Rehab Centers That Accept MetroPlus in New York City
MetroPlus Health Plan is the health insurance plan of NYC Health + Hospitals, the largest public health care system in the United States. MetroPlus provides free or low-cost health coverage to over 700,000 New Yorkers, with a strong focus on serving underserved communities. Their behavioral health benefits include comprehensive addiction treatment coverage — from medical detox and residential rehabilitation to outpatient counseling and medication-assisted treatment (MAT). As a safety-net plan, MetroPlus is designed to remove financial barriers to care.
We're a directory, not a treatment provider. Calls may be routed to a partner helpline. How our helpline works
Need Help Finding the Right Treatment Center?
Speak with a compassionate specialist now - 100% free & confidential
Rehab Centers That Accept MetroPlus in New York City
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Key Services:
Featured 30 Centers Accepting MetroPlus
From 584 facilities that accept MetroPlus, we've highlighted 30 starting points based on clear criteria.
What MetroPlus Covers
MetroPlus behavioral health benefits cover the full continuum of addiction treatment, including medical detoxification, residential/inpatient programs, partial hospitalization (PHP), intensive outpatient programs (IOP), standard outpatient therapy, and medication-assisted treatment. Medicaid managed care members typically pay $0 for all behavioral health services. Essential Plan and marketplace plan members may have minimal copays. MetroPlus works closely with NYC Health + Hospitals facilities, which include dedicated behavioral health centers across all five boroughs. Prior authorization is required for inpatient and residential levels of care but is generally streamlined within the NYC H+H system.
Deductible Status
Whether you've met your annual deductible
Example range: $0-$500 (varies by plan)
Network Status
In-network vs out-of-network rates
Per-Session Costs
Copays or coinsurance amount
Example range: $0-$15 per session copay or 0-10% coinsurance
Level of Care
Inpatient vs outpatient rates differ
Get your exact costs: Call 1-800-303-9626
Common Plan Structures
- HMO:Requires in-network care, lower costs
- PPO:Can use out-of-network, higher flexibility
- EPO:In-network only, no referrals needed
- POS:Hybrid of HMO and PPO
Plan Source Matters
- Employer plan:Group benefits vary by company
- Marketplace:ACA plans with metal tiers
- NYC Health + Hospitals affiliated plan
- $0 copay on most Medicaid managed care plans
- Essential Plan with $0 or low premiums
- Largest safety-net health plan in NYC
- Integrated with NYC public hospital system
- Community-based behavioral health programs
- Available only in NYC (5 boroughs)
- Network primarily within NYC metro area
- Prior authorization required for residential treatment
- Limited options outside NYC
What to Have Ready Before Calling
💡 Having this ready reduces call time and ensures you get accurate information
1Call Your Benefits Line
Call 1-800-303-9626 or the number on your card
1-800-303-96262Ask These Questions
- • What is my deductible and how much have I met?
- • What is my copay for outpatient therapy?
- • Does my plan cover inpatient treatment?
- • Do I need prior authorization?
- • General coverage information for the insurance plan
- • Whether a specific facility is in-network
- • Typical copays and deductibles for the plan
- • Prior authorization requirements
- • General admission process questions
- • Specific treatment history or records
- • Whether someone is currently in treatment
- • Details about their specific claims
- • Dates of service or diagnoses
- • Any personal health information
How to Talk to Insurance as a Family Member:
"Hi, I'm calling to understand what addiction treatment benefits are covered under [plan type]. I'm not asking about a specific person's claims, just what the policy covers in general." This approach gets you the information you need while respecting privacy laws.
Ask for a formal denial letter that includes:
- Specific reason for denial
- Policy section reference
- Appeal rights and deadlines
You have the right to appeal. Most insurers have 2-3 levels of appeals. The facility's billing team can often help you with this process.
- Different level of care (e.g., IOP instead of inpatient)
- In-network facility alternatives
- Single-case agreement for out-of-network
Federal law requires insurers to cover mental health and substance abuse treatment at the same level as medical/surgical care. If denied, ask if the same restriction would apply to medical treatment.
Frequently Asked Questions About MetroPlus
Ready to Use Your MetroPlus for Treatment?
Our team can help verify your MetroPlus benefits and find the best facility for your needs. Available 24/7.