Contact Information
MetroPlus Health Plan |
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| Website: | www.metroplus.org | |
| Customer Service: | 1-855-809-4073 | (telephone number provided by NYSOH) |
| Customer Service: | 1-800-303-9626 | Mon. - Sat. 8am - 8pm |
| Email: | Web Form | |
| Facebook: | MetroPlusHealth | |
| Twitter: | @MetroPlusHealth | |
Counties Served
- Region 4 - Bronx, Kings (Brooklyn), New York (Manhattan), Queens & Richmond (Staten Island)
Health Plans for Individuals & Families on NY State of Health
This information is provided for research purposes only. The premium rates given are before any advance tax credits are applied. Please verify premium rates and plan details on the NYSOH Marketplace or directly with MetroPlus Health Plan.
For ease of presentation, the chart shows the individual premium for each rating region. To calculate the couple rate, multiply by 2; individual plus child(ren) rate, multiply by 1.7; and for the family rate, multiply by 2.85.
| PROVIDER DIRECTORY | DRUG FORMULARY | PLAN INFORMATION |
| PLATINUM PLANS | Region 4 | |
|---|---|---|
| 2015 - Platinum Plus - P1 w/Child Dental | Summary of Benefits | $515.08 |
| 2016 - Platinum Plus - P1 w/Child Dental
HiosID: 11177NY0110001 |
Summary of Benefits | $505.65 |
| 2015 - Platinum Plus - P2 w/Dental | Summary of Benefits | $537.88 |
| 2016 - Platinum Plus - P2 w/Dental
HiosID: 11177NY0180001 |
Summary of Benefits | $512.74 |
| GOLD PLANS | Region 4 | |
| 2015 - GoldPlus - G1 w/Child Dental | Summary of Benefits | $438.26 |
| 2016 - GoldPlus - G1 w/Child Dental
HiosID: 11177NY0080001 |
Summary of Benefits | $427.77 |
| 2015 - GoldPlus - G2 w/Dental | Summary of Benefits | $457.34 |
| 2016 - GoldPlus - G2 w/Dental
HiosID: 11177NY0170001 |
Summary of Benefits | $433.70 |
| SILVER PLANS | Region 4 | |
| 2015 - SilverPlus - S1 w/Child Dental | Summary of Benefits | $382.57 |
| 2016 - SilverPlus - S1 w/Child Dental
HiosID: 11177NY0040001 |
Summary of Benefits | $369.04 |
| 2015 - SilverPlus - S2 w/Dental | Summary of Benefits | $398.82 |
| 2016 - SilverPlus - S2 w/Dental
HiosID: 11177NY0040001 |
Summary of Benefits | $374.10 |
| SILVER PLANS: CSR 200-250% FPL | Region 4 | |
| 2015 - SilverPlus - S1 w/Child Dental | Summary of Benefits | $382.57 |
| 2016 - SilverPlus - S1 w/Child Dental
HiosID: 11177NY0040001 |
Summary of Benefits | $369.04 |
| 2015 - SilverPlus - S2 w/Dental | Summary of Benefits | $398.82 |
| 2016 - SilverPlus - S2 w/Dental
HiosID: 11177NY0040001 |
Summary of Benefits | $374.10 |
| SILVER PLANS: CSR 150-200% FPL | Region 4 | |
| 2015 - SilverPlus - S1 w/Child Dental | Summary of Benefits | $382.57 |
| 2015 - SilverPlus - S2 w/Dental | Summary of Benefits | $398.82 |
| SILVER PLANS: CSR 100-150% FPL | Region 4 | |
| 2015 - SilverPlus - S1 w/Child Dental | Summary of Benefits | $382.57 |
| 2015 - SilverPlus - S2 w/Dental | Summary of Benefits | $398.82 |
| BRONZE PLANS | Region 4 | |
| 2015 - BronzePlus - B1 w/Child Dental | Summary of Benefits | $342.82 |
| 2016 - BronzePlus - B1 w/Child Dental
HiosID: 11177NY0010001 |
Summary of Benefits | $321.34 |
| 2015 - BronzePlus - B2 w/Dental | Summary of Benefits | $358.15 |
| 2016 - BronzePlus - B2 w/Dental
HiosID: 11177NY0160001 |
Summary of Benefits | $325.70 |
| CATASTROPHIC PLANS | Region 4 | |
| 2015 - MedPlus - M1 | Summary of Benefits | $228.86 |
| 2016 - MedPlus - M1
HiosID: 11177NY0140001 |
Summary of Benefits | $208.77 |
NOTES: For more information about 2016 rates and plans, including child only rates and dependants to 29 rates, visit the 2016 Approved Rate Manual.