NYC Residents: Meet with MetroPlus about your healthcare options

HTC member Juan Rondon (Times Square Gallivant) speaks with MetroPlus representative Sonia Umanzor about his healthcare options.

By negotiating and using the powerful grievance and arbitration provisions of our contracts, we were able to get union hotels to pay for 8 months of healthcare for most of the 40,000 workers we represent during this crisis. That emergency funding is coming to an end and many of the workers we represent will lose healthcare coverage at the end of the year.

This can be a stressful and confusing process, and our Union is here to help. We have arranged for agents from MetroPlus (a city-operated, not-for-profit healthcare plan) to meet with union workers to discuss their options. MetroPlus agents are available Monday through Friday in the Union’s Gertrude Lane Auditorium (at 305 West 44th Street) and at the Midtown, Harlem, Brooklyn, and Queens Health Centers from 9 AM – 5 PM.

You can also apply by phone by calling 855-809-4073 from 9:00 AM – 5:00 PM, Monday through Friday and 9:00 AM – 1:00 PM on Saturdays.

We strongly encourage members to take the opportunity to meet with a MetroPlus agent to get a complete overview of your options.

Coverage

A MetroPlus agent will go over many topics, including your expected income, family size, and health needs to help you select the health insurance plan that best fits your needs.

  • If you are eligible for a subsidized, public health insurance plan (Medicaid, Child Health Plus, or the Essential Plan), a MetroPlus agent will help you enroll in these public options.
  • If you are not eligible for a public health insurance plan, MetroPlus offers a number of Marketplace plans. If you choose to enroll in one of these plans, a MetroPlus agent will help you find out if you are eligible for a tax credit. The coverage, deductibles, copays and out of pocket maximums vary widely based on which plan you select.

Eligibility

To be eligible for a MetroPlus plan you must be a New York City resident and be lawfully present in the United States.

There are strict income limits for the public health insurance plans, but there are no income limits for MetroPlus’ Qualified Health Plans.

Immigration

MetroPlus can only enroll New York City residents with a legal immigration status.

Undocumented New York City residents can enroll in NYC Care, a healthcare access program for New Yorkers regardless of their ability to pay or immigration status.

What if I don’t live in NYC?

MetroPlus is only available to residents of New York City, however our Union has set up a similar arrangement with the insurance provider BlueCross BlueShield for those union workers who live in New York (outside of NYC) or New Jersey.

BlueCross BlueShield has set up a dedicated phone line to help the workers we represent apply for the publicly subsidized healthcare plans in New Jersey and New York and if you don’t qualify, to enroll you in one of their Qualified Health Plans and apply for a tax credit.

Call BlueCross BlueShield at 888-809-8009 followed by pressing option 4. This devoted line is available Monday through Friday from 9:00 AM to 5:00 PM and Saturdays from 9:00 AM to 1:00 PM. When calling please mention the “Hotel Trades Council” and state whether you are a New York or a New Jersey resident.

Deadline to Apply

If you are eligible for a subsidized, public health insurance plan, you must enroll by the 15th of the month before you lose coverage in order to begin coverage the 1st of the following month.

So for example, if you are losing coverage on January 1st, you must enroll by December 15th in order to begin coverage on January 1st.

If you are enrolling in a Qualified Health Plan, you are able to get retroactive coverage to the beginning of the month you enroll.

Read more about your options

The Union has compiled a detailed guide to each of the healthcare options that may be available to you when your coverage ends.

You can find more information on MetroPlus, BlueCross BlueShield and the other options by clicking here.