Individual & Family Plans Answers to Your Most Asked Member Questions

HOW TO HOW TO
Choose your primary care provider Switch your primary care provider Choose the best option for care Order medical supplies and equipment View personalized benefits COVID-19 vaccinations and testing

Choose your primary care provider

If you haven’t chosen your primary care provider (PCP) yet, please do so right away. If you’re not sure, you can call Member Services and we can see if you already have one and help you choose one if you don’t.

When choosing a PCP:

  • Choose a doctor, nurse practitioner, or other healthcare provider within the Healthfirst network. You can find a full list of providers at HFDocFinder.org.
  • Call the doctor’s office to make sure they are taking new patients.
  • You can choose a different PCP for each family member or use one for the whole family.

Switch your primary care provider

Step 1:

Visit HFDocFinder.org to find a doctor in the Healthfirst network

Step 2:

Change your PCP via:

  • The Healthfirst NY Mobile App

    Search for a new PCP under Primary Care. Then tap “Change My Primary Care Provider”
  • The Member Portal at MyHFNY.org
    Log in to your account, go to the “Physicians and Facilities” page, and click “Change PCP Here”

If you prefer to speak with someone, call the Member Services number on your Healthfirst ID card or visit a local Healthfirst Community Office in your area.

Choose the best option for care

Your plan gives you many options for care. Selecting the right in-network care option can save you time and money:

Retail health clinics

Generally within a retail store and staffed by nurse practitioners or physician assistants. For quick, less complex health needs.

Urgent care

Immediate walk-in care for non-emergency situations: available nights, weekends, and holidays.

Emergency room

Immediate care for serious or life-threatening conditions; available 24/7.

As always, find an in-network doctor by visiting HFDocFinder.org or by logging in to MyHFNY.org.

Order medical supplies and equipment

Medical devices require a prescription from your doctor, and in some cases a prior authorization, which your doctor can submit on your behalf.

Your doctor will know if a prior authorization is needed and can take care of it for you.

Your plan may include supplies such as:

Continuous Glucose Monitor (CGM)

Once you have your prior authorization, Healthfirst Member Services can help you find an in-network provider

Diabetic testing supplies

With a prescription, you can get a Contour Next meter and test strips at an in-network pharmacy.

View personalized benefits

By logging in to your Member Portal or Healthfirst NY Mobile App, you can see your specific plan benefits, as well as details about what benefits you’ve used and what benefits are still available for the year.

You’ll be able to:

  • View/change your PCP
  • Find a doctor, pharmacy, or urgent care
  • View/share your digital Member ID card
  • Access Teladoc Health® and DentaQuest
  • View Community Resources
  • Enroll in paperless communications
  • Get updates about your plan

COVID-19 vaccinations and testing

Healthfirst covers COVID-19 testing and vaccination when provided by in-network providers.

COVID-19 at home tests are not a covered benefit for most Healthfirst plans.

Coverage is provided by Healthfirst PHSP, Inc. Plans contain exclusions and limitations.


ATENCIÓN: Dispone de servicios de asistencia lingüística y otras ayudas, gratis. Llame al 1-866-305-0408 (TTY: 1-888-867-4132).



请注意：您可以免费获得语言协助服务和其他辅助服务。请致电 1-866-305-0408 (TTY: 1‑888‑542‑3821)。



Telemedicine (Teladoc Health) 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).

You are now navigating away from the Healthfirst website.

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.