Increased Benefits Plan (HMO)

The Healthfirst Increased Benefits Plan is a Medicare Advantage plan made for those who qualify for full Extra Help, which helps lower prescription drug costs. This plan offers the benefits of Original Medicare plus more, such as prescription drug coverage, dental, vision, hearing, acupuncture, and 24/7 access to care with Teladoc® and the Nurse Help Line. And you don’t need referrals to see in-network specialists. If you qualify for full Extra Help (also known as Low Income Subsidy) and/or a Medicare Savings Program (MSP) this plan may be right for you.

Plan Highlights:

  • Low or no copays for prescription drugs
  • Dental
  • Vision exams and eyeglasses
  • Hearing exams and hearing aids
  • Routine transportation
  • Acupuncture
  • 2019
Increased Benefits Plan (HMO)
Summary of Benefits and Coverage (PDF)
English
Premium
$0*
Eligible Age
65 or older (or under 65 with certain disabilities)
Eligible Location
Within New York City’s five boroughs (the Bronx, Brooklyn, Manhattan, Queens, and Staten Island) and Nassau County
Other Eligibility Requirements
Qualify for Medicare Part A (you are 65 or older, or under 65 with certain disabilities)
Enroll in and continue to pay for Medicare Part B
Do not have End-Stage Renal Disease (ESRD) (permanent kidney disease requiring dialysis or a kidney transplant), except under certain limited circumstances
Dental
$0 copay
Vision
$0 copay
Hearing
$40 copay
Teladoc
$0 copay
Nurse Help Line Access
$0 copay
Free Rides
FREE transportation to/from your doctor—up to 40 one-way trips per year
More Plan Information

Additional Plan Highlights

  • 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.

  • 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.

  • 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.

  • 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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  • Healthfirst Medication Therapy Management Program

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Frequently Asked
Questions

See All
  • 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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