Just answer a few quick questions below. Our plans provide money-saving benefits, convenient access to care, comprehensive dental with no annual benefit maximum and more.
Or skip the questions and see all plans.
Healthfirst Medicare Advantage plan for those that want the flexibility to see any doctor or hospital in the U.S. that accepts Medicare for medical care. Members will also get access to:
$35 copay for in-network specialist visits / $60 out-of-network
$0 copay for preferred generic drugs
Plus you'll get:
Comprehensive dental
Convenient prescription drug delivery options
Routine vision and hearing exams, plus eyeglasses and hearing aids
Worldwide emergency and urgent care coverage with no maximum benefit allowance
Medicare Advantage plan with enhanced benefits and greater flexibility for those who want an added level of choice.
Members can select one of the Healthfirst Signature Choice Extras benefits each year:
Plus, access care at more than 100,000 in-network provider locations.
$30 copay for specialist visits
$0 copay for preferred generic drugs
Plus you'll get:
Comprehensive dental coverage
Convenient prescription drug delivery options
Routine vision and hearing exams, plus eyeglasses and hearing aids
Worldwide emergency and urgent care coverage with no maximum benefit allowance
A Medicare Advantage plan with a $0 monthly plan premium, prescription drug coverage, and no copays. This plan is for those who are dual eligible for both Medicare and Medicaid coverage.
A Medicare Advantage plan with a $0 monthly plan premium,2 prescription drug coverage, and no or low copays. This plan is for those who qualify for full Extra Help, also known as Low Income Subsidy (LIS), which helps to lower prescription drug costs.
2If you lose full Extra Help, your monthly premium will change and your annual deductible may be $545. However, all members with full Extra Help will have $0 monthly premiums and a $0 annual deductible.
**For members with full Extra Help; members without Extra Help can use their OTC Plus card for OTC and health-related items only.
This all-in one Medicaid Advantage Plus (MAP) plan includes medical coverage (doctor visits), prescription drug coverage, Long Term Services and Supports, a $280-a-month OTC Plus card to spend on over-the-counter (OTC) items, healthy foods and home utilities, and much more.*
A Medicare Advantage plan with a $0 monthly plan premium3, prescription drug coverage, and no or low copays. This plan is for those who qualify for additional financial assistance (Extra Help, Medicare Savings Programs, or Medicaid) providing help with drug costs, deductibles, and copays.
3If you lose Extra Help, your monthly premium will change and your annual deductible may be $545. However, all members with Extra Help will have $0 monthly premiums and a $0 annual deductible.
Need to talk right now?
7 days a week, 8am–8pm (October through March), and Monday to Friday, 8am–8pm (April through September)
We can help you enroll in person.
Coverage is provided by Healthfirst Health Plan, Inc. or Healthfirst Insurance Company, Inc. (“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.
Plans above reflect amounts after Extra Help or Medicaid secondary coverage has been applied.
*Healthy foods/groceries and home utilities are special supplemental benefits. To be eligible for these benefits, you must have one of the following chronic conditions: cardiovascular disorder, disabling mental health condition, diabetes, lung disorders, or obesity. There are other eligible conditions not listed. Your chronic condition alone cannot guarantee eligibility for these benefits. All applicable eligibility requirements must be met before the benefits are provided.
OTC items are subject to the plan’s list of eligible items and the plan’s participating network of retail, online, and utility providers. Balances expire upon disenrollment. Home utilities include gas, oil, electric, water, and internet service.
Dental services must be medically necessary; limitations and exclusions apply.
Out-of-network healthcare services may have higher costs. Plans vary by service area. Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number 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. (c) 2023 Tivity Health, Inc. All rights reserved.
EyeMed is contracted with Healthfirst to provide vision benefits to its members.
Healthfirst has four-star rated (out of five stars) Medicare Advantage plans in 2022. Every year, Medicare evaluates plans based on a 5-star rating system.
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)
Y0147_MKT25_91 5128-24_M