1 00:00:01,639 --> 00:00:05,360 Speaker 1: Welcome to Get Connected with Nina del Rio, a weekly 2 00:00:05,480 --> 00:00:09,440 Speaker 1: conversation about fitness, health and happenings in our community on 3 00:00:09,440 --> 00:00:12,160 Speaker 1: one oh six point seven Light FM. 4 00:00:12,200 --> 00:00:15,080 Speaker 2: Thanks for listening to Get Connected. Well, we know there 5 00:00:15,080 --> 00:00:17,799 Speaker 2: are changes happening with healthcare. We will take the next 6 00:00:17,800 --> 00:00:21,560 Speaker 2: few minutes to get to know more about metro Plus Health, 7 00:00:21,960 --> 00:00:24,200 Speaker 2: a not for profit insurance plan based in New York 8 00:00:24,239 --> 00:00:27,159 Speaker 2: since nineteen eighty five. We'll talk about their role in 9 00:00:27,200 --> 00:00:29,760 Speaker 2: the health insurance landscape, how they work for New Yorkers, 10 00:00:29,760 --> 00:00:33,760 Speaker 2: and of course details on Medicare health changes. Our guest 11 00:00:33,880 --> 00:00:38,839 Speaker 2: is Roger Milliner, chief Growth Officer at Metroplus Health. Roger Milliner, 12 00:00:38,880 --> 00:00:40,120 Speaker 2: thank you for being on Get Connected. 13 00:00:40,960 --> 00:00:42,400 Speaker 3: Oh good morning. Thank you for having me. 14 00:00:42,720 --> 00:00:45,880 Speaker 2: You can find out more about metro Plus at metroplus 15 00:00:45,920 --> 00:00:48,680 Speaker 2: dot org. If you've been in New York City a while, 16 00:00:48,720 --> 00:00:51,159 Speaker 2: you've probably seen the ads at least so you're probably 17 00:00:51,200 --> 00:00:54,320 Speaker 2: familiar with the name Metroplus health plan. But let's find 18 00:00:54,360 --> 00:00:56,360 Speaker 2: out more so what is metro Plus Health? 19 00:00:56,440 --> 00:01:00,640 Speaker 3: Roger Milliner, So, Metroplus is a health insurance company. We've 20 00:01:00,640 --> 00:01:03,320 Speaker 3: been in business since nineteen eighty five. We serve about 21 00:01:03,360 --> 00:01:06,880 Speaker 3: seven hundred thousand members. And what's unique about us is 22 00:01:06,920 --> 00:01:09,720 Speaker 3: that we are a subsidiary of the New York City 23 00:01:09,720 --> 00:01:13,440 Speaker 3: Health Plus Hospital System, the largest municipal hospital system in 24 00:01:13,480 --> 00:01:17,959 Speaker 3: the country. We're focused right here for New Yorkers, and 25 00:01:18,000 --> 00:01:22,400 Speaker 3: we're not for profit organization. We believe in people, not profits, 26 00:01:22,440 --> 00:01:25,880 Speaker 3: so we're very local and we specialize in government sponsor 27 00:01:25,920 --> 00:01:31,039 Speaker 3: programs everything from Medicaid managed care to child health plus 28 00:01:31,080 --> 00:01:33,800 Speaker 3: the Essential Plan where a huge health plan on the 29 00:01:33,800 --> 00:01:37,680 Speaker 3: New York State Affordable Care Act the ACAIGHT and we 30 00:01:37,720 --> 00:01:41,720 Speaker 3: also offer some specialized programs people with disabilities, HIV. So 31 00:01:41,760 --> 00:01:43,840 Speaker 3: we have a lot of different government sponsor programs and 32 00:01:43,840 --> 00:01:46,319 Speaker 3: we also have some products for city employees. We have 33 00:01:46,400 --> 00:01:52,080 Speaker 3: products for people with Medicare or Medicaid, so there's many 34 00:01:52,080 --> 00:01:54,040 Speaker 3: options for people to choose from that Metroplus. 35 00:01:54,240 --> 00:01:56,760 Speaker 2: So you have, as you mentioned, seven hundred thousand members, 36 00:01:56,800 --> 00:01:59,720 Speaker 2: who is eligible and who is eligible for the Medicare programs. 37 00:02:00,360 --> 00:02:03,840 Speaker 3: So specifically, for people eligible for our Medicare program, it's 38 00:02:03,880 --> 00:02:08,160 Speaker 3: typically someone who is either age sixty five and over 39 00:02:09,320 --> 00:02:12,079 Speaker 3: and they have Medicare, but they can also have Medicaid. 40 00:02:12,240 --> 00:02:15,600 Speaker 3: We call them dual eligibles. So some people they qualify 41 00:02:15,680 --> 00:02:20,080 Speaker 3: for medical care because of their age and or disability, 42 00:02:20,720 --> 00:02:23,919 Speaker 3: but they may also get Medicaid because of their income. 43 00:02:24,360 --> 00:02:27,239 Speaker 3: So usually someone with a lower income will also qualify 44 00:02:27,320 --> 00:02:30,360 Speaker 3: for Medicaid, So you can have Medicare and Medicaid together, 45 00:02:30,840 --> 00:02:34,080 Speaker 3: and that's called someone who's dual eligible. We also have 46 00:02:34,120 --> 00:02:36,480 Speaker 3: a product for people who just have Medicare by itself. 47 00:02:37,000 --> 00:02:40,840 Speaker 3: They're not eligible for the Medicaid conportion portion because their 48 00:02:40,840 --> 00:02:43,560 Speaker 3: income is higher, so they just have Medicare because they 49 00:02:43,639 --> 00:02:47,200 Speaker 3: met the age requirement being sixty five or over, or 50 00:02:47,200 --> 00:02:49,720 Speaker 3: they have a disability. And then we have a third 51 00:02:49,760 --> 00:02:52,799 Speaker 3: product for people who have Medicare but they need long 52 00:02:52,919 --> 00:02:56,080 Speaker 3: term care services, meaning they'll need care for more than 53 00:02:56,080 --> 00:02:59,720 Speaker 3: one hundred and twenty days, and typically that's in home care, 54 00:02:59,800 --> 00:03:04,800 Speaker 3: not institutionalized hospital based care. They're living safely in their home, 55 00:03:05,080 --> 00:03:07,400 Speaker 3: but they may need a home health attendant or something 56 00:03:07,480 --> 00:03:09,440 Speaker 3: like that for care for more than one hundred and 57 00:03:09,440 --> 00:03:11,560 Speaker 3: twenty days, and that's our ultra care program. 58 00:03:12,280 --> 00:03:14,200 Speaker 2: I wonder if you could drill down just a little 59 00:03:14,200 --> 00:03:16,920 Speaker 2: bit on again what it means to be a not 60 00:03:17,040 --> 00:03:19,440 Speaker 2: for profit health insurance plan. Where does that sort of 61 00:03:19,440 --> 00:03:22,960 Speaker 2: place you in the healthcare landscape is compared to a 62 00:03:23,040 --> 00:03:24,640 Speaker 2: national brand for instance. 63 00:03:25,240 --> 00:03:27,720 Speaker 3: Well, good, good question. So, being a not for profit, 64 00:03:28,520 --> 00:03:32,760 Speaker 3: all of the revenue that we generate that comes from 65 00:03:33,000 --> 00:03:36,800 Speaker 3: the government, whether it be the state or the federal government. 66 00:03:37,120 --> 00:03:40,480 Speaker 3: Once that money comes into Metroplus, we then take it 67 00:03:40,520 --> 00:03:44,160 Speaker 3: and we distribute payments to all of our providers, all 68 00:03:44,200 --> 00:03:47,200 Speaker 3: of the doctors, the hospitals, the specialists that care for 69 00:03:47,240 --> 00:03:49,320 Speaker 3: our members. So you have to pay that out. That's 70 00:03:49,320 --> 00:03:52,800 Speaker 3: our administrative cost excuse me, our medical costs. Then we 71 00:03:52,920 --> 00:03:56,160 Speaker 3: have administrative costs to run the plan. We have to 72 00:03:56,200 --> 00:03:58,840 Speaker 3: pay salaries, and we have to pay rent and all 73 00:03:58,880 --> 00:04:02,880 Speaker 3: the different things that make up your administrative course. And 74 00:04:02,920 --> 00:04:07,040 Speaker 3: then the remaining money is the profit. That profit goes 75 00:04:07,160 --> 00:04:10,520 Speaker 3: back to our owner hospital system, the New York City 76 00:04:10,520 --> 00:04:13,560 Speaker 3: Health and Hospital System, to care for people that come 77 00:04:13,600 --> 00:04:17,559 Speaker 3: through their system for cares. So we only use about 78 00:04:17,560 --> 00:04:19,880 Speaker 3: twelve percent of the revenue that we generate to run 79 00:04:19,880 --> 00:04:22,559 Speaker 3: the plan, and the rest goes back to our owner 80 00:04:22,600 --> 00:04:25,480 Speaker 3: hospital system, so that New York City has a thriving 81 00:04:25,520 --> 00:04:28,120 Speaker 3: public hospital system. Here in New York, you. 82 00:04:28,080 --> 00:04:30,880 Speaker 2: Are a subsidiary of the New York Hospital System. Can 83 00:04:30,920 --> 00:04:33,520 Speaker 2: you describe them the network in terms of service areas 84 00:04:33,520 --> 00:04:35,320 Speaker 2: and hospitals and urgent care centers, etc. 85 00:04:36,240 --> 00:04:38,640 Speaker 3: Right, So, the New York City Health Plus hospital system 86 00:04:38,720 --> 00:04:41,520 Speaker 3: is made up of eleven acute hospitals here in New 87 00:04:41,600 --> 00:04:44,440 Speaker 3: York City in the five boroughs. In addition to the 88 00:04:44,480 --> 00:04:50,960 Speaker 3: eleven acute hospitals, they also run close around forty smaller 89 00:04:51,520 --> 00:04:54,760 Speaker 3: off sites. We might call them the Gotham sites or 90 00:04:56,560 --> 00:05:00,280 Speaker 3: FQHC sites, et cetera. But they have about forty sites 91 00:05:00,320 --> 00:05:03,040 Speaker 3: that are for child and family services that are not 92 00:05:03,120 --> 00:05:06,560 Speaker 3: a hospital, and then they have a number of other programs. 93 00:05:06,560 --> 00:05:09,919 Speaker 3: They run a home care division, they run a plan 94 00:05:10,040 --> 00:05:14,000 Speaker 3: like Metroplus. So it's a huge hospital system that serves 95 00:05:14,279 --> 00:05:17,280 Speaker 3: over a million people locally here in New York on 96 00:05:17,320 --> 00:05:21,040 Speaker 3: an annual basis. Between they are acute hospitals, they are 97 00:05:21,080 --> 00:05:24,680 Speaker 3: smaller off sites that are Article forty Article twenty eight facilities. 98 00:05:25,200 --> 00:05:27,880 Speaker 3: They run a health plan, they run a home care agency, 99 00:05:28,200 --> 00:05:30,160 Speaker 3: and a bunch of other type of services. So it's 100 00:05:30,200 --> 00:05:33,239 Speaker 3: a huge system serving, like I said, over a million 101 00:05:33,320 --> 00:05:34,120 Speaker 3: people annually. 102 00:05:34,440 --> 00:05:37,440 Speaker 2: Our guest is Roger Milliner. He's currently the chief Growth 103 00:05:37,480 --> 00:05:40,520 Speaker 2: Officer at Metroplus Health Plan and is a key member 104 00:05:40,520 --> 00:05:43,880 Speaker 2: of the executive C suite team. Mister Milliner a Brooklyn 105 00:05:43,920 --> 00:05:47,440 Speaker 2: native began his career at Metroplus Health in February nineteen ninety. 106 00:05:47,960 --> 00:05:50,080 Speaker 2: You're listening to get connected on one oh six point 107 00:05:50,120 --> 00:05:52,400 Speaker 2: seven light FM. I'm Na del Rio and you can 108 00:05:52,440 --> 00:05:56,040 Speaker 2: find out more about metroplus Health at metroplus dot org. 109 00:05:56,560 --> 00:05:58,720 Speaker 2: And the topic of the day for so many people 110 00:05:58,800 --> 00:06:01,400 Speaker 2: are the changes in healthcare. First of all, the Medicare 111 00:06:01,480 --> 00:06:07,080 Speaker 2: annual enrollment period begins now through twelve seven. Who's eligible So. 112 00:06:07,040 --> 00:06:10,159 Speaker 3: As I said earlier, if you are a Medicare recipient 113 00:06:10,880 --> 00:06:14,239 Speaker 3: because you've turned sixty five or you will become sixty 114 00:06:14,279 --> 00:06:17,599 Speaker 3: five in the next three months, you're eligible to join. 115 00:06:18,640 --> 00:06:21,920 Speaker 3: If you are Medicare recipient under the age of sixty 116 00:06:21,960 --> 00:06:25,719 Speaker 3: five because you receive Medicare due to a disability, you're 117 00:06:25,760 --> 00:06:29,560 Speaker 3: also able to join. If you're a Medicare recipient who 118 00:06:29,600 --> 00:06:33,240 Speaker 3: not only has Medicare because you've reached the age and 119 00:06:33,279 --> 00:06:36,920 Speaker 3: the disability and or the disability and you also have Medicaid, 120 00:06:37,160 --> 00:06:40,800 Speaker 3: you're eligible to join. If you're a Medicare recipient who 121 00:06:40,880 --> 00:06:45,039 Speaker 3: needs long term care services, you can join. So Medicare 122 00:06:45,120 --> 00:06:52,840 Speaker 3: qualifications is usually because of age and disability. Medicaid qualifications 123 00:06:52,920 --> 00:06:57,560 Speaker 3: is income based. So typically if someone is earning roughly 124 00:06:57,640 --> 00:07:02,760 Speaker 3: around fifteen thousand dollars or less. They will also qualify 125 00:07:02,880 --> 00:07:04,680 Speaker 3: for Medicaid as a single individual. 126 00:07:05,240 --> 00:07:08,200 Speaker 2: So the annual enrollment period for Medicare is now through 127 00:07:08,240 --> 00:07:11,840 Speaker 2: twelve seven. You have another product that's opening soon too, correct. 128 00:07:11,760 --> 00:07:15,320 Speaker 3: Right, so as of November first, and it'll go from 129 00:07:15,360 --> 00:07:19,440 Speaker 3: November first to November thirtieth. Anybody who's a city who 130 00:07:19,480 --> 00:07:22,400 Speaker 3: works for a city agency a city, they're a city employee. 131 00:07:22,600 --> 00:07:26,200 Speaker 3: So if you're a police officer, correction officer, firefighter, you 132 00:07:26,280 --> 00:07:30,320 Speaker 3: work for the Department of Education, Probation, any city agency, 133 00:07:30,320 --> 00:07:35,520 Speaker 3: and there are over seventy three different hierarchy city agencies 134 00:07:35,520 --> 00:07:38,840 Speaker 3: and then a couple of hundred of subagencies within them. 135 00:07:39,280 --> 00:07:44,000 Speaker 3: Those city workers can change health insurance starting on November first, 136 00:07:44,320 --> 00:07:46,120 Speaker 3: and they have to do it between November first and 137 00:07:46,160 --> 00:07:49,880 Speaker 3: November thirtieth, and that will be for their new coverage 138 00:07:49,880 --> 00:07:53,040 Speaker 3: to start January first, So it's an important time for 139 00:07:53,080 --> 00:07:55,520 Speaker 3: city employeees to know that they can change. And then 140 00:07:55,560 --> 00:07:58,840 Speaker 3: anybody who's new who starts working for the city, they 141 00:07:58,840 --> 00:08:00,160 Speaker 3: have thirty days to check. 142 00:08:00,080 --> 00:08:05,520 Speaker 2: Listen regarding current events, can you explain the changes happening 143 00:08:05,560 --> 00:08:09,560 Speaker 2: with the current White House administration regarding healthcare. 144 00:08:10,160 --> 00:08:13,200 Speaker 3: There's a lot of changes. So as we know, the 145 00:08:13,440 --> 00:08:16,360 Speaker 3: current administration within the White House is making a lot 146 00:08:16,400 --> 00:08:19,400 Speaker 3: of changes. One particularly is that a lot of the 147 00:08:20,720 --> 00:08:25,640 Speaker 3: expansion population that became eligible under the previous White House administration, 148 00:08:26,400 --> 00:08:30,040 Speaker 3: those expansions were as the result of an executive order, 149 00:08:30,440 --> 00:08:33,120 Speaker 3: and some of the executive orders are being repealed back 150 00:08:33,160 --> 00:08:36,880 Speaker 3: and being eliminated. So, for example, if you were somebody 151 00:08:36,960 --> 00:08:39,400 Speaker 3: whose income was between two hundred and two hundred and 152 00:08:39,440 --> 00:08:42,600 Speaker 3: fifty percent of the federal poverty level and you got 153 00:08:42,760 --> 00:08:45,320 Speaker 3: you were able to join the Essential Plan. Let's say 154 00:08:45,840 --> 00:08:48,920 Speaker 3: that population will no longer be eligible for the Essential 155 00:08:48,920 --> 00:08:51,719 Speaker 3: Plan because income between two hundred and two hundred and 156 00:08:51,720 --> 00:08:54,240 Speaker 3: fifty percent of the federal poverty level was the result 157 00:08:54,320 --> 00:08:58,200 Speaker 3: of an expansion executive order under the Biden administration, that's 158 00:08:58,240 --> 00:09:01,560 Speaker 3: being eliminated, and so that population will have to be 159 00:09:01,640 --> 00:09:04,720 Speaker 3: able will have to seek coverage through some other means. 160 00:09:04,760 --> 00:09:08,480 Speaker 3: They may be eligible for QHP, which may mean that 161 00:09:08,520 --> 00:09:11,600 Speaker 3: they have a monthly premium that they have to pay. 162 00:09:11,720 --> 00:09:14,960 Speaker 3: They may have to try to get insurance through health 163 00:09:14,960 --> 00:09:18,840 Speaker 3: and hospitals to one of their fee scale programs, but 164 00:09:18,920 --> 00:09:21,320 Speaker 3: they will not be eligible for the Essential Plan anymore. 165 00:09:22,640 --> 00:09:26,840 Speaker 3: There's other types of changes, such as work requirements. Pretty 166 00:09:26,840 --> 00:09:31,319 Speaker 3: soon anybody who's a Medicaid recipient will have to demonstrate 167 00:09:31,440 --> 00:09:34,520 Speaker 3: that they've worked a certain number of hours in order 168 00:09:34,600 --> 00:09:37,760 Speaker 3: to continue to get medicaid. So work requirements are going 169 00:09:37,800 --> 00:09:42,080 Speaker 3: to be another thing that impacts people. Many of the 170 00:09:42,120 --> 00:09:45,760 Speaker 3: subsidies that people were able to receive from the federal 171 00:09:45,800 --> 00:09:49,280 Speaker 3: government in order to pay down some of their monthly premiums, 172 00:09:49,600 --> 00:09:52,280 Speaker 3: that's going to go away. So, for example, under the 173 00:09:52,360 --> 00:09:56,120 Speaker 3: qualified Health plans, there won't be any subsidies that people 174 00:09:56,160 --> 00:09:59,480 Speaker 3: will be eligible to help absorb some of their monthly premium. 175 00:10:00,000 --> 00:10:02,520 Speaker 3: The consumer will have to pay the full premium. So 176 00:10:02,679 --> 00:10:06,960 Speaker 3: subsidies going away, work requirements are going away. Anybody in 177 00:10:07,040 --> 00:10:10,439 Speaker 3: any of the expansion populations will no longer be eligible. 178 00:10:10,960 --> 00:10:14,840 Speaker 3: So New York had was a very generous state, and 179 00:10:14,880 --> 00:10:17,280 Speaker 3: there was a lot of people who benefited from some 180 00:10:17,360 --> 00:10:20,320 Speaker 3: of these executive orders that led to you being able 181 00:10:20,360 --> 00:10:23,600 Speaker 3: to earn more money in order to get health insurance subsidized. 182 00:10:24,840 --> 00:10:27,240 Speaker 3: We're talking hundreds of thousands of people just in the 183 00:10:27,280 --> 00:10:29,480 Speaker 3: state of New York who will no longer be eligible 184 00:10:29,520 --> 00:10:30,760 Speaker 3: for health insurance. 185 00:10:30,360 --> 00:10:31,679 Speaker 2: And when does all this kick in. 186 00:10:32,800 --> 00:10:36,720 Speaker 3: It happens in different wa waves. So the first round 187 00:10:37,000 --> 00:10:40,760 Speaker 3: of people that no longer will be eligible starts next year. 188 00:10:41,600 --> 00:10:45,880 Speaker 3: So as of July of twenty twenty six, if you 189 00:10:45,960 --> 00:10:48,720 Speaker 3: were on the Essential Plan, and you were on the 190 00:10:48,800 --> 00:10:51,200 Speaker 3: Essential Plan because you were between two hundred and two 191 00:10:51,240 --> 00:10:53,480 Speaker 3: hundred and fifty percent of federal poverty level, you will 192 00:10:53,480 --> 00:10:55,679 Speaker 3: no longer be able to be in the Essential Plan 193 00:10:56,040 --> 00:10:58,840 Speaker 3: for EP five. So that's going to kick in in 194 00:10:58,840 --> 00:11:03,880 Speaker 3: twenty twenty six as of July. Things like work requirements, 195 00:11:04,040 --> 00:11:06,000 Speaker 3: that's going to take a little bit longer for the 196 00:11:06,040 --> 00:11:09,840 Speaker 3: government to operationalize, so that may you may be looking 197 00:11:09,880 --> 00:11:12,840 Speaker 3: more like a twenty twenty seven ramp up for the 198 00:11:12,880 --> 00:11:18,080 Speaker 3: work requirements subsidies. Subsidies are going away as of January first, 199 00:11:18,120 --> 00:11:22,360 Speaker 3: twenty twenty six, So anybody who's re enrolling for coverage 200 00:11:22,360 --> 00:11:25,640 Speaker 3: for January or enrolling for the first time for coverage 201 00:11:25,640 --> 00:11:30,920 Speaker 3: in January, they won't get any subsidies connected to helping 202 00:11:30,960 --> 00:11:34,120 Speaker 3: to absorb the financial course of their monthly premium. That's 203 00:11:34,160 --> 00:11:36,840 Speaker 3: going to happen as of January twenty twenty six. 204 00:11:37,160 --> 00:11:39,280 Speaker 2: So what do you have in the works at Metroplus 205 00:11:39,320 --> 00:11:41,920 Speaker 2: to help make sure people are in the correct plan, 206 00:11:42,040 --> 00:11:44,000 Speaker 2: can find a plan a plan they're eligible for. 207 00:11:45,320 --> 00:11:48,680 Speaker 3: Well, yeah, so Metroplus is going to for all of 208 00:11:48,720 --> 00:11:52,480 Speaker 3: our existing members. We're working closely with the New York 209 00:11:52,559 --> 00:11:55,600 Speaker 3: State of Health in order to determine when we get 210 00:11:55,600 --> 00:11:57,640 Speaker 3: a little closer to that time period of June of 211 00:11:57,720 --> 00:12:00,760 Speaker 3: next year, whether or not someone's inc is the same. 212 00:12:01,160 --> 00:12:03,200 Speaker 3: So we're going to be screening all of we have 213 00:12:03,320 --> 00:12:06,200 Speaker 3: thirty two thousand members that are going to be impacted 214 00:12:06,520 --> 00:12:08,679 Speaker 3: by this change with no longer be in eligible for 215 00:12:08,840 --> 00:12:11,680 Speaker 3: Essential Plan five. We're going to work with the state 216 00:12:11,800 --> 00:12:14,200 Speaker 3: in order to determine if any of their income has 217 00:12:14,280 --> 00:12:17,400 Speaker 3: changed where they may be eligible for a different tier 218 00:12:17,559 --> 00:12:20,960 Speaker 3: of the Essential Plan. So the Essential Plan has five tiers, 219 00:12:21,600 --> 00:12:25,880 Speaker 3: Tier one through five. Tier five is the one that jeopardy. 220 00:12:25,960 --> 00:12:27,959 Speaker 3: That's the one that I was telling you, where people 221 00:12:28,040 --> 00:12:29,959 Speaker 3: earn between two hundred and two hundred and fifty percent 222 00:12:29,960 --> 00:12:33,000 Speaker 3: of the federal bivery level. Some of that population, their 223 00:12:33,000 --> 00:12:36,160 Speaker 3: income might have changed and they now may earn less. 224 00:12:36,760 --> 00:12:39,040 Speaker 3: So we'll rescreen them to see if there is a 225 00:12:39,120 --> 00:12:41,280 Speaker 3: change in their income, to see if they're able to 226 00:12:41,320 --> 00:12:45,800 Speaker 3: move from EP five to EP one through four. So 227 00:12:45,880 --> 00:12:47,800 Speaker 3: that's one way that we're going to be helping people. 228 00:12:48,440 --> 00:12:52,280 Speaker 3: Others whose income stayed the same or got higher will 229 00:12:52,280 --> 00:12:54,640 Speaker 3: have to rescreen them and see if they want to 230 00:12:54,720 --> 00:12:59,680 Speaker 3: join QHP, which stands for Qualified Health Plans. That particular 231 00:12:59,679 --> 00:13:04,160 Speaker 3: program isn't free. The Essential Plan has no monthly premium. 232 00:13:04,520 --> 00:13:07,839 Speaker 3: QHP does have a premium, so we'll work with people 233 00:13:07,880 --> 00:13:10,160 Speaker 3: to see if they want to roll over into QHP, 234 00:13:10,880 --> 00:13:14,400 Speaker 3: but knowing that they will have a monthly premium to pay. 235 00:13:14,520 --> 00:13:18,400 Speaker 3: So we're going to be reassessing people's current household size, 236 00:13:18,520 --> 00:13:22,400 Speaker 3: their income to see what they qualify for in the future. 237 00:13:22,640 --> 00:13:25,719 Speaker 2: Clearly, this is a lot that's going on. How can 238 00:13:25,760 --> 00:13:27,120 Speaker 2: people find out more? 239 00:13:28,120 --> 00:13:31,720 Speaker 3: So, if you are a Medicare recipient and you're interested 240 00:13:31,760 --> 00:13:35,800 Speaker 3: in learning more about either switching from your current plan 241 00:13:35,840 --> 00:13:38,840 Speaker 3: to Metroplus during the open and wrong period for Medicare, 242 00:13:39,400 --> 00:13:43,560 Speaker 3: you would call one eight three three nine six five 243 00:13:44,280 --> 00:13:48,280 Speaker 3: one five two six. That's our dedicated line for anybody 244 00:13:48,280 --> 00:13:52,680 Speaker 3: who's interested in rolling in our Medicare Advantage Plan, our 245 00:13:52,679 --> 00:13:55,959 Speaker 3: Medicare Platinum Plan, or our Ultracare plan. That's the best number. 246 00:13:56,160 --> 00:13:59,960 Speaker 3: You can also reach us on our website at www. 247 00:14:00,240 --> 00:14:03,280 Speaker 3: Metroplus dot org. And you'll be able to see all 248 00:14:03,320 --> 00:14:06,640 Speaker 3: of the different products that we offer, the features, the benefits, 249 00:14:06,679 --> 00:14:10,600 Speaker 3: the enrollment time periods, the eligibility requirements. You can also 250 00:14:11,160 --> 00:14:14,080 Speaker 3: see the listing of all of our providers. We have 251 00:14:14,200 --> 00:14:18,240 Speaker 3: over thirty four thousand providers in the five boroughs of 252 00:14:18,280 --> 00:14:20,920 Speaker 3: New York City, so we have a very robust network 253 00:14:20,960 --> 00:14:23,160 Speaker 3: that people can take advantage of, and all of that 254 00:14:23,200 --> 00:14:27,120 Speaker 3: can be seen on our website. In addition, consumers can 255 00:14:27,160 --> 00:14:30,200 Speaker 3: walk right into one of our nine community offices that 256 00:14:30,240 --> 00:14:34,640 Speaker 3: we have all throughout the Borrows. We strategically placed in 257 00:14:34,760 --> 00:14:39,800 Speaker 3: person brick and mortar locations in the communities so people 258 00:14:39,800 --> 00:14:43,320 Speaker 3: can walk in to get help with enrollment assistance, learn 259 00:14:43,360 --> 00:14:46,360 Speaker 3: more about the features and benefits of our program. We 260 00:14:46,400 --> 00:14:49,360 Speaker 3: can help them with recertification, we can help them make 261 00:14:49,400 --> 00:14:53,680 Speaker 3: a premium payment, change their address, order a new ID card. 262 00:14:54,040 --> 00:14:57,880 Speaker 3: So it's a walking center for all things enrollment, customer 263 00:14:57,960 --> 00:14:59,280 Speaker 3: service and education. 264 00:15:00,120 --> 00:15:03,480 Speaker 2: There is so much more at the website metroplus dot org. 265 00:15:03,760 --> 00:15:07,680 Speaker 2: Our guest is Rogermiliner, chief Growth Officer at metro Plus Health. 266 00:15:07,800 --> 00:15:09,360 Speaker 2: Thank you for being on to get connected and thank 267 00:15:09,400 --> 00:15:10,000 Speaker 2: you for your time. 268 00:15:10,520 --> 00:15:11,320 Speaker 3: Thank you so much. 269 00:15:12,560 --> 00:15:15,520 Speaker 1: This has been get connected with Nina del Rio on 270 00:15:15,520 --> 00:15:18,320 Speaker 1: one oh six point seven light Fm. The views and 271 00:15:18,360 --> 00:15:21,040 Speaker 1: opinions of our guests do not necessarily reflect the views 272 00:15:21,080 --> 00:15:23,120 Speaker 1: of the station. If you missed any part of our 273 00:15:23,160 --> 00:15:25,520 Speaker 1: show or want to share it, visit our website for 274 00:15:25,680 --> 00:15:28,600 Speaker 1: downloads and podcasts at one oh six to seven lightfm 275 00:15:28,680 --> 00:15:30,760 Speaker 1: dot com. Thanks for listening.