Does MetroPlus Cover Gynecological Services in Midtown Manhattan?
With a MetroPlus healthcare plan, you have access to comprehensive gynecology services. These services are generally available at no additional cost, as long as you consult with a gynecologist in Midtown Manhattan who takes MetroPlus.
Common gynecological services include:
- Routine check-ups to monitor your reproductive health
- Essential tests for early detection of cervical cancer
- Screenings to detect breast abnormalities
- Guidance on birth control options and prescriptions
As a MetroPlus subscriber, you don’t necessarily need a referral from your primary care physician to see an in-network gynecologist. This policy facilitates easier access to specialized gynecological care. Before you schedule your appointment, however, check that your chosen gynecologist accepts your insurance plan.
MetroPlus plans include:
- Essential plan
- Marketplace plans
- Medicaid managed care
- Child health plus plan
- MetroPlusHealth gold plan
- GoldCare plan
- Medicare advantage plans
- MetroPlus platinum plan
- MetroPlus ultracare
- Enhanced (HARP) plan
- Managed long-term care (MLTC)
- Partnership in care (PIC) HIV plan
What Characteristics Do the Best Gynecologists in Midtown Manhattan Share?
Ensure that your gynecology specialist is board-certified by the American Board of Obstetrics and Gynecology. This certification indicates that your doctor has complied with the rigorous standards of education, training, ethical practices and continuing education.
Find a Midtown Manhattan gynecologist who takes MetroPlus with substantial experience, especially in areas related to your health concerns, such as:
- Reproductive endocrinologists
- Gynecologic oncologists
- Obstetric gynecologists
- Urogynecologists
- Geriatric gynecologists
Once you’ve found gynecologists who fit your needs through this directory, you can narrow your search further by looking for other criteria.
Other qualities of the best gynecologists in Midtown Manhattan include:
- A convenient location to your home or workplace
- The gender of your choice
- Flexible appointment scheduling
- Affiliation with reputable hospitals
- Positive past patient reviews
- A clear and compassionate communication style in your language
Does MetroPlus Health Insurance Cover Specialized Gynecological Services?
MetroPlus provides coverage for specialized gynecological services across its various health plans. These services are designed to address complex reproductive health needs, such as infertility services. Sometimes, your regular MetroPlus gynecologist in Midtown Manhattan may refer you to a specialized gynecology doctor for specific treatments, such as for infertility issues.
Your insurance plan covers certain procedures at specific levels, so check your plan’s details. If you’re enrolled in the Gold or GoldCare 1 & 2 plans, for example, you may be able to take advantage of either intrauterine insemination or in vitro fertilization procedures.
Other specialized services include surgical and diagnostic procedures when deemed medically necessary, such as:,
- Hysteroscopy. This procedure allows your gynecologist to examine the inside of your uterus.
- Laparoscopy. This minimally invasive surgery is performed to diagnose and treat conditions like endometriosis and fibroids.
- Laparotomy. This is a more extensive surgical procedure for addressing complex gynecological issues.
Can I Book a Gynecological Appointment When It’s Convenient for Me?
MetroPlus has an extensive network that includes many Midtown Manhattan gynecologists. This selection increases the likelihood of being able to book an appointment with a gynecologist who fits your scheduling needs.
If flexibility is important to you, always ask the gynecology practice about the possibility of same-day, after-hours or weekend appointments, including:
- Early mornings before 9:00 am
- Evenings after 5:00 pm
- Saturday or Sunday hours
- Telehealth availability
MetroPlus Health’s Virtual Visit program offers access to gynecologists through telehealth services. This option is ideal for consultations, follow-ups and certain non-emergency concerns that don’t require an in-person physical exam. You can get care 24/7 from anywhere in New York State, which adds convenience by eliminating the need to travel for your appointment.
Are There Female Gynecologists within the MetroPlus Network in Midtown Manhattan?
MetroPlus Health offers access to female gynecologists within its network. You may be more comfortable sharing sensitive concerns — such menstrual irregularities, sexual health or fertility challenges — with a female gynecologist. That comfort leads to more honest conversations that facilitate accurate diagnoses and effective treatment plans.
A female MetroPlus gynecologist in Midtown Manhattan has personal experience with many of the gynecology conditions they treat, such as:
- Menstruation
- Pregnancy
- Menopause
Booking an appointment with a female doctor may provide you with a more comfortable consultation experience, as woman physicians are more apt to be patient, understanding and more empathetic. Female gynecologists also respect your culture or personal belief system. If it’s your preference to see a female gynecologist, MetroPlus respects your decision.
What Does a MetroPlus Gynecologist in Midtown Manhattan Do?
A Midtown Manhattan gynecologist who takes MetroPlus guides you through your diagnosis and treatment plan to ensure you receive the right care. Additionally, your gynecology specialist explains which services are covered under your specific plan, which helps you make informed decisions.
Your doctor offers treatment for a variety of conditions, including:
- Ovarian cysts. Cysts are fluid-filled sacs within or on the surface of one of your ovaries. They may not be cancerous.
- Pelvic inflammatory disease. This condition involves an infection of a female reproductive organ.
- Polycystic ovary syndrome. This is a hormonal disorder that causes enlarged ovaries with small cysts.
- Endometriosis. This condition creates tissue similar to your uterine lining to grow outside your uterus.
- Uterine fibroids. These non-cancerous growths in your uterus can cause heavy bleeding and pelvic pain.
- Sexually transmitted infections. STIs include herpes, gonorrhea, chlamydia, trichomoniasis and human papillomavirus.
- Vaginal and vulvar conditions. These abnormal conditions include lumps, pimples, boils and other lesions affecting you external genitalia.
The best gynecologists in Midtown Manhattan also address certain conditions affecting your bladder, urethra and rectum. They may refer you to specialists in urology if needed. They also assist you with pre-authorization for your MetroPlus insurance policy and guide you through the necessary steps. Avoid surprise bills by booking an appointment with a Midtown Manhattan gynecologist who takes MetroPlus. Confirm that the services you need are covered under your insurance plan.