Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
Metroplus Health Plan, Inc. (H0423)
H0423Contract
A company of New York City Health and Hospitals Corporation, sold as MetroPlus Health Plan
3 plans in 2027 (3 in 2026) · 14,089 members in September 2026
Metroplus Health Plan, Inc. is the New York City Health and Hospitals Corporation company that holds Medicare contract H0423, sold as MetroPlus Health Plan. In 2027 it offers 3 plans (3 in 2026); every one of its 2026 plans continues in 2027. 14,089 people were in its plans in September 2026.
What plans does H0423 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| MetroPlus Advantage PlanH0423-001 | HMO D-SNP | $40.50 | $9,850 | 5 counties | renews |
| MetroPlus Platinum PlanH0423-004 | HMO | $0 | $9,850 | 5 counties | renews |
| MetroPlus UltraCareH0423-007 | HMO D-SNP | $40.50 | $9,850 | 5 counties | renews |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026).
How did CMS rate it for 2026?
The overall rating is 4 of 5 (health plan 3.5 of 5, drug plan 3.5 of 5). Of its 42 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Statin Therapy for Patients with Cardiovascular Disease | 1 |
| Rating of Health Care Quality | 2 |
| Rating of Health Plan | 2 |
| Call Center – Foreign Language Interpreter and TTY Availability | 2 |
| Highest-rated measures | Stars |
|---|---|
| Statin Use in Persons with Diabetes (SUPD) | 5 |
| Plan Makes Timely Decisions about Appeals | 5 |
| Care Coordination | 5 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 5 |
Source: CMS Part C and D Star Ratings data tables, 2026 (October 2025).
What else should you check?
- All MetroPlus Health Plan plansEvery contract of the brand
- Star ratings of every contractThe 2026 ratings, and 2027 when CMS publishes them
- Find a plan by its IDFrom the card or a letter