Individual & Family Plans

Healthfirst offers comprehensive individual and family health plans that fit your needs and your budget, including plans with no monthly premium or deductible. Regardless of your family size, you have access to a wide range of benefits and services.

Behavioral Health Services

Behavioral health services are a variety of services that can support mental health and substance abuse needs you may have. This support can include emotional, social, educational, vocational, peer support and recovery services, in addition to more traditional psychiatric or medical services.

Deductible

The amount of money you must pay in covered expenses each year before your plan or program pays anything for certain covered services. The deductible may not apply to all services. There may be different deductibles for different services (e.g., medical vs. pharmacy). Not all plans require deductibles. This is separate from a monthly premium payment. Example: If your deductible is $500, you need to spend $500 for covered healthcare services within one year before your plan or program will start paying for your health services. Your deductible resets once every year.

Medicaid

Medicaid is a joint federal and state program that helps with medical costs for some people with limited income and resources. Medicaid programs vary from state to state, but most healthcare costs are covered if you qualify for both Medicare and Medicaid.

Premium

The amount of money you must pay monthly, quarterly, or twice a year to be covered by a health insurance plan or program.

Substance Abuse

Substance abuse, also known as drug addiction or substance use disorders, occur when the recurrent use of alcohol and/or drugs causes clinically significant impairment, including health problems, disability, and failure to meet major responsibilities at work, school, or home.

Medicaid Managed Care

A health insurance plan for lower-income families and individuals. Benefits include low or no copays for doctor visits, lab tests, hospital visits, and more.

Star Ratings

Essential Plans

A health insurance plan for qualified individuals ages 19 to 64. Includes essential health benefits like doctor visits, lab tests, prescription drugs, hospital visits, and more, all for a $0 monthly premium.

Star Ratings

Child Health Plus

A low-cost health insurance plan for children under the age of 19. Benefits include doctor visits, vaccines, prescriptions, and more. $0 deductible and no copays. Monthly premium depends on income.

Star Ratings

Marketplace Leaf & Leaf Premier Plans
(Family)

A range of plans for families, and for individuals under 65 years of age. Includes coverage for doctor visits, lab tests, hospital visits, and more. Deductible and monthly premium depends on plan, family size, and income.

Personal Wellness Plan

This plan is for Medicaid Managed Care members who may benefit from extra behavioral health or substance abuse services.

Frequently Asked Questions

Healthfirst offers New Yorkers Medicaid Managed Care, Child Health Plus, and the Essential Plan, as well as Marketplace Leaf and Leaf Premier plans that include Affordable Care Act requirements (which President Obama signed into law).

Generally, families, and individuals under the age of 65, with certain exceptions. Children under the age of 19 can enroll in Child Health Plus.

We have several plans for individuals and families—starting as low as $0/month, with dental and vision care.

The Essential Plan, Medicaid Managed Care, and Child Health Plus have many no- and low-cost options.

The easiest way to find a plan is to call 1-844-488-1486. A Healthfirst representative can help you find and apply for the right plan.

Support When You Need It

We're happy to answer your questions.

Learn about enrollment
1-844-488-1486

Monday to Friday, 9am—6pm;
Saturday, 9am—1pm

TTY English: 1-888-542-3821
TTY Español: 1-888-867-4132

Need help enrolling in a health plan?

Request a call and our sales team will call you within one business day.

You can also visit our Virtual Community Office to connect with a local Healthfirst representative or to find a community office near you.

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