MetroPlus Managed Long Term 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. MetroPlus' Managed Long Term Care plan is especially designed for those in the Bronx, Queens, Manhattan or Brooklyn who are 21 and over who need long term services. Learn more about MetroPlus' Managed Long Term 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 Managed Long Term Care Member FAQs | MetroPlus NYC Health Insurance

  1. 1. MetroPlus Managed Long Term Care Member FAQs August 27, 2014
  2. 2. How Do I Renew My Coverage? • To remain enrolled as a MetroPlus Managed Long Term Care member, you have to retain your NYS Medicaid eligibility coverage. Please speak with your Care Manager, who will work with you regarding your continued eligibility. • In addition to retaining Medicaid coverage, MLTC members are required to have a Semi-Annual Assessment (SAAM) to determine continued coverage as a MLTC member. Please speak with your Care Manager, who will work with you regarding your continued eligibility.
  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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