MetroPlusHealth Rehab Coverage. Long Island & New York
We help you use your MetroPlusHealth insurance for addiction treatment in Nassau County, Suffolk County, and throughout New York.
MetroPlusHealth is a non-profit health insurance provider and a subsidiary of NYC Health + Hospitals that offers affordable, quality health plans to New Yorkers. It provides a range of plans, including options for those eligible for Medicaid, Medicare, and those purchasing through the NY State of Health marketplace. MetroPlusHealth is committed to community health and has a large network of doctors and clinics across the five boroughs of New York City.
What’s typically covered
- Levels of care: Detox, Inpatient/Residential, PHP, IOP, Outpatient
- Coverage depends on your plan, network, and medical necessity
- Prior authorization is common for higher levels of care
- Out‑of‑pocket: deductibles, copays, and coinsurance vary
How we help New York families
- Same‑day benefits verification for MetroPlusHealth
- Handle pre‑auths and clinical documentation
- Coordinate admissions & placement across Long Island
- Clear cost estimates before you say yes
What we’ll ask you
- Member ID & plan name
- Full name & date of birth
- County (Nassau/Suffolk) & service needed
- Any prior treatment this year
Frequently Asked Questions
We'll get on a call, assess your health history, and verify your insurance. Today is Day 1. We can't wait to celebrate Day 1000 with you!
Does MetroPlusHealth cover detox, inpatient, or outpatient rehab in Long Island?
Many MetroPlusHealth plans cover medically necessary treatment such as detox, residential/inpatient, PHP, IOP, and outpatient. Coverage varies by plan and network. We verify your benefits for Nassau and Suffolk County providers.
Will I need prior authorization with MetroPlusHealth?
Often yes—especially for inpatient or longer stays. We handle pre‑auths and clinical reviews so you can focus on getting help.
What will my out‑of‑pocket costs be?
Costs depend on your deductible, copays, and coinsurance. After we verify benefits, we give you a clear estimate before admission.
Can you help if my preferred program is out‑of‑network?
Sometimes. We’ll check out‑of‑network benefits and help you compare in‑network options across Long Island and New York.
This information is general and may not reflect your specific policy. We’ll confirm exact benefits and authorizations with MetroPlusHealth.