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Leaf & Leaf Premier Plans

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At Healthfirst, you have options. Depending on your needs and your budget, we offer two different levels of coverage for individuals and families under 65. Our standard Leaf plans offer everyday health benefits that cover the essential health protections you and your family need to feel secure. We also offer comprehensive Leaf Premier plans that provide all of the standard benefits, plus adult vision and adult dental care. To find out which plan is right for you, call us today.

Plan Highlights:

  • No-cost annual checkups
  • Preventive and wellness visits
  • Hospital, emergency room, and urgent care visits
  • Lab tests and X-rays
  • Prescription drug coverage
  • Maternity and newborn coverage
  • Optional dental and vision coverage
  • 24/7 access to care with telemedicine
  • Physical, occupational, and speech therapy
  • Annual gym membership reimbursement**
  • 2019
Tier
Platinum Leaf
Platinum Leaf Premier
Summary of Benefits and Coverage (PDF)
English
English
Comprehensive Formulary
Premium
Monthly premium costs depend on household income and size
Eligible Age
Under 65
Eligible Service Areas
Within New York City’s five boroughs (the Bronx, Brooklyn, Manhattan, Queens, and Staten Island) and Long Island
Dental Care
Pediatric – $15 copay
Adult – not covered
Pediatric – $10 copay
Adult – $10 copay
Vision Exams
Pediatric – $15 copay
Adult – not covered
Pediatric – $10 copay
Adult – $10 copay
Teladoc
$0 copay
$0 copay
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Tier
Gold Leaf
Gold Leaf Premier
Summary of Benefits and Coverage (PDF)
English
English
Comprehensive Formulary
Premium
Monthly premium costs depend on household income and size
Eligible Age
Under 65
Eligible Service Areas
Within New York City’s five boroughs (the Bronx, Brooklyn, Manhattan, Queens, and Staten Island) and Long Island
Dental Care
Pediatric – $25 copay
Adult – not covered
Pediatric – $20 copay after deductible
Adult – $20 copay after deductible
Vision Exams
Pediatric – $25 copay
Adult – not covered
Pediatric – $20 copay after deductible
Adult – $20 copay after deductible
Teladoc
$0 copay
$0 copay
More Plan Information More plan information dropdown arrow
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Prices vary based on income, please select view.

View current Federal Poverty Guidelines (PDF) to see where you fall. Or Get a Quote

Summary of Benefits and Coverage (PDF)
Comprehensive Formulary
Premium
Monthly premium costs depend on household income and size
Eligible Age
Eligible Service Areas
Within New York City’s five boroughs (the Bronx, Brooklyn, Manhattan, Queens, and Staten Island) and Long Island
Dental Care
Vision Exams
Teladoc
More Plan Information Additional plan dropdown arrow
Tier
Bronze Leaf
Bronze Leaf Premier
Summary of Benefits and Coverage (PDF)
English
English
Comprehensive Formulary
Premium
Monthly premium costs depend on household income and size
Eligible Age
Under 65
Eligible Service Areas
Within New York City’s five boroughs (the Bronx, Brooklyn, Manhattan, Queens, and Staten Island) and Long Island
Dental Care
Pediatric – 50% coinsurance after deductible
Adult – not covered
Pediatric – 50% coinsurance after deductible
Adult - 50% coinsurance after deductible
Vision Exams
Pediatric – 50% coinsurance after deductible
Adult – not covered
Pediatric – 50% coinsurance after deductible
Adult - 50% coinsurance after deductible
Teladoc
$0 copay
$0 copay
More Plan Information More plan information dropdown arrow
Tier
Green Leaf
Summary of Benefits and Coverage (PDF)
English
Comprehensive Formulary
Premium
Monthly premium costs depend on household income and size
Eligible Age
Individuals Under 30
Eligible Service Areas
Within New York City’s five boroughs (the Bronx, Brooklyn, Manhattan, Queens, and Staten Island) and Long Island
Dental Care
$0 copay after deductible
Vision Exams
$0 copay after deductible
Teladoc
$0 copay
More Plan Information More plan information dropdown arrow

Additional Benefits

  • Additional benefit image

    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.

  • Additional benefit image

    Rewards for Working Out

    You can get rewarded for taking care of your health—up to $400 in a calendar year with the ExerciseRewards™ program.**

    It’s easy! Work out at a qualifying gym or fitness facility at least 50 times in a six-month period and track your workouts. Your spouse or domestic partner can be reimbursed too—up to $200 in a calendar year when he or she works out at least 50 times each six-month period in a calendar year.

    Learn more about ExerciseRewards™ or
    start earning your reward now!

  • Additional benefit image

    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 for non-emergency conditions like earache, upset stomach, sprains, stitches, and more.

  • Additional benefit image

    Active & Fit Direct

    Working out just got cheaper. For just $25/month plus a one-time enrollment fee of $25, you can get a standard membership to a fitness center in your area. Track your activity, monitor your progress, achieve your fitness goals, and so much more.

    Please note: a three-month membership commitment is required up front. Learn more about Active & Fit Direct.

Additional Benefits

  • 24/7 Access to Telemedicine with Teladoc*

    Additional benefits dropdown arrow
  • Rewards for Working Out

    Additional benefits dropdown arrow
  • Urgent Care Center Network

    Additional benefits dropdown arrow
  • Active & Fit Direct

    Additional benefits dropdown arrow

Frequently Asked
Questions

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Support When You Need It

We're happy to answer your questions.

Learn about enrollment

1-844-488-1486

Monday to Friday, 9am—8pm

TTY English: 1-888-542-3821

TTY Español: 1-888-867-4132

Member Services

1-888-250-2220

Monday to Friday, 8am—8pm

TTY English: 1-888-542-3821

TTY Español: 1-888-867-4132

Can't talk right now?

Request a callback and we’ll get back to you within one business day.

You can also visit us in person at our community offices.

You can also go to the NY State of Health’s website to view your choices, or call the NY State of Health customer service center at 1-855-355-5777.