MetroPlus Medicaid Managed Care Member FAQs | MetroPlus NYC Health Insurance

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MetroPlus is New York City's leading government sponsored insurance provider. MetroPlus offers health insurance plans for individuals and families. Learn more about MetroPlus' Medicaid Managed Care plan, including how to renew your coverage, pay your premium, find a provider or make changes to your account.

To learn more about MetroPlus' health insurance or become a member visit www.metroplus.org

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MetroPlus Medicaid Managed Care Member FAQs | MetroPlus NYC Health Insurance

  1. 1. MetroPlus Medicaid Managed Care Member FAQs August 27, 2014
  2. 2. How Do I Renew My Coverage? 1. Complete the renewal application you receive from NYC Human Resources Administration (HRA). If you lose your application or do not receive one, you may have a new one printed at certain sites. 2. You return the application with updated proof of income via mail. If your information has changed, corrections must be made on the application and any required proof must be provided. 3. If you need help, call MetroPlus at 1.800.475.METRO (1.800.475.6387) or TTY 800.881.2812 or email us. MetroPlus renewal representatives can assist you on the phone or at a MetroPlus location in your community. 4. HRA sends you notification of reactivated status. 5. If your income changes making you ineligible for one product but eligible for another, you will be notified.
  3. 3. How Do I Pay My Premium? There are two options to pay your premium: • Pay My Premium Online To access online payment, click here: https://www.metroplus.org/paymypremium. This tool can also be accessed by going to Member Services and then clicking Pay My Premium. Have your credit or debit card ready. Enter the EXCHANGE NUMBER and INVOICE NUMBER as shown on your invoice. Then, click ‘Next’ to complete your payment request. (We accept Mastercard, Visa and Discover cards.) Please note that the amount shown on the screen reflects the amount of the invoice, not the amount due for the account. • Pay My Premium Using a Check Members that choose not to use online payment can send their Invoice Coupon with a check to the address listed.
  4. 4. How Do I Find a Doctor or Provider? • To find a provider, specialist, pharmacy, hospital or other services, visit http://www.metroplus.org/member-services/find-a-doctor- provider
  5. 5. How Do I Change my Information or Order an ID Card? If you are a member, you can access your account to • Change your doctor • Change your address and phone numbers • Order an ID card
  6. 6. How Do I Find Out What My Benefits Are? • For help determining your benefits, call Customer Services at 1.800.303.9626 or TTY 800.881.2812.

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