What is a PCP?
"PCP" stands for Primary Care Provider. A PCP is the MetroPlusGold doctor or nurse practitioner you choose to see for your health care needs. Your PCP is responsible for making sure you get the best care and will arrange for you to see a specialist, get x-rays or lab tests or go into the hospital, if necessary.

You choose your PCP when you join the plan. You may want to choose a PCP who already knows you, speaks your language, understands your health problems and is on your subway or bus route.

In some cases a specialist can also be your PCP. Please call Customer Services at 1.877.475.3795 for more information.

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I want to change my PCP. What do I do?
You can change your PCP by calling Customer Services any time during your enrollment.
You can request a PCP change on this website. You may also contact MetroPlusGold Customer Services at 1.877.475.3795 to change your PCP.

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How can I see a specialist?
If you need care that your PCP cannot give, he or she will arrange for you to see one of our specialty providers. This is called a "Referral".

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I lost my ID card and / or I did not receive my ID card. What should I do?
After you enroll in the plan, you will receive a welcome packet and a MetroPlusGold ID card. The welcome packet and ID card will be mailed within 14 days after the date you become a member. If it has been more than 14 days since you enrolled and you did not receive your ID card, you can request an ID card on this website. You may also call MetroPlusGold Customer Services at 1.877.475.3795 and a new card will be mailed to you.

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I have a complaint. What do I do?
We hope our health plan serves you well. If you have a problem, please call Customer Services at 1.877.475.3795. You can also write to MetroPlusGold Customer Services at:

MetroPlusGold Health Plan Customer Services Department
160 Water Street 3rd Fl
New York, NY 10038

A Customer Services Representative will help resolve your complaint and as necessary forward your complaint to the right departments for investigation and resolution. Please contact Member Services to obtain any additional information.

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Where can I go to enroll in MetroPlus Health Plan?
Visit your Human Resources Department. They can provide you with information on when you can enroll in MetroPlusGold.

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