Brokers

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 and your business needs.

Broker Log In

Call Broker Services at 1-855-456-3668.

See hours of operation

Brokers

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 and your business needs.

Broker Log In

Call Broker Services at 1-855-456-3668. 

See hours of operation.

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Grow your book of business with Healthfirst

Join Healthfirst as a broker, where our mission is to offer quality and affordable Medicare Advantage health insurance plans to New Yorkers.

We partner with you to grow your business with Healthfirst by providing you tools, training, and access to our secure broker portal 24/7 to assist you.

Your value is recognized with compensation to match your dedication; when your membership grows, so does your profitability through commissions and renewals. Get appointed with Healthfirst and grow your book of business equity with us.

Note: Healthfirst is no longer accepting new applications for appointment from brokers to sell small group Commercial EPO products. This does not impact existing brokers with active business.

Get appointed

The journey to get appointed with Healthfirst starts here.

You'll need:
  • Your National Producer Number (NPN)
  • An active New York State Accident and Health Insurance License
  • A copy of your Errors and Omissions Insurance policy
  • A copy of your active America’s Health Insurance Plans (AHIP) Certification
Get Appointed

Medicare Broker Onboarding and Recontracting

Select a video below to learn more about recontracting and onboarding, or download the Onboarding and Recontracting Instructions PDF.

Recontracting video instructions Onboarding video instructions

Enrollment information

To enroll clients, Medicare business must be submitted through one of our appointed FMOs.

Appointed Field Marketing Organizations

Advocate Health Applied General Agency, Inc. Benefits Concierge Group Gamma Care Corporation Ritter Insurance Marketing Pinnacle Financial Services

Broker Services’ hours of operation

Self-service tools are available 24/7. For more information, or any additional service needs, please contact Broker Services at 1-855-456-3668 during the following hours of operation.

October 15 – December 7

Monday to Friday, 8am–8pm

Saturday 9am–5pm

Sunday 9am–1pm

December 8 – March 31

Monday to Friday, 9am–8pm

Saturday 9am–5pm

April 1 – October 14

Monday to Friday, 9am–5pm

Healthfirst Medicare Advantage Plans

Healthfirst Medicare Advantage plans provide all the benefits and services that Original Medicare does, plus a whole lot more—for less.

CHOOSE A PLAN TYPE

Dual Eligible Special Needs Plans (D-SNP) Medicare Advantage with Prescription Drugs

Dual Eligible Special Needs Plans (D-SNP)

For those who qualify for Medicare, plus Medicaid, Extra Help, or a Medicare Savings Program, these Healthfirst dual-eligible plans offer all-in-one coverage plus vision, dental, hearing, an OTC card, and more.

CHOOSE A PLAN

Life Improvement Plan (HMO D-SNP) Connection Plan (HMO D-SNP)
Life Improvement Plan (HMO D-SNP)

Star Rating

A Medicare Advantage plan with a $0 monthly plan premium, prescription drug coverage, and as low as $0 copays.

Premium

$0

Deductible

$0

Plan highlights:

$0 copays for primary care and specialist visits

Prescription copays as low as $0

OTC Plus card with $175/month allowance

Comprehensive dental coverage

Vision and hearing coverage

18 one-way rides to in-network providers

Find a Plan View plan details
Connection Plan (HMO D-SNP)

Star Rating

A Medicare Advantage Dual-Eligible Special Needs (HMO D-SNP) plan that works directly with your existing Medicaid coverage and offers members the benefits of both Original Medicare and Medicaid.

Premium

$0

Deductible

$0

Plan highlights:

$0 copays for primary care and specialist visits

Prescription copays as low as $0

OTC Plus card with a $55/month allowance

Comprehensive dental coverage

Vision and hearing coverage

18 one-way rides to in-network providers

Find a Plan View plan details

Medicare Advantage plans with prescription drug coverage (MAPD)

These Healthfirst plans offer hospital, medical, and prescription drug coverage, all in one low-cost plan.

CHOOSE A PLAN

65 Plus (HMO) Increased Benefits Plan (HMO) Signature (HMO) Signature (PPO)
65 Plus (HMO)

Star Rating

This Medicare Advantage plan offers additional benefits on top of Original Medicare, such as dental, vision, hearing, and acupuncture. It is designed for people who don’t qualify for programs that help pay Medicare costs, like Extra Help or Medicaid.

Premium

$0

Deductible

$0

Plan highlights:

$0 copays for primary care and specialist visits

OTC Plus card with a $25/month allowance

Comprehensive dental coverage

8 one-way rides to in-network providers

24/7 access to doctors by phone or video for $0

Vision, hearing, and fitness benefits

Find a Plan View plan details
Increased Benefits Plan (HMO)

Star Rating

A Medicare Advantage plan for those who qualify for Extra Help‡, also known as Low Income Subsidy (LIS), which helps to lower prescription drug costs.

Premium

$0‡

Deductible

$0

Plan highlights:

$0 copay for primary care doctor visits

$25 copay for specialist visits

OTC Plus card with a $35/month allowance

Comprehensive dental coverage ($1,500 annual benefit max)

Vision, hearing, and fitness benefits

20 one-way rides to in-network providers

‡If you have Extra Help, you will have a $0 monthly premium. If you do not have, or you lose, Extra Help, you will pay up to $24.20 for your monthly premium.

Find a Plan View plan details
Signature (HMO)

A Medicare Advantage plan that offers hospital, medical, prescription drug coverage, and more—all in one plan with a flexible benefit card to help pay for covered healthcare expenses.

Premium

$0

Deductible

$3001

$4502

Plan highlights:

$0 copay for primary care doctor visits

$40 copay for specialist visits

$1 copay for preferred generic drugs (30-day supply)

$130/year Flex card for dental, hearing, and vision out-of-pocket costs, and more

Comprehensive dental, vision, and hearing coverage

Worldwide emergency and urgent care coverage with a maximum benefit allowance

1$300 deductible for Bronx, Kings, Nassau, New York, Queens, Richmond county residents

2$450 for Orange, Rockland, Sullivan, Westchester county residents

Find a Plan View plan details
Signature (PPO)

A Medicare Advantage plan for those who want the flexibility to see any doctor or hospital in the U.S. that accepts Medicare for medical care.

Premium

$55

Deductible

$500*

Plan highlights:

$0 copay for in-network primary care doctor visits / $50 out-of-network

$40 copay for in-network specialist visits / $75 out-of-network

$1 copay for preferred generic drugs (30-day supply)

Comprehensive dental coverage

Vision and hearing coverage

Worldwide emergency and urgent care coverage

*Combined in-network / out-of-network services

Find a Plan View plan details

Healthfirst Medicare Advantage Plans

Healthfirst Medicare Advantage plans provide all the benefits and services that Original Medicare does, plus a whole lot more—for less.

CHOOSE A PLAN TYPE

Dual Eligible Special Needs Plans (D-SNP)

For those who qualify for Medicare, plus Medicaid, Extra Help, or a Medicare Savings Program, these Healthfirst dual plans offer all-in-one coverage plus vision, dental, hearing, an OTC Plus card, and more.

Star Ratings

A Medicare Advantage plan with a $0 monthly plan premium, prescription drug coverage, and as low as $0 copays.

Premium

$0

Deductible

$0

Plan highlights:

$0 copays for primary care and specialist visits

Prescription copays as low as $0

OTC Plus card with a $175/month allowance

Comprehensive dental coverage

Vision and hearing coverage

18 one-way rides to in-network providers

Find a Plan
View plan details

Star Ratings

A Medicare Advantage Dual-Eligible Special Needs (HMO D-SNP) plan that works directly with your existing Medicaid coverage and offers members the benefits of both Original Medicare and Medicaid.

Premium

$0

Deductible

$0

Plan highlights:

$0 copays for primary care and specialist visits

Prescription copays as low as $0

OTC Plus card with a $55/month allowance

Comprehensive dental coverage

Vision and hearing coverage

18 one-way rides to in-network providers

Find a Plan
View plan details

Medicare Advantage plans with prescription drug coverage (MAPD)

These Healthfirst plans offer hospital, medical, and prescription drug coverage, all in one low-cost plan.

Star Ratings

This Medicare Advantage plan offers additional benefits on top of Original Medicare, such as dental, vision, hearing, and acupuncture. It is designed for people who don’t qualify for programs that help pay Medicare costs, like Extra Help or Medicaid.

Premium

$0

Deductible

$0

Plan highlights:

$0 copays for primary care and specialist visits

OTC Plus card with a $25/month allowance

Comprehensive dental coverage

8 one-way rides to in-network providers

24/7 access to doctors by phone or video for $0

Vision, hearing, and fitness benefits

Find a plan
View plan details

Star Ratings

A Medicare Advantage plan for those who qualify for Extra Help‡, also known as Low Income Subsidy (LIS), which helps to lower prescription drug costs.

Premium

$0‡

Deductible

$0

Plan highlights:

$0 copay for primary care doctor visits

$25 copay for specialist visits

OTC Plus card with a $35/month allowance

Comprehensive dental coverage ($1,500 annual benefit max)

Vision, hearing, and fitness benefits

20 one-way rides to in-network providers

‡If you have Extra Help, you will have a $0 monthly premium. If you do not have, or you lose, Extra Help, you will pay up to $24.20 for your monthly premium.

Find a Plan
View plan details

A Medicare Advantage plan that offers hospital, medical, prescription drug coverage, and more—all in one plan with a flexible benefit card to help pay for covered healthcare expenses.

Premium

$0

Deductible

$3001

$4502

Plan highlights:

$0 copay for primary care doctor visits

$40 copay for specialist visits

$1 copay for preferred generic drugs (30-day supply)

$130/year Flex card for dental, hearing, and vision out-of-pocket costs, and more

Comprehensive dental, vision, and hearing coverage

Worldwide emergency and urgent care coverage with a maximum benefit allowance

1$300 deductible for Bronx, Kings, Nassau, New York, Queens, Richmond county residents

2$450 for Orange, Rockland, Sullivan, Westchester county residents

Find a Plan
View plan details

A Medicare Advantage plan for those who want the flexibility to see any doctor or hospital in the U.S. that accepts Medicare for medical care.

Premium

$55

Deductible

$500*

Plan highlights:

$0 copay for in-network primary care doctor visits / $50 out-of-network

$40 copay for in-network specialist visits / $75 out-of-network

$1 copay for preferred generic drugs (30-day supply)

Comprehensive dental coverage

Vision and hearing coverage

Worldwide emergency and urgent care coverage

*Combined in-network / out-of-network services

Find a Plan
View plan details

Summary of Benefits and Coverage

Content

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.

  • Provider Search QRG
Flu shot locations

Coverage is provided by Healthfirst Health Plan, Inc., Healthfirst PHSP, Inc., and/or Healthfirst Insurance Company, Inc. (together, “Healthfirst”). Healthfirst Medicare Plan has HMO and PPO plans with a Medicare contract. Our SNPs also have contracts with the NY State Medicaid program. Enrollment in Healthfirst Medicare Plan depends on contract renewal.

Plans contain exclusions and limitations. Plans above reflect amounts after Extra Help or Medicaid secondary coverage has been applied. 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.

OTC items are subject to the plan’s list of eligible items and the plan’s participating network of retail, online, and utility providers.

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