Select a Healthfirst plan below to see its Summary of Benefits, Evidence of Coverage, Member Handbook, and other important documents.
If you’re a Healthfirst member, log in to the Member Portal to see your plan benefits and more helpful information.
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Find the Healthfirst Member Form you need here.
*=Managed Long-Term Care Plans
Plan Documents
65 Plus Plan (HMO)
Every year, Medicare evaluates plans based on a 5-star rating system.
CompleteCare (HMO D-SNP)*
Every year, Medicare evaluates plans based on a 5-star rating system.
Connection Plan (HMO D-SNP)
Every year, Medicare evaluates plans based on a 5-star rating system.
Increased Benefits Plan (HMO)
Every year, Medicare evaluates plans based on a 5-star rating system.
Life Improvement Plan (HMO D-SNP)
Every year, Medicare evaluates plans based on a 5-star rating system.
Signature (HMO)
Every year, Medicare evaluates plans based on a 5-star rating system.
Every year, Medicare evaluates plans based on a 5-star rating system.
Signature (PPO)
Every year, Medicare evaluates plans based on a 5-star rating system.
Additional Resources
Helpful Member and Plan Information
Medicare Advantage Members:
Premiums, copays, coinsurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
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.
Healthfirst 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).
Last update December 18, 2024 @ 3:20 pm
Y0147_MKT25_91 5128-24_M
Plan Documents
Medicaid Managed Care
For more information on the latest behavioral health services available, please review your Member Handbook.
Medicaid members enrolled in Healthfirst Medicaid Managed Care receive their prescription drugs through NYRx, the Medicaid Pharmacy Program. Use the link above to search the list of drugs covered by NYRx.
Personal Wellness Plan
Medicaid members enrolled in Healthfirst Personal Wellness Plan receive their prescription drugs through NYRx, the Medicaid Pharmacy Program. Use the link above to search the list of drugs covered by NYRx.
Additional Resources
Plan Documents
Essential Plan
Plan Documents
Platinum
Gold
Silver
Additional Resources
Helpful Member and Plan Information
*=Managed Long-Term Care Plans
Plan Documents
65 Plus Plan (HMO)
Every year, Medicare evaluates plans based on a 5-star rating system.
CompleteCare (HMO D-SNP)*
Every year, Medicare evaluates plans based on a 5-star rating system.
Connection Plan (HMO D-SNP)
Increased Benefits Plan (HMO)
Every year, Medicare evaluates plans based on a 5-star rating system.
Life Improvement Plan (HMO D-SNP)
Every year, Medicare evaluates plans based on a 5-star rating system.
Signature (HMO)
Every year, Medicare evaluates plans based on a 5-star rating system.
Every year, Medicare evaluates plans based on a 5-star rating system.
Signature (PPO)
Every year, Medicare evaluates plans based on a 5-star rating system.
Additional Resources
Helpful Member and Plan Information
Medicare Advantage Members:
Premiums, copays, coinsurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
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.
Healthfirst 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).
Last update December 18, 2024 @ 3:20 pm
Y0147_MKT24_67 1102-23_M
Plan Documents
Medicaid Managed Care
For more information on the latest behavioral health services available, please review your Member Handbook.
Beginning April 1, 2023, all Medicaid members enrolled in Healthfirst Medicaid Managed Care will receive their prescription drugs through NYRx, the Medicaid Pharmacy Program. Search the list of drugs covered by the Medicaid NYRx pharmacy program in the above link.
Personal Wellness Plan
Beginning April 1, 2023, all Medicaid members enrolled in Healthfirst Personal Wellness Plan will receive their prescription drugs through NYRx, the Medicaid Pharmacy Program. Search the list of drugs covered by the Medicaid NYRx pharmacy program in the above link.
Additional Resources
Plan Documents
Essential Plan
Plan Documents
Platinum
Gold
Silver
Additional Resources
Helpful Member and Plan Information
Links to non-Healthfirst websites are provided for your convenience only. Healthfirst is not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.