MetroPlus Health Here for Chamber Members

These are challenging times for today’s businesses. but MetroPlus Health Plan has been here to help New Yorkers through good times and bad for 35 years. And the health plan is here to help you now. MetroPlus Health, one of New York City’s largest health insurers, provides health coverage for individual, families, and companies.

MetroPlus offers four SHOP-certified small business health plans through the state’s Official Health Plan Marketplace, and four small business health plans directly through the health plan. Small Business plans are available to businesses with 100 or fewer employees. Businesses may qualify for a federal tax credit of as much as 50 percent of the employer’s contribution.

To be eligible, your business must:

• Have fewer than 25 full-time equivalent employees who have average wages of $50,000 or less per year.

• Cover at least 50 percent of the cost of single (not family) health care coverage for each of your employees.

If your business is tax-exempt, the credit is refundable. You may be eligible to receive the credit as a refund if it does not exceed your income tax withholding and Medicare tax liability.

MetroPlus Health small business health plans offer quality, comprehensive health coverage, award-winning customer service, dedicated account executives, 24/7 access to free telehealth services, member extras, such as gym reimbursement and Pill Pack prescription drug benefit, and an online portal where members can check claims, change PCPs, print ID cards, pay premiums, and more.

There is even a member rewards program, where members earn points by keeping health appointments and participating in wellness activities. Points can be exchanged for items from MetroPlus Health’s exclusive catalog, including kitchen gadgets, baby strollers, art supplies, sports equipment, and much more.

Employees may also choose an option to enroll their eligible adult children age 29 or under on their plan. Adult children need not be financially dependent or a student to qualify for this coverage. 

During this COVID-19 crisis, MetroPlus Health can connect directly with your employees if your business is not able to offer health insurance. Enrollment has been made easier and more convenient.

Special provisions have been made to relax some of the health insurance eligibility and documentation requirements for individuals and families in New York City. Additionally, some premium payments may be waived.

If you are looking to offer or change the health insurance you currently offer to your employees, MetroPlus Health can help. The health insurer offers the lowest cost plans in New York City and after enrollment your business may apply for a hardship waiver, and you can add new employees without waiting for the open enrollment period.

Since 1985, MetroPlus Health has built a reputation for providing access to affordable, quality health care to residents across New York City. A wholly-owned subsidiary of NYC Health+Hospitals, MetroPlusHealth is the plan of choice for over a half-million New Yorkers and has a five-star rating based on the state’s 2018 Consumer’s Guide to Medicaid and Child Health Plus Managed Care Plans in New York City.

The health plan’s robust network of primary care doctors and specialists includes many independent community providers. Culturally sensitive and fluent in more than 40 languages, MetroPlusHealth’s staff is as diverse as the great city it serves.

For more information about enrollment in MetroPlus Health small business plans, please contact the Queens account representatives David Jacobsen (929.303.4108 or jacobsed@metroplus.org) or Melinda Sepulveda (347-449-1620 or sepulm@metroplus.org). They are available to answer your questions, screen for eligibility, provide cost estimates, and conduct enrollment.

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