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MetroPlus Gold Member FAQs
August 27, 2014
How Do I Renew My Coverage?
• MetroPlus Gold is only available to employees of MetroPlus and HHC, their
spouses or qualified domestic partners and eligible dependents (unmarried,
dependent children up to 19 years old; up to 23 years old if full-time student).
Children of HHC employees who exceed the age limit for coverage as a
dependent can purchase health benefits coverage through their parent's plan.
To be eligible for the "Young Adult Option", the child must be 29 years of age
or younger; unmarried; not eligible for health benefits through his/her
employer; live, work or reside in the service area of the parent's plan; and not
be covered by Medicare.
• Employees can enroll at the time they are hired or during the fall Open
Enrollment period. Contact your MetroPlus or HHC benefits manager for more
information or call MetroPlus Gold Customer Services at 1.877.475.3795,
Monday - Saturday, 8 AM - 8 PM.
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.
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
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
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.
MetroPlus Gold Member FAQs | MetroPlus NYC Health Insurance

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MetroPlus Gold Member FAQs | MetroPlus NYC Health Insurance

  • 1. MetroPlus Gold Member FAQs August 27, 2014
  • 2. How Do I Renew My Coverage? • MetroPlus Gold is only available to employees of MetroPlus and HHC, their spouses or qualified domestic partners and eligible dependents (unmarried, dependent children up to 19 years old; up to 23 years old if full-time student). Children of HHC employees who exceed the age limit for coverage as a dependent can purchase health benefits coverage through their parent's plan. To be eligible for the "Young Adult Option", the child must be 29 years of age or younger; unmarried; not eligible for health benefits through his/her employer; live, work or reside in the service area of the parent's plan; and not be covered by Medicare. • Employees can enroll at the time they are hired or during the fall Open Enrollment period. Contact your MetroPlus or HHC benefits manager for more information or call MetroPlus Gold Customer Services at 1.877.475.3795, Monday - Saturday, 8 AM - 8 PM.
  • 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. 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. 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. 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.