MetroPlusHealth Members: Specialty Care That Comes to You

MetroPlusHealth offers Medicaid coverage, but Medicaid is only one of its plan options. The plan offers Medicaid Managed Care, along with Medicare plans, the Essential Plan, Child Health Plus, and other coverage types. Its Medicare lineup includes MetroPlus Platinum Plan (HMO) for people with Medicare, plus two plans for people with both Medicare and Medicaid: MetroPlus Advantage Plan (HMO D-SNP) and MetroPlus UltraCare (HMO D-SNP). The name and plan type on your member ID card tell you which coverage you have, and MetroPlusHealth Member Services can answer questions about your benefits. Whatever your MetroPlusHealth plan, Aspire Healthcare Solutions can bring eye care, foot care, hearing care, and lab collection to your home.

MetroPlus UltraCare (HMO D-SNP) is a Medicaid Advantage Plus plan designed for people who have Medicare and full Medicaid and need long-term care services, such as home care and personal care. It combines most Medicare and Medicaid benefits in one plan, including long-term care, home and community-based services, and prescription drug coverage. Because UltraCare members typically need ongoing support to live safely at home, traveling to specialist appointments can be especially difficult. New York’s long-term care benefit package includes services such as podiatry, optometry and eyeglasses, and audiology and hearing aids, usually arranged through the member’s care team. Aspire Healthcare Solutions brings these types of specialty services directly to members at home.

MetroPlus Platinum Plan (HMO) includes extra benefits beyond Original Medicare, and MetroPlusHealth’s 2026 plan materials list allowances for hearing aids and eyewear among them. Original Medicare generally does not cover hearing aids or routine eyeglasses, so these extra benefits can make a meaningful difference. Allowance amounts, frequency limits, and provider rules depend on the plan, so the Summary of Benefits and Evidence of Coverage are the best places to confirm your benefits. Aspire Healthcare Solutions provides at-home hearing evaluations, hearing aid fittings, eye exams, and glasses, giving MetroPlus Platinum members a convenient way to address vision and hearing needs without traveling to an office.

The most reliable way to find providers who participate in your MetroPlusHealth plan is to use the Find a Doctor tool on MetroPlusHealth’s website or call the Member Services number on your ID card. Networks can vary by plan, and provider participation can change, so it is a good idea to confirm before scheduling any appointment. MetroPlusHealth plans are HMO plans that generally use a network of participating providers, and some services may require a referral or prior authorization. If you are looking for a podiatrist, eye doctor, or hearing specialist and find it difficult to travel, Aspire Healthcare Solutions brings those services directly to your home. Call our team to discuss your needs.

MetroPlusHealth Medicare plans cover the podiatry services Original Medicare covers, including foot exams and treatment for people with diabetes-related nerve damage and medically necessary care for injuries and conditions of the foot and ankle. Routine foot care for people without a qualifying medical condition is generally not covered under Original Medicare rules, although plan benefits can differ. For MetroPlus UltraCare members, podiatry is part of New York’s long-term care benefit package. Medicaid Managed Care and Essential Plan members should check their Member Handbook for podiatry coverage. Because rules vary, MetroPlusHealth Member Services can confirm what applies to your plan. Aspire Healthcare Solutions offers mobile podiatry at home, including diabetic foot care, treatment for foot pain, and orthotics.