Metroplus Health Plan Inc

TERRIBLE HR SERVICE
I have been trying to reach their HR department for 6 weeks. Nobody is ever available to pick up the call. The voice mail box is always full. I only keep getting transferred to the HR department by the RUDE male receptionist, only to hear the HR's voicemail over and over again. STILL HAVE NOT CONNECTED

Did not cancel my plan for 4 month while I called them more than 10 times during this time period explaining that my plan is still not cancel. Finally I received bills for 700-800 dollars for all of these months. Finally, after calling dozens of times, someone figured out that something in their system went wrong and plan did not get canceled by a mistake. Wow
But even after this other problems occur: NYC Fire Dep sent me a wrong bill and metroplus admitted that the bill is wrong. Unfortunately, they do not help me at all in this situation and tell to call myself to the fire dep.

A lot of complaints come from ppl not having knowledge on the type of insurance they have before signing up. I am a firm believer in doing your research before signing up with anything. Check your doctor to see if he/she takes the plans ,if not are you willing to see another doctor. Many ppl are signing up on plans because they don't want to have to worry about being penalized and not knowing what the plan cover. Also asses how often do you go to the doctor and what is the reason you usually go. Are you there for just an annual physical are you the type of person that is prone to getting sick or having accidents. Do you have a precondition? what is the deductible. how does the deductible work? Is there an out of pocket max on my plan. Does the coverage cover my prescription,and if not how can I have it covered or is there a generic form of it? Don't just sign up for insurance without having the basic knowledge first.

Horrible, horrible experience!! They retroactively cancelled my coverage AFTER I double checked with them that I am covered before I booked doctor's appointment. Also no one wants to take the insurance. You really have to spend time to find specialists that will take it. My doctor told me, no one wants to deal with them, because they have an awful record for paying up. I ended up paying my doctor's bills out of pockets, just to not have to deal with them anymore. Absolutely disgusted with them.

I think the staff are very polite, and want to do a good job. However, there must be a flaw in the system.There was a constant flow of miss information in terms of policies and guide lines. It took me hours on hold, and two weeks to have vital procedures approved. Labs who performed services complained also about the wait time on hold. The danger of this is the provider gets a bad reputation, forcing, doctors to not accept this insurance. It feels uncomfortable when an insurance provider plays "Russian Roulette" with your life.
However, the verdict is still out. The first few months have not made a good impression on myself and my health care providers. Maybe it gets better