The Essential Plan covers important health benefits for a $0 monthly premium, plus $0 copay for dental and vision. Sponsored by New York State, our Essential Plans are for qualified individuals ages 19 to 64.
Plan Highlights:
- 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†
- 2024
The New York State of Health Marketplace rates insurance companies based on member experience, medical care, and health plan administration. The overall quality rating is based on a scale of one to five stars, with five stars being the highest and best rating.
The New York State of Health Marketplace rates insurance companies based on member experience, medical care, and health plan administration. The overall quality rating is based on a scale of one to five stars, with five stars being the highest and best rating.
The New York State of Health Marketplace rates insurance companies based on member experience, medical care, and health plan administration. The overall quality rating is based on a scale of one to five stars, with five stars being the highest and best rating.
The New York State of Health Marketplace rates insurance companies based on member experience, medical care, and health plan administration. The overall quality rating is based on a scale of one to five stars, with five stars being the highest and best rating.
*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.
††Based on 2022 earnings. The income range shown is for individuals only. The income range may increase based on the eligible members in your household. To learn more, talk to a Healthfirst representative.
The benefit information provided is a brief summary, not a complete description, of benefits. For more information, contact the plan.
Coverage is provided by Healthfirst PHSP, Inc. Plans contain exclusions and limitations.
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).
Additional Benefits
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24/7 Access to Telemedicine with Teladoc
Talk to a doctor any time—for a $0 copay. Connect with board-certified doctors through video chat or phone for prescriptions, help diagnosing and treating non-emergency conditions, and more. Access to dermatologists is also available.
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Active&Fit Direct
Healthfirst makes working out affordable too! For just $28/month, you get a standard membership to a fitness center in your area. Premium fitness center options are available for an additional fee. Track your activity, monitor your progress, achieve your fitness goals, and so much more! Visit activeandfitdirect.com to learn more.
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ExerciseRewards™ Program
Physical activity is one of the simplest ways to stay healthy, and Healthfirst makes it even more rewarding! With the Active&Fit ExerciseRewards™ program, you can earn $200 every six months if you visit a qualifying fitness center at least 50 days during the same six-month reward period. Contact ExerciseRewards at 1-877-810-2746 to learn more about qualifying fitness centers.
Additional Benefits
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Support When You Need It
We’re happy to answer your questions.
Learn about enrollment
1-844-488-1486
Monday to Friday, 9am—6pm
TTY English: 1-888-542-3821
TTY Español: 1-888-867-4132
Member Services
1-888-250-2220
Monday to Saturday, 8am–8pm
TTY English: 1-888-542-3821
TTY Español: 1-888-867-4132
Need help enrolling in a health plan?
Request a call and our sales team will call you within one business day.
You can also visit our Virtual Community Office to connect with a local Healthfirst representative or to find a community office near you.
You can also go to the NY State of Health’s website to view your choices, or call the NY State of Health customer service center at 1-855-355-5777.