Increased Benefits Plan (HMO)

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The Healthfirst Increased Benefits Plan is a Medicare Advantage plan made for those who qualify for full Extra Help (also known as Low Income Subsidy (LIS), which helps lower prescription drug costs) and/or a Medicare Savings Programs (MSP, which helps pay for some Medicare premiums, copays or coinsurance amounts). This plan offers the benefits of Original Medicare plus more, such as prescription drug coverage, dental, hearing, vision, transportation, SilverSneakers® fitness program, 24/7 access to care via phone or video chat and the Nurse Help Line. And, you don’t need referrals to see in-network specialists.

Plan Highlights:

  • Low or no copays for prescription drugs
  • Comprehensive dental
  • Hearing exams and hearing aids
  • Vision exams and eyeglasses
  • Routine/non-emergent transportation
  • Acupuncture
  • 2021
  • 2020

Additional Plan Highlights

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    24/7 Access to Telemedicine with Teladoc*

    Talk to a doctor any time—for a $0 copay. Visit with board-certified doctors through video chat or phone for prescriptions, treatment of non-emergency health issues, and more. Access to dermatologists is also available.

    *Telemedicine isn’t a replacement for your Primary Care Provider (PCP). Your PCP should always be your first choice for care and for routine visits.

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    24/7 Access to care with the Nurse Help Line

    Talk to a nurse any time—for a $0 copay. Get wellness advice and help finding a doctor.

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    Urgent Care Center Network

    Get the care you need when you need it at an urgent care center in our network–no appointment needed. Urgent care centers offer late-night and weekend hours, often with faster service at a lower cost than the emergency room (ER). Visit an in-network urgent care center to get help with non-emergency health issues like earache, upset stomach, and sprains; for wounds that need stitches; and more. Visit an in-network urgent care center to get help with non-emergency health issues like earache, upset stomach, and sprains; for wounds that need stitches; and more.

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    SilverSneakers

    Get access to the SilverSneakers network of fitness facilities and to group exercise classes, classes held at parks and community locations, and at-home kits.

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    Healthfirst Medication Therapy Management Program

    The Healthfirst Medication Therapy Management (MTM) program is an in-depth, one-on-one review of all your medications (prescription drugs, over-the-counter nonprescription drugs, and herbal and nutritional supplements). The goal is to help you get the most from your medications. Services include

    • Phone consultation with a licensed pharmacist to complete a Comprehensive Medication Review (CMR). The call will take about 30 to 60 minutes and the pharmacist will answer any questions you may have. (A CMR is usually offered once each year, if you qualify.)
    • Medication Action Plan (MAP)
    • Medication recommendations may be sent to your provider from the MTM pharmacist, also known as Targeted Medication Review (TMR)
    • Personal medication list that lists all your medications

    You’ll be contacted by mail and phone if you’re eligible to participate in this program.

    Learn More

Additional Plan Highlights

  • 24/7 Access to Telemedicine with Teladoc*

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  • 24/7 Access to care with the Nurse Help Line

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  • Urgent Care Center Network

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  • SilverSneakers

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  • Healthfirst Medication Therapy Management Program

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Frequently Asked
Questions

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  • Can I save money on my healthcare costs?
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  • How do I use my coverage at the pharmacy?
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  • Do generic drugs work as well as brand name drugs?
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Support When You Need It

We're happy to answer your questions.

Learn about enrollment

1-877-237-1303

7 days a week, 8am—8pm

TTY English: 1-888-542-3821

TTY Español: 1-888-867-4132

Member Services

1-888-260-1010

7 days a week, 8am—8pm

TTY English: 1-888-542-3821

TTY Español: 1-888-867-4132

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