. One of our representatives will reach out to you ASAP to review your plan options. You will find many offices right near you, along with local family care sites and 110 urgent care centers like CityMD, Northwell Health-GoHealth Urgent Care, and more. Unite. Unite. All our most popular online features at your fingertips. Learn more about your new dental benefit here. Justclickhereto find a representativeready to help and answer anyof your MetroPlusHealth Gold questions. We believe that Health care is a right, not a , Make a world of difference in the world's greatest city. Protect yourself and your loved ones. From questions on enrollment & eligibility, benefits & extras, or claims, our Concierge Team is ready to help you every step of the way. Explore Qualified Health Plans (QHP) through the NY State of Health, The Official Health Plan Marketplace. $0 premiums, deductibles, and co-insurance. To continue with your application you will need to create an account with us using the "Create Account/Login" button below. If you are an existing member, you can find this information on our Member Portal. Contact. Please review the links below and register for trainings as soon as possible. They will keep getting services through regular Medicaid. See Plan information, Health Rewards, and Messages. Late payment does not guarantee coverage or reinstatement. ), places (hospitals, urgent care centers), and pharmacies in the metroplushealth network. 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. 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. Our goal is to give our Providers help finding and managing day-to-day needs. Learn about all of the free preventive services for adults, women and children. Beacon Health Options Contact Information: Non-Dental Practitioner Application of Fluoride Varnish in a Primary Care Setting. HEALTH PLANS. If you have more questions, please call our Customer Services team at 1-800-303-9626. Click here to find a representative near you. Or call us at 1-855-809-4073 or visit us at our Virtual Office. Learn morehere. 2022 TomTom, 2023 Microsoft Corporation. Basic plan is FREE for NYC workers and their families! We are committed to doing our part to help prevent the spread of COVID-19, so we will be conducting phone and virtual interviews at this time. All MetroPlusHealth Gold members have access to a mail order option for their medications. Preventive care includes immunizations, physical exams, lab tests and prescriptions. 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. Care. Via the web: www.beaconhealthoptions.com For MetroPlus Health Plan members: 1-855-371-9228 For provider referrals, authorization or clinical matters: 1-855-371-9228 For provider relations: 1-855-371-9228 For claims: 1-855-371-9228 Provider Tools View the NYS Health Care Proxy form here. MetroPlusHealth wants our members to be healthy. Talk To Us About Any Questions or Concerns. 222 East 41st Street, New York, NY 10017. If you have any questions, call one of our Member Services Representatives. Once on the home screen, you can find information about: Clicking on Find your Doctor (Provider) link will take you out of the app and into the member portal through a browser. Are you paying more and more out-of-pocket costs? Looking to get your medications sent to you pre-packaged? 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). MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. Empower. Our network includes 34,000 doctors, specialists, and participating clinics including. To meet the requirement for an initial medical required health assessment, MetroPlus will allow members to see any participating primary care physician (PCP) or other qualifying provider for the first 30 days of placement. Healthplex (for dental services) your insurance is accepted at the following hospitals: Metroplushealth members can access the member portal, find doctors, specialists, and pharmacies, and view member benefits. Be sure to use the correct account number when making your payment. MetroPlus Health Plan 50 Water Street, 7th Floor New York, NY 10004 or by completing our Contact form by clicking here. Basic plan is FREE for NYC workers and their families! The Centers for Medicare and Medicaid Services (CMS) requires that providers receive Medicare Special Needs Program (SNP) Model of Care (MOC)training annually. Hartford Life Insurance Company (NAIC # 88072) Health Insurance Plan of Greater New York, Inc. Health Republic Insurance of New York, Corp. 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