Marketplustcc.metroplus.org

NY State of Health MetroPlus

WebTo apply for a health plan, visit NY State of Health and create an account. You will need to fill out some information about your family and your income. If you need help filling out …

Actived: 5 days ago

URL: https://marketplustcc.metroplus.org/insurance-basics/your-health-plan/ny-state-health

Choosing a Health Plan MetroPlus

WebCo-payments - This is a fixed dollar amount you pay each time you visit a doctor or pick up a prescription medication. Your co-payments will be described in your health insurance …

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Emergency Care and Urgent Care MetroPlus

WebMost health plans have urgent care centers in their networks. Your copay or coinsurance for an urgent care visit will often be lower than for an ER visit. You can use the “Urgent Care …

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Types of Health Plans MetroPlus

WebA PPO is a good choice if you want to be able to use a wide range of doctors and hospitals. Point of Service Plan (POS). In a POS, you decide whether to stay in your network at the …

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Health Insurance ID Cards MetroPlus

WebSummary. Your health insurance ID card is your proof of insurance. You use it when you visit the doctor, hospital or other provider. But, it is also a quick reference that tells you …

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Choosing Your Healthcare Provider MetroPlus

WebIn-Network and Out-of-Network Care. Your plan contracts with a wide range of doctors and other practitioners, as well as hospitals, labs, radiology facilities, pharmacies and other …

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The Affordable Care Act MetroPlus

WebThe Affordable Care Act (ACA) of 2010 is a federal law that went into full effect in 2014. It’s made it easier and more affordable for many Americans to get health insurance. It also …

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Getting Covered MetroPlus

WebThere are three main sources of health coverage. The first is your job. The second is a plan that you buy. The third is a government program for older, disabled or low-income …

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The Basics of Telehealth MetroPlus

WebTelehealth can be a phone call in which you tell your symptoms to a doctor and get advice. Or, it can be a videoconference over your smartphone, computer or tablet. E-mail and …

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What You Need to Know about Medicare MetroPlus

WebPart A is hospital insurance. It covers inpatient hospital stays, skilled nursing facility care, hospice care and some home health care. Part B is medical insurance. It covers certain …

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MetroPlus MetroPlus

WebFor assistance with enrollment and MetroPlus health plan optionsCall 1-855-809-4073After Hours Number: 1-855-809-4073Hours of Operation:Monday – Saturday 8am – 8pm. …

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Help with Insurance Issues MetroPlus

WebHelp with Insurance Claim Issues. Your health insurance company may say they won’t pay for a service. Or they might pay less than you expected. First, talk to your company and …

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Women’s Healthcare Coverage MetroPlus

WebBy law, most health plans must cover certain women’s health services because they are “essential health benefits” – like prenatal and maternity care. Some of these services are …

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Flexible Spending Plans MetroPlus

WebSummary. Flexible spending plans let you set aside money from your paycheck. You can use it to pay for care before meeting your deductible, and for copays and coinsurance …

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Immigration and Health Insurance MetroPlus

WebIf you can’t pay, you may be eligible for emergency Medicaid. If you’re uninsured and can’t pay or can only pay a little for healthcare, go to an FQHC (a community health center), …

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In-Network and Out-of-Network Care MetroPlus

WebIf you go outside your network, you will likely pay more for your care. That’s partly because providers outside your network have not agreed to any set rate with your insurer. Those …

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Explanation of Benefits MetroPlus

WebAfter you get care, your provider sends a bill, or “claim,” to your insurance company. Your insurance company handles the claim and sends you an Explanation of Benefits (EOB). …

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Types of Out-of-Network Reimbursement MetroPlus

WebIf you go out of network, your insurer may pay for part of the bill. You will pay the rest. If your insurer uses the Medicare fee schedule to set its out-of-network reimbursement rates …

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Code Modifiers: How They Affect You MetroPlus

WebBoth types of codes may be followed by a two-digit number called a modifier. That gives the insurer more information to adjust their payment. For instance, if you had more than one …

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The medical information found on the MedMallRx website is designed to support, not to replace the relationship between patient and physician and the medical advice they may provide.