What do I do if I want to leave MetroPlus Health Plan?
If you are a MetroPlus Medicaid Managed Care, you may be enrolled in mandatory Medicaid Managed Care, which means that you can only transfer to another Plan not disenroll from managed care. You may only disenroll from managed care if you are exempt or excluded from managed care. You can find out more about who is exempt or excluded by calling New York Medicaid CHOICE at 1-800-505-5678. A MetroPlus member can ask for a transfer to another health plan or disenrollment anytime during the first 90 days after you enroll. After the 90 days, you must stay with the plan for nine months. To leave the plan after the 90-days you must show good reason (or just cause) to leave the plan. Some examples of just cause are: • We cannot provide a suitable PCP for you within 30 minutes or 30 miles from your home • You are or become exempt or excluded from managed care, or • You move out of our service area If you are member of Child Health Plus, Family Health Plus, Partnership in Care, or MetroPlus Gold p
