Medicaid Managed Care provides important health benefits for a $0 monthly premium and low or $0 copays. This NY State Medicaid plan is for qualified low-income families and individuals.
Talk to a doctor any time—for a $0 copay. Connect with board-certified doctors through video chat or phone for prescriptions, help diagnosing and treating non-emergency conditions, and more. Access to dermatologists is also available.
Taking care of your eyes doesn’t just mean having clear vision. An annual eye exam can help detect a number of health risks, such as diabetes, thyroid disease, high blood pressure, and other conditions. Healthfirst has made it easy for our members to take advantage of this often overlooked preventive service by providing access to comprehensive vision care.
Healthfirst believes that providing you with good dental care is important to your overall healthcare. Covered services include regular and routine dental services such as preventive dental checkups, cleanings, X-rays, fillings, and other services to check for any changes or abnormalities that may require treatment and/or follow-up care for you. You do not need a referral from your PCP to see a dentist.
ILS are services or settings that are not covered by Medicaid but are medically appropriate substitutes for covered services or settings.
Covered ILS Benefit: Psychiatric Admissions
You have covered care options than can be used instead of Inpatient Psychiatric services available in some hospitals.
The alternative care option is a short-term intensive stay in a private Institution for Mental Disease (IMD) licensed by OMH, available only at the following four facilities in the Healthfirst service area:
The benefit information provided is a brief summary, not a complete description, of benefits. For more information, contact the plan.
Coverage is provided by Healthfirst PHSP, Inc.
Plans contain exclusions and limitations.
Healthfirst complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-305-0408 (TTY 1-888-867-4132). 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-866-305-0408 (TTY 1-888-542-3821)。
**Telemedicine (Teladoc) 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).
DentaQuest® is contracted with Healthfirst to provide dental benefits to its members.
EyeMed® is contracted with Healthfirst to provide vision benefits to its members.
*Modivcare and Medical Answering Services provide the covered transportation services under your plan.
Medicaid covers the essential benefits you need to stay healthy, including:
Both! Healthfirst offers health plans for all ages, needs, and incomes, including:
Medicaid is for many low-income New York residents, including:
Keep your child safe by getting them vaccinated. Healthfirst Medicaid Managed Care members under age 19 are covered for both COVID-19 and flu vaccines. To get your child vaccinated, reach out to their doctor, a public health clinic, or your county’s health department. Your child can also get vaccinated at a pharmacy enrolled in both NYRx (the NYS Medicaid Pharmacy program) and in the Vaccines for Children program. Always call first to make sure that the vaccines are ready for your child.
To find a vaccine provider, see the links below.
We’re happy to answer your questions
Monday to Saturday, 9am—6pm
TTY English: 1-888-542-3821
Monday to Friday, 8am—6pm
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.
You can also go to the NY State of Health website to view your choices, or call the NY State of Health customer service center at 1-855-355-5777.
