65 Plus Plan (HMO)
The Healthfirst 65 Plus Plan is a Medicare Advantage plan that offers the benefits of Original Medicare, plus prescription drug coverage, dental, hearing, vision, acupuncture, and 24/7 access to care with Teladoc® and the Nurse Help Line. And you don’t need referrals to see in-network specialists. This plan is designed for people who do not qualify for programs like Extra Help (also known as Low Income Subsidy), Medicare Savings Program (MSP), or Medicaid.
Every year, Medicare evaluates plans based on a 5-star rating system.
SilverSneakers® fitness program
We want to help you get the most out of your Part D prescription drug benefits. Please refer to the formulary below to see which medications fall under each tier. Please note that Healthfirst may add drugs to or remove them from its Medicare formulary during the year. You will receive notice when changes are made.
More Information: Medicare Coverage Decisions, Appeals, and Complaints
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. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
You must continue to pay your Medicare Part B premium.
Coverage is provided by Healthfirst Health Plan, Inc., Healthfirst PHSP, Inc., and/or Healthfirst Insurance Company, Inc. (together, “Healthfirst”). Plans contain exclusions and limitations.
Healthfirst Health Plan, Inc. offers HMO plans that contract with the Federal Government. Enrollment in Healthfirst Medicare Plan depends on contract renewal.
Healthfirst complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
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Last update March 30, 2020 @ 8:34 pm