Individual & Family Plans Prior Approval Rate Changes

Learn more about commercial plan rates, how we request premium rate changes, and how this process affects you.

Plan Year
2026 2025
ON THIS PAGE ON THIS PAGE
2026 Healthfirst Leaf Plans 2026 Healthfirst Off-Exchange Individual Plans

On Thursday, May 21, 2026, Healthfirst submitted a rate-change request to the New York State Department of Financial Services (NYDFS) to change the premium rates for our 2027 commercial plans. If the NYDFS approves the change, the new rates will go into effect on January 1, 2027. Healthfirst members will receive a notice about these rate changes at least 60 days prior to the effective date of the new rates.

If you have any questions about our rate-change requests, please send an email to PremiumrateChange@healthfirst.org

2026 Healthfirst Leaf Plans

  • Narrative Summary
  • Member Letter Sample - Platinum Leaf and Leaf Premier Plans
  • Member Letter Sample - Gold Leaf, Leaf Premier, and Leaf Premier Plus Plans
  • Member Letter Sample - Silver Leaf, Leaf Premier, and Leaf Premier Plus Plans
  • Member Letter Sample - Bronze Leaf and Leaf Premier Plans
  • Member Letter Sample - Green Leaf Plan

2026 Healthfirst Off-Exchange Individual Plans

  • Narrative Summary
  • Member Letter Sample - HMO A and HMO A-VAD Plans
  • Member Letter Sample - HMO B and HMO B-VAD Plans
  • Member Letter Sample - HMO C and HMO C-VAD Plans
  • Member Letter Sample - HMO D and HMO D-VAD Plans
  • Member Letter Sample - HMO E Plan
ON THIS PAGE ON THIS PAGE
2025 Healthfirst Leaf Plans: New York City 2025 Healthfirst Leaf Plans: Long Island 2025 Healthfirst Off-Exchange Individual Plans: New York City 2025 Healthfirst Off-Exchange Individual Plans: Long Island

On Thursday, May 15, 2025, Healthfirst submitted a rate-change request to the New York State Department of Financial Services (NYDFS) to change the premium rates for our 2026 commercial plans. If the NYDFS approves the change, the new rates will go into effect on January 1, 2026. Healthfirst members will receive a notice about these rate changes at least 60 days prior to the effective date of the new rates.

If you have any questions about our rate-change requests, please send an email to PremiumrateChange@healthfirst.org

2025 Healthfirst Leaf Plans: New York City

  • Narrative Summary
  • Member Letter Sample - Platinum Leaf and Leaf Premier Plans
  • Member Letter Sample - Gold Leaf, Leaf Premier, and Leaf Premier Plus Plans
  • Member Letter Sample - Silver Leaf, Leaf Premier, and Leaf Premier Plus Plans
  • Member Letter Sample - Bronze Leaf and Leaf Premier Plans
  • Member Letter Sample - Green Leaf Plan

2025 Healthfirst Leaf Plans: Long Island

  • Narrative Summary
  • Member Letter Sample - Platinum Leaf and Leaf Premier Plans
  • Member Letter Sample - Gold Leaf, Leaf Premier, and Leaf Premier Plus Plans
  • Member Letter Sample - Silver Leaf, Leaf Premier, and Leaf Premier Plus Plans
  • Member Letter Sample - Bronze Leaf and Leaf Premier Plans
  • Member Letter Sample - Green Leaf Plan

2025 Healthfirst Off-Exchange Individual Plans: New York City

  • Narrative Summary
  • Member Letter Sample - HMO A and HMO A-VAD Plans
  • Member Letter Sample - HMO B and HMO B-VAD Plans
  • Member Letter Sample - HMO C and HMO C-VAD Plans
  • Member Letter Sample - HMO D and HMO D-VAD Plans
  • Member Letter Sample - HMO E Plan

2025 Healthfirst Off-Exchange Individual Plans: Long Island

  • Narrative Summary
  • Member Letter Sample - HMO A and HMO A-VAD Plans
  • Member Letter Sample - HMO B and HMO B-VAD Plans
  • Member Letter Sample - HMO C and HMO C-VAD Plans
  • Member Letter Sample - HMO D and HMO D-VAD Plans
  • Member Letter Sample - HMO E Plan

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