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Healthfirst welcomes 1199SEIU members

The 1199SEIU Home Care Benefit Fund is working with Healthfirst, one of New York's largest not-for-profit health insurers, to enroll eligible members into the New York State Essential Plan offered by Healthfirst. This plan provides you with access to quality health insurance coverage.

This website will let you:

  • Schedule an appointment
  • View a summary of the health insurance benefits
  • Explore the plan highlights
  • Verify that your primary care provider participates in the Healthfirst network
  • Check to see if your medications are covered by the plan

You may also schedule an appointment to speak with a dedicated Healthfirst representative over the phone for help with the enrollment process and answers to any questions you may have about the Essential Plan.

As an 1199SEIU member, your dedicated Outreach Coordinator is always available to support or assist you with any questions or concerns you have. You can contact your Coordinator at (646) 473-6930 or Outreach.Assistance@1199funds.org.

The Essential Plan available through Healthfirst

0

monthly premium and no deductible

Do I qualify for this plan?

If you are an individual between the ages of 19 and 64 and are:

  • A resident of New York State
  • Making up to $37,650*
  • Ineligible for Medicaid, including because of immigration status

Plan benefits include:

  • No-cost annual checkups
  • Hospital, emergency room, and urgent care visits
  • Lab tests and X-rays
  • Prescription drug coverage
  • Maternity coverage
  • No-cost dental and vision coverage
  • 24/7 access to care with telemedicine (Teladoc)
  • Physical, occupational, and speech therapy
  • Annual gym membership reimbursement§
Are my drugs covered?
Is my provider in-network?

Get started with enrollment

Call: 1-888-300-7069
TTY English: 1-888-542-3821
TTY Español: 1-888-867-4132

Monday to Friday, 9am–8pm

Or schedule an appointment

Make an appointment to enroll by phone or in person.

Schedule an appointment

To learn more about applying for health insurance, including Medicaid, Child Health Plus, Essential Plan, and Qualified Health Plans through NY State of Health, The Official Health Plan Marketplace, visit www.nystateofhealth.ny.gov or call 1-855-355-5777.

* The income limit shown is for a household size of one.
† Copays may apply. Dental services must be medically necessary to be covered; limitations apply.
‡ Telemedicine isn’t a replacement for your primary care provider (PCP). Your PCP should always be your first choice for care (both in-person and virtual visits).
§ Up to $200 per reward period. There are two reward periods—January through June, and July through December.
The income limit may increase based on your household size.

This information is not a complete description of benefits. Contact the plan for more information.

Coverage is provided by Healthfirst PHSP, Inc. Plans contain exclusions and limitations.
Essential Plans are for individuals and contain exclusions and limitations. Speak to a Healthfirst representative for qualification details or other plan options.

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