Brokers | Healthfirst

Brokers

Healthfirst makes it easy for brokers to get the tools they need to offer clients quality health insurance plans that are right for them.

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Broker Services

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

Company

  • Broad network of providers and industry-leading hospitals
  • Help in multiple languages
  • Top-rated health plans1
  • Diverse product offerings

1 Ratings are based on indicators chosen by the New York State Department of Health and are published in its 2014 through 2017 publications of A Consumer’s Guide to Medicaid Managed Care in NYC and on Long Island. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. Please visit www.medicare.gov for more information on CMS’ Star Ratings. Plans are offered by affiliates of Healthfirst, Inc. Plans contain exclusions and limitations.

Work with Us

See information for:Small Business PlansMedicare Advantage Plans

Clear

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

Get a Small Business Quote

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.

Enroll Clients.
We require that small group business be submitted through one of the General Agents.

Certificate of Coverage

Employer Payments: Three Ways to Pay

  • Employer Portal

  • Check or money order,
    payable to Healthfirst, to:
    Healthfirst Insurance Company
    PO Box 13831
    Philadelphia, PA 19101-3831

  • Employer Services: 1-855-949-3668
    Monday to Friday, 9am–5pm

Check Commission

Appointed brokers can log into our
Broker Portal to view commission rates and balances.

Step 1

Get Appointed

Brokers must get appointed through one of our Field Marketing Organizations.

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
  • A copy of your W9
Step 2

Get an Invitation to Sell

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.

Stay in touch

Get updates on: healthfirst events, roadshows, conferences, and trainings.

Notify me about Upcoming Broker/Agent Events
Step 3

Check Commission

Appointed Brokers can Log into our Broker Medicare Portal to view commission rates and balances.

Where can I direct members with questions?

Member Services: 1-888-260-1010
Monday to Sunday, 8am–8pm

TTY English: 1-888-542-3821
TTY Español: 1-888-867-4132

Plan Overview

At Healthfirst, our health insurance plans give small-business owners, employees, and their families a new option in an evolving market. Find out more about our plans and rates now.

See information for:Small Business PlansMedicare Advantage Plans

Clear

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.

Third Quarter Rate Sheet

Fourth Quarter Rate Sheet

Plan
Platinum Pro
Platinum Pro Plus
Summary of Benefits (PDF) English Español 中文
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English Español 中文
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Tier
Gold Pro
Gold Pro Plus
Summary of Benefits (PDF) English Español 中文
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English Español 中文
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Tier
Gold Pro
Gold Pro Plus
Summary of Benefits (PDF) English Español 中文
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Tier
Silver Pro
Silver Pro Plus
Summary of Benefits (PDF) English Español 中文
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English Español 中文
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Tier
Silver Pro
Silver Pro Plus
Summary of Benefits (PDF) English Español 中文
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English Español 中文
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Tier
Bronze Pro
Bronze Pro Plus
Summary of Benefits (PDF) English Español 中文
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Tier
Bronze Pro
Bronze Pro Plus
Summary of Benefits (PDF) English Español 中文
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  • 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.

Medicare Advantage Plans

Life Improvement PlanHMO SNP

Plan Details For those who do not qualify for government programs that help pay Medicare costs, such as Extra Help or Medicaid

$0 Monthly Premium

$0 Medical Deductible

Plan Highlights:

  • Prescription Coverage
  • Transportation
  • Silver Sneakers ©
  • $100/mo OTC Card

Increased Benefits PlanHMO

Plan Details For those who qualify for full Extra Help, also known as Low Income Subsidy (LIS), which helps lower prescription drug costs

$39.90 Monthly Premium,
If you qualify for full extra help,
your monthly premium will be $0.

$0 Medical Deductible

Plan Highlights:

  • Prescription Coverage
  • Transportation

65 Plus PlanHMO

Plan Details Made for those who do not qualify for government programs that help pay Medicare costs, such as Extra Help or Medicaid

$0 Monthly Premium,

$0 Medical Deductible

Plan Highlights:

  • Prescription Coverage
  • Acupuncture

Summary of Benefits

2019
Plan
Life Improvement Plan
Increased Benefits Plan
65+ Plan
Summary of Benefits (PDF) 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.

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Frequently Asked Questions

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