Brokers | Healthfirst

Brokers

As a Healthfirst broker, you share our mission—offering quality and affordable Small Business or Medicare Advantage health insurance plans to New Yorkers. Our dedicated Broker Services team works with you to deliver quick solutions, and our secure broker portal is available any time of day to access the resources you need to support your clients.

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Broker Services

1-855-456-3668
Monday to Friday, 9am–5pm

Get Appointed

See information for:Small Business PlansMedicare Advantage Plans

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Working with Us

It’s quick and easy to get credentialed with Healthfirst. You’ll need:

  • Your National Producer Number (NPN)
  • An active New York State Accident and Health Insurance License
  • A copy of your Errors & Omissions Insurance policy

Broker Application Guide English

Get Appointed

Appointed General Agents

Enrollment Info

To enroll clients, we require that small group business be submitted through one of our appointed general agents.

For more information, please contact Broker Services at 1-855-456-3668, Monday to Friday, 9am–5pm.

Join our mailing list to learn about getting appointed to sell Healthfirst Medicare plans.

We look forward to working with you. Due to demand and our commitment to providing superior service, invitations will be provided on a rolling basis.

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Plan Overviews

See information for:Small Business PlansMedicare Advantage Plans

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Small Business EPOPlan Details

Service Areas: New York City and Long Island

Group Size: 1-100 employeesSmall business plans are only available for businesses of this size and location.

2019 Documents (PDF)

 

Fourth Quarter Rate Sheet

Pro Plans Pro Plus Plans

2020 Documents (PDF)

Formulary document coming soon.

First Quarter Rate Sheet

Pro Plans Pro Plus Plans

Summary of Benefits

2020
2020 2019
Platinum
Tier
Platinum Pro
Platinum Pro Plus
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Tier
Gold Pro
Gold Pro Plus
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Tier
Gold 25/50/0 Pro
Gold 25/50/0 Pro Plus
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Tier
Silver Pro
Silver Pro Plus
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Tier
Silver 40/75/4700 Pro
Silver 40/75/4700 Pro Plus
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Tier
Bronze Pro
Bronze Pro Plus
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Tier
Bronze 6650 Pro
Bronze 6650 Pro Plus
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Tier
Bronze 8150 Pro
Summary of Benefits (PDF) English Español 中文
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Certificate of Coverage

Tiger
Platinum Pro
Platinum Pro Plus
Summary of Benefits (PDF) English Español 中文
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Tier
Gold Pro
Gold Pro Plus
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Tier
Gold 25/50/0
Gold 25/50/0
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Tier
Silver Pro
Silver Pro Plus
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Tier
Silver 40/75/4700 Pro
Silver 40/75/4700 Pro Plus
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Tier
Bronze Pro
Bronze Pro Plus
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Tier
Bronze 6650 Pro
Bronze 6650 Pro Plus
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This plan is not available for 2019

Access to Care

Provider Lookup

We work hard to make it easy for you to get the care you need, when you need it. Healthfirst's HFDocFinder helps members find the care they need—including Primary Care Providers (PCPs), specialists, hospitals, and more.

Search Provider Network

  • Deductible

    The amount of money you must pay in covered expenses each year before your plan or program pays anything for certain covered services. The deductible may not apply to all services. There may be different deductibles for different services (e.g., medical vs. pharmacy). Not all plans require deductibles. This is separate from a monthly premium payment. Example: If your deductible is $500, you need to spend $500 for covered healthcare services within one year before your plan or program will start paying for your health services. Your deductible resets once every year.

  • Extra Help

    A Medicare program to help people with limited income and resources pay Medicare prescription drug program costs, like premiums, deductibles, and coinsurance.

  • OTC Card

    Over-the-counter medicine is also known as OTC or nonprescription medicine. Each of these terms refers to medicine that you can buy without a prescription.

  • Premium

    The amount of money you must pay monthly, quarterly, or twice a year to be covered by a health insurance plan or program.

  • Silver Sneakers

    SilverSneakers is a Medicare fitness program that promotes well-being among seniors through exercise and social opportunities.

  • Transportation

    Depending on your plan, you may receive free transportation to/from your doctor and/or pharmacy.

Individual Medicare Advantage Plans

Life Improvement PlanHMO SNP

Plan Details

A Medicare Advantage plan with a $0 monthly plan premium, prescription drug coverage, and no copays. This plan is for those who are dual-eligible for both Medicare and full Medicaid coverage or cost-sharing assistance from Medicaid.

Increased Benefits PlanHMO

Plan Details

A Medicare Advantage plan with a $0 monthly plan premium, prescription drug coverage, and low or no copays. This plan is for those who qualify for full Extra Help, also known as Low Income Subsidy (LIS), which helps lower prescription drug costs.

65 Plus PlanHMO

Plan Details

A Medicare Advantage plan with a $0 monthly plan premium, prescription drug coverage, and low or no copays, with more than what Original Medicare offers. This plan is for those looking for hospital, medical, and prescription drug coverage all in one plan.

Summary of Benefits

2020
2020 2019
Plans
Life Improvement Plan
Increased Benefits Plan
65 Plus Plan
Summary of Benefits (PDF) English Español 中文
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Plans
Life Improvement Plan
Increased Benefits Plan
65 Plus Plan
Summary of Benefits (PDF) English Español 中文
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English Español 中文
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English Español 中文
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Access to Care

Provider Lookup

We work hard to make it easy for you to get the care you need, when you need it. Healthfirst's HFDocFinder helps members find the care they need—including Primary Care Providers (PCPs), specialists, hospitals, and more.

Search Provider Network

HFIC2215: HFIC16_73
Coverage is provided by Healthfirst Health Plan, Inc., Healthfirst PHSP, Inc., and/or Healthfirst Insurance Company, Inc. (together, “Healthfirst”). Plans contain exclusions and limitations. Plans above reflect amounts after Extra Help or Medicaid secondary coverage has been applied.

Healthfirst Health Plan, Inc. offers HMO plans that contract with the Federal Government. Healthfirst Medicare Plan has a contract with New York State Medicaid for Healthfirst CompleteCare (HMO SNP) and a Coordination of Benefits Agreement with the New York State Department of Health for the Healthfirst Life Improvement Plan (HMO SNP). Enrollment in Healthfirst Medicare Plan depends on contract renewal.

This information is not a complete description of benefits. Contact the plan for more information. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year.

Healthfirst Medicare Plan, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-305-0408 (TTY 1-888-867-4132). 注意：如果您使用繁體中文，您可以免費獲得語言援助服 務。請致電1-866-305-0408 (TTY 1-888-542-3821).

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