Looking for premiums as low as $0 and a large network? Find out why Healthfirst has the largest Medicare Advantage membership in NY.
Looking for premiums as low as $0 and a large network? Find out why Healthfirst has the largest Medicare Advantage membership in NY.
More than 30 years of experience
Large network of more than 100,000 providers
Two million members choose us
Offering Medicare Advantage plans designed especially for New Yorkers
Specializing in finding ways for you to save
CHOOSE A PLAN TYPE
These plans are designed specifically for people who qualify for both Medicare and Medicaid, Extra Help or the Medicare Savings Program. Being dual eligible can open the door to plan benefits such as coordinated Medicare and Medicaid benefits, plus additional support services, including home care and extra benefits beyond Original Medicare.
CHOOSE A PLAN
A Medicare Advantage plan with a $0 monthly plan premium, prescription drug coverage, and as low as $0 copays.
Premium
Deductible
$0 copays for primary care and specialist visits
Prescription copays as low as $0
OTC Plus card with $180/month allowance
Comprehensive dental coverage
Vision and hearing coverage
18 one-way rides to in-network providers
This all-in-one Medicaid Advantage Plus (MAP) plan includes medical coverage, prescription drug coverage, and long-term care services and supports.
Premium
Deductible
Long-term care benefits such as personal care aides, adult day healthcare, and more
Dedicated Care Team to help you meet your care goals and live independently at home
No-cost support for caregivers through Carallel®
$0 copays for primary care and specialist visits
OTC Plus card with a $256/month allowance
Comprehensive dental coverage
A Medicare Advantage Dual-Eligible Special Needs (HMO D-SNP) plan that works directly with your existing Medicaid coverage and offers members the benefits of both Original Medicare and Medicaid.
Premium
Deductible
$0 copays for primary care and specialist visits
Prescription copays as low as $0
OTC Plus card with a $45/month allowance
Comprehensive dental coverage
Vision and hearing coverage
16 one-way rides to in-network providers
These are convenient all-in-one health plans that bundle Original Medicare (Parts A and B) with prescription drug coverage (Part D). In addition, they may offer extra benefits such as dental, vision, hearing and more.
CHOOSE A PLAN
This Medicare Advantage plan offers additional benefits on top of Original Medicare, such as dental, vision, hearing, and acupuncture. It is designed for people who don’t currently qualify for programs that help pay Medicare costs, like Extra Help or Medicaid.
Premium
Deductible
$0 copays for primary care and $40 for specialist visits
OTC Plus card with a $10/month allowance
Comprehensive dental coverage
4 one-way rides to in-network providers
24/7 access to doctors by phone or video for $0
Vision, hearing, and fitness benefits
A Medicare Advantage plan for those who qualify for Extra Help‡, also known as Low Income Subsidy (LIS), which helps to lower prescription drug costs.
Premium
Deductible
$0 copay for primary care doctor visits
$25 copay for specialist visits
OTC Plus card with a $35/month allowance
Comprehensive dental coverage ($1,500 annual benefit max)
Vision, hearing, and fitness benefits
20 one-way rides to in-network providers
‡If you have Extra Help, you will have a $0 monthly premium. If you do not have, or you lose, Extra Help, you will pay up to $17.10 for your monthly premium.
A Medicare Advantage plan that offers hospital, medical, prescription drug coverage, and more—all in one plan with a flexible benefit card to help pay for covered healthcare expenses.
Premium
Deductible
$0 copay for primary care doctor visits
$40 copay for specialist visits
$0 copay for preferred generic drugs (30-day supply)
$100/year Flex card for eligible dental, hearing, and vision out-of-pocket costs, and more
Comprehensive dental, vision, and hearing coverage
Worldwide emergency and urgent care coverage with a maximum benefit allowance
1$55 monthly plan premium for Bronx, Kings, Nassau, New York, Queens, Richmond county residents
2$85 for Orange, Rockland, Sullivan, Westchester county residents
A Medicare Advantage plan for those who want the flexibility to see any doctor or hospital in the U.S. that accepts Medicare for medical care.
Premium
Deductible
Combined INN & OON
$0 copay for in-network primary care doctor visits / $50 out-of-network†
$40 copay for in-network specialist visits / $75 out-of-network†
$0 copay for preferred generic drugs (30-day supply)
Comprehensive dental coverage
Worldwide emergency and urgent care coverage
*Combined in-network / out-of-network services
For those who qualify for Medicare and Medicaid and need added care in the home, these Healthfirst plans include a care management team, personal care services, and more.
CHOOSE A PLAN
This all-in-one Medicaid Advantage Plus (MAP) plan includes medical coverage, prescription drug coverage, and long-term care services and supports.
Premium
Deductible
Long-term care benefits such as personal care aides, adult day healthcare, and more
Dedicated Care Team to help you meet your care goals and live independently at home
No-cost support for caregivers through Carallel®
$0 copays for primary care and specialist visits
OTC Plus card with a $256/month allowance
Comprehensive dental coverage
A Managed Long-Term Care (MLTC) plan that provides and coordinates healthcare services such as home care and adult day healthcare. This plan may be right for you if you need long-term care services and supports, and are Medicaid-eligible.
Care management team
Personal care services
Adult day healthcare
Skilled nursing home care
Home-delivered meals
Personal emergency response system (PERS)
Hearing, dental, and vision services
CHOOSE A PLAN TYPE
These plans are designed specifically for people who qualify for both Medicare and Medicaid, Extra Help or the Medicare Savings Program. Being dual eligible can open the door to plan benefits such as coordinated Medicare and Medicaid benefits, additional support services, including home care and extra benefits beyond Original Medicare.
A Medicare Advantage plan with a $0 monthly plan premium, prescription drug coverage, and as low as $0 copays.
Premium
Deductible
$0 copays for primary care and specialist visits
Prescription copays as low as $0
OTC Plus card with a $180/month allowance
Comprehensive dental coverage
Vision and hearing coverage
18 one-way rides to in-network providers
A Medicare Advantage Dual-Eligible Special Needs (HMO D-SNP) plan that works directly with your existing Medicaid coverage and offers members the benefits of both Original Medicare and Medicaid.
Premium
Deductible
$0 copays for primary care and specialist visits
Prescription copays as low as $0
OTC Plus card with a $45/month allowance
Comprehensive dental coverage
Vision and hearing coverage
16 one-way rides to in-network providers
These are convenient all-in-one health plans that bundle Original Medicare (Parts A and B) with prescription drug coverage (Part D). In addition, they may offer extra benefits such as dental, vision, hearing and more.
This Medicare Advantage plan offers additional benefits on top of Original Medicare, such as dental, vision, hearing, and acupuncture. It is designed for people who don’t currently qualify for programs that help pay Medicare costs, like Extra Help or Medicaid.
Premium
Deductible
$0 copays for primary care and $40 for specialist visits
OTC Plus card with a $10/month allowance
Comprehensive dental coverage
4 one-way rides to in-network providers
24/7 access to doctors by phone or video for $0
Vision, hearing, and fitness benefits
A Medicare Advantage plan for those who qualify for Extra Help‡, also known as Low Income Subsidy (LIS), which helps to lower prescription drug costs.
Premium
Deductible
$0 copay for primary care doctor visits
$25 copay for specialist visits
OTC Plus card with a $35/month allowance
Comprehensive dental coverage ($1,500 annual benefit max)
Vision, hearing, and fitness benefits
20 one-way rides to in-network providers
‡If you have Extra Help, you will have a $0 monthly premium. If you do not have, or you lose, Extra Help, you will pay up to $17.10 for your monthly premium.
A Medicare Advantage plan that offers hospital, medical, prescription drug coverage, and more—all in one plan with a flexible benefit card to help pay for covered healthcare expenses.
Premium
Deductible
$0 copay for primary care doctor visits
$40 copay for specialist visits
$0 copay for preferred generic drugs (30-day supply)
$100/year Flex card for eligible dental, hearing, and vision out-of-pocket costs, and more
Comprehensive dental, vision, and hearing coverage
Worldwide emergency and urgent care coverage with a maximum benefit allowance
1$55 monthly plan premium for Bronx, Kings, Nassau, New York, Queens, Richmond county residents
2$85 for Orange, Rockland, Sullivan, Westchester county residents
A Medicare Advantage plan for those who want the flexibility to see any doctor or hospital in the U.S. that accepts Medicare for medical care.
Premium
Deductible
Combined INN & OON
$0 copay for in-network primary care doctor visits / $50 out-of-network†
$40 copay for in-network specialist visits / $75 out-of-network†
$0 copay for preferred generic drugs (30-day supply)
Comprehensive dental coverage
Worldwide emergency and urgent care coverage
*Combined in-network / out-of-network services
For those who qualify for Medicare and Medicaid and need added care in the home, these Healthfirst plans include a care management team, personal care services, and more.
This all-in-one Medicaid Advantage Plus (MAP) plan includes medical coverage, prescription drug coverage, and long-term care services and supports.
Premium
Deductible
Long-term care benefits such as personal care aides, adult day health center, and more
Dedicated Care Team to help you meet your care goals and live independently at home
Support for caregivers through Carallel®
$0 copays for primary care and specialist visits
OTC Plus card with a $256/month allowance
Comprehensive dental coverage
A Managed Long-Term Care (MLTC) plan that provides and coordinates healthcare services such as home care and adult day healthcare. This plan may be right for you if you need long-term care services and supports, and are Medicaid-eligible.
Care management team
Personal care services
Adult day health care center
Skilled nursing home care
Home-delivered meals
Personal emergency response system (PERS)
Hearing, dental, and vision services
Medicare Advantage plans are all-inclusive, meaning plans include coverage for:
Unlike other types of plans, you get everything you need in one convenient plan, so all your care is coordinated. There’s no juggling multiple plans and multiple companies.
For example, if you have Original Medicare, plus a Medicare Supplement (MediGap) plan, you’ll also need a Medicare Part D Prescription Drug plan. Now you are juggling three different plans from three different companies, and nothing is coordinated. It can get very complicated and confusing. It will likely also be more expensive.
Different Medicare Advantage plans offer different benefits, costs, and coverage. In New York City and surrounding counties, you have a choice.
The types of Medicare Advantage plans available in New York include:
Since all this coverage is conveniently included in one plan, you don’t have to worry about adding on any other type of plan.
Medicare Advantage HMO plans have a network of doctors, specialists, and hospitals that members can use.
They are Medicare Advantage Prescription Drug plans that give you the flexibility to go out of network and visit any doctor or hospital in the U.S. that accepts Medicare for medical care.
Please note, seeing out-of-network providers usually costs more than staying in-network.
We can help you enroll by phone, video chat, or in person.
Visit a neighborhood Community Office near you to talk to us in person, and take care of your health insurance needs.
*These are special supplemental benefits for members enrolled in a Healthfirst dual-eligible special needs plan. To be eligible, you must have a chronic condition such as cardiovascular disorder, disabling mental health condition, diabetes, lung disorders, obesity, or another eligible condition not listed. Benefit eligibility is not based on your chronic condition alone. Benefits may vary by plan.
**Dental services must be medically necessary; limitations and exclusions apply.
‡The premium amount may be reduced or waived if you are receiving Low Income Subsidy or Extra Help.
‡‡Combined in-network / out-of-network services.
†After you pay your medical deductible.
Benefits and features listed are for 2027. Coverage is provided by Healthfirst Health Plan, Inc., Healthfirst PHSP, Inc., and/or Healthfirst Insurance Company, Inc. (together, “Healthfirst”). Healthfirst Medicare Plan has HMO and PPO plans with a Medicare contract. Our SNPs also have contracts with the NY State Medicaid program. Enrollment in Healthfirst Medicare Plan depends on contract renewal. Plans contain exclusions and limitations. Benefits vary by plan.
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)。
OTC items are subject to the plan’s list of eligible items and the plan’s participating network of retail, online, and utility providers. Home utilities include gas, oil, electric, water, and internet service.
Plans vary by service area. Out-of-network/non-contracted providers are under no obligation to treat Healthfirst Medicare Plan members, except in emergency situations. Out-of-network healthcare services may have higher costs. Please call Member Services or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Benefits, premiums, and/or copayments/coinsurance may change each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
SilverSneakers is a registered trademark of Tivity Health, Inc. © 2027 Tivity Health, Inc. All rights reserved.
DentaQuest is contracted with Healthfirst to provide dental benefits to its members.
EyeMed is contracted with Healthfirst to provide vision benefits to its members.
No out-of-pocket costs for entry-level hearing aids. Eyewear allowance can only be used at participating retailers.
A sales person will be present with information and applications. For accommodations of persons with special needs at meetings, call 1-888-260-1010 (TTY 1-888-542-3821).
The number of provider locations is current as of May 13, 2026, and subject to change due to periodic changes in our network.
Healthfirst has 4.5-star-rated (out of five stars) Medicare Advantage plans in 2026. Every year, Medicare evaluates plans based on a 5-star rating system.
Apple® compatibility: Requires iOS 13.0 or later. Compatible with iPhone®, iPad®, and iPod touch®. Apple and the Apple logo® are registered trademarks of Apple Inc. Android™ compatibility: Requires Android 8.0 Oreo™ or later. Compatible with phones for Android. Android, Google Play, and the Google Play logo are trademarks of Google LLC.
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