Individual & Family Explore Individual & Family Plans

Healthfirst offers affordable plans for everyone, including options with no monthly premium or deductible. No matter your family size, you’ll have access to a broad range of benefits.

Individual & Family Explore Individual & Family Plans

Healthfirst offers affordable plans for everyone, including options with no monthly premium or deductible. No matter your family size, you’ll have access to a broad range of benefits.

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Already picked your plan?

Get ready to enroll

Plan benefits and features

$0 checkups, maternity care, dental options, and more

Large network of doctors, with no referrals needed to see in-network specialists

Member Services who will help you get the care and support you need—from day one

Care options that include 24/7 telemedicine, retail health clinics, urgent care centers, and more

Individual and family health insurance plans

Our affordable health plans cover everyone, including families of all backgrounds, so all New Yorkers can access the healthcare they need.

Essential Plans 1 & 2

Star Rating

For U.S. citizens, eligible individuals, and permanent or legal residents.

See income eligibility

For a $0 monthly plan premium, qualified individuals ages 19–64 can access essential health, vision, and dental benefits with a $0 copay.

Premium

$0

Deductible

$0

Plan highlights:

$0 annual checkups

Hospital, emergency room, urgent care visits, and retail health clinics

Prescription drug coverage

Maternity coverage

24/7 access to care with telemedicine

No-cost dental and vision coverage*

*Dental services must be medically necessary to be covered; limitations and exclusions apply.

Essential Plans 3 & 4

Star Rating

Eligible individuals/students.

See income eligibility

For a $0 monthly plan premium, eligible individuals ages 21–64 can access essential health, vision, and dental benefits with a $0 copay.

Premium

$0

Deductible

$0

Plan highlights:

$0 annual checkups

Hospital, emergency room, urgent care visits, and retail health clinics

Prescription drug coverage

Maternity coverage

24/7 access to care with telemedicine

No-cost dental and vision coverage*

*Dental services must be medically necessary to be covered; limitations and exclusions apply.

Medicaid Managed Care

Star Ratings

For low-income families, and for individuals.

See income eligibility

This five-star-rated Medicaid plan has a $0 monthly premium, $0 deductible, and low or no copays for qualified low-income families and individuals.

Premium

$0

Deductible

$0

Plan highlights:

$0 annual checkups

Hospital, emergency room, urgent care visits, and retail health clinics

Maternity coverage for you and your newborn

Hearing, vision, dental coverage

24/7 access to care with telemedicine

Over-the-counter nonprescription drug coverage. New York State covers prescription drugs

Child Health Plus

Star Ratings

For children under age 19 regardless of household income.

For qualified children under the age of 19, this low-cost health insurance plan offers a $0 deductible and no copays for pediatrician and other doctor visits. Monthly premium may vary based on income.

Premium

Call for a quote

Deductible

$0

Plan highlights:

Vaccines (shots)

Hospital, emergency room, urgent care visits, and retail health clinics

Prescription drug coverage

Hearing, vision, and dental coverage

Care Management programs

Physical, occupational, and speech therapy

Marketplace Leaf Plans

For families and for individuals under 65 who don’t qualify for Medicaid, Essential Plan, or Child Health Plus.

See income eligibility

Our Marketplace plans offer everyday health benefits for families and for individuals under 65. There are various options you can choose from based on your needs and budget, including adult vision and adult dental care. (These plans are also called Qualified Health Plans or Healthfirst Leaf Plans.)

Premium

Depends on household income and size

Deductible

Varies by plan

Plan highlights:

$0 annual checkups

Preventive and wellness visits

Hospital, emergency room, urgent care visits, and retail health clinics

Prescription drug coverage

Maternity and newborn coverage

24/7 access to care with telemedicine

Which plan is right for you?

CHOOSE A PLAN

Star Rating

For U.S. citizens, eligible individuals, and permanent or legal residents.

See income eligibility

For a $0 monthly plan premium, qualified individuals ages 19–64 can access essential health, vision, and dental benefits with a $0 copay.

Premium

$0

Deductible

$0

Plan highlights:

$0 annual checkups

Hospital, emergency room, urgent care visits, and retail health clinics

Prescription drug coverage

Maternity coverage

24/7 access to care with telemedicine

No-cost dental and vision coverage*

*Dental services must be medically necessary to be covered; limitations and exclusions apply.

Star Rating

For immigrants/students with valid visas

See income eligibility

For a $0 monthly plan premium, eligible individuals ages 21–64 can access essential health, vision, and dental benefits with a $0 copay.

Premium

$0

Deductible

$0

Plan highlights:

$0 annual checkups

Hospital, emergency room, urgent care visits, and retail health clinics

Prescription drug coverage

Maternity coverage

24/7 access to care with telemedicine

No-cost dental and vision coverage*

*Dental services must be medically necessary to be covered; limitations and exclusions apply.

Star Rating

For low-income families, and for individuals.

See income eligibility

This five-star-rated Medicaid plan has a $0 monthly premium, $0 deductible, and low or no copays for qualified low-income families and individuals.

Premium

$0

Deductible

$0

Plan highlights:

$0 annual checkups

Hospital, emergency room, urgent care visits, and retail health clinics

Maternity coverage for you and your newborn

Hearing, vision, dental coverage

24/7 access to care with telemedicine

Over-the-counter nonprescription drug coverage. New York State covers prescription drugs

Star Rating

For children under age 19 regardless of household income or immigration status.

For qualified children under the age of 19, this low-cost health insurance plan offers a $0 deductible and no copays for pediatrician and other doctor visits. Monthly premium may vary based on income.

Premium

Call for a quote

Deductible

$0

Plan highlights:

Vaccines (shots)

Hospital, emergency room, urgent care visits, and retail health clinics

Prescription drug coverage

Hearing, vision, and dental coverage

Care Management programs

Physical, occupational, and speech therapy

For families and for individuals under 65 who don’t qualify for Medicaid, Essential Plan, or Child Health Plus.

See income eligibility

Our Marketplace plans offer everyday health benefits for families and for individuals under 65. There are various options you can choose from based on your needs and budget, including adult vision and adult dental care. (These plans are also called Qualified Health Plans or Healthfirst Leaf Plans.)

Premium

Depends on household income and size

Deductible

Varies by plan

Plan highlights:

$0 annual checkups

Preventive and wellness visits

Hospital, emergency room, urgent care visits, and retail health clinics

Prescription drug coverage

Maternity and newborn coverage

24/7 access to care with telemedicine

Learn about enrollment

Call to speak with a sales representative
1-844-434-7785

TTY English: 1-888-542-3821

TTY Español: 1-888-867-4132

Monday to Friday, 9am–6pm

Request a call

Our sales team will call you within one business day.

Request a call
Schedule an appointment

We can help you enroll by phone, video chat, or in person.

Schedule an appointment

The benefit information provided is a brief summary, not a complete description, of benefits. For more information, contact the plan.

The NY State of Health (NYSOH) Marketplace rates Essential Plan insurers based on member experience and clinical care indicators, with the overall rating measured on a five-star scale. Medicaid Managed Care and CHPlus insurers’ quality ratings are measured on a five-star scale from indicators chosen by the New York State Department of Health (NYSDOH). These ratings are published on the NYSDOH public website.

Coverage is provided by Healthfirst PHSP, Inc.

Plans contain exclusions and limitations.

Questions? Ready to enroll?
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