Child Health Plus
Announcements & Plan Documents
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Plan Materials
For our CHP, EP, HARP, QHP, MEDICAID, AND HIV SNP PLAN members.
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Effective April 1, 2023, Residential Rehabilitation Services for Youth (RRSY) are included with Child Health Plus coverage.
June 1, 2020 Member Handbook Insert
April 1, 2020 Member Handbook Insert
EFFECTIVE JANUARY 1, 2023
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Important Notices
We believe every child deserves quality healthcare.
Our plan includes:
Regular check-ups and preventive care
Vision insurance for children, including eye exams
Routine and preventive dental services
Access to specialists and hospitals
Well-child care
Physical exams and immunizations
X-rays and labs
Emergency care and emergency ambulance transportation
Prescription and non-prescription drugs if ordered by a licensed provider
Inpatient hospital care
Inpatient and outpatient mental health care
Speech therapy (limitations may apply)
Hearing services
Durable medical equipment and supplies
Complaints and Appeals
We hope our health plan serves you well. But if you have a problem, you can talk with your PCP, or call or write our Member Services. Most problems can be solved right away. If you have a problem or dispute with your care or services, you can file a complaint with us. Problems that are not solved right away over the phone — and any complaint that comes in the mail — will be handled according to our complaint procedure described here.
Pharmacy Network Change
Access to a doctor—whenever and wherever you need it!
MetroPlusHealth Virtual Visit is the fast, easy way for our members to see a provider for common physical, mental, emotional, and behavioral health issues that are not emergencies. MetroPlusHealth Virtual Visit is available anytime, from anywhere in New York State, 24/7 – and in your language.
Know your rights and protections against surprise medical bills!
When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn’t be charged more than your plan’s copayments, coinsurance and/or deductible.