See which Healthfirst Medicare Advantage plan may be right for you

Just answer a few quick questions below. Our plans provide money-saving benefits, convenient access to care, comprehensive dental, many with no annual benefit maximum, and more.

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First, enter your ZIP code
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Do you have Medicaid?
Do you qualify for Extra Help or the Medicare Savings Program?
Do you want or need out-of-network coverage?
Great news! Our Signature (HMO) plan may be right for you.
Great news! Our Signature (PPO) plan may be right for you.
Great news! Here are the plans that may be right for you.
Signature (PPO)

A 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:

  • A broad network of more than 100,000 participating providers, plus the option to go out of network
Signature (HMO)

A Medicare Advantage plan that offers enhanced plan benefits and a flexible benefit card to help pay for covered healthcare expenses.

  • $130/year Flex card for Medicare covered cost-shares, including prescription hearing aids, dental, vision, and hearing. Plus, you can use it for exercise equipment, activity trackers, and personal emergency response systems (PERS)
  • Access to more than 100,000 in-network providers
Great news! Our Increased Benefits Plan (HMO) may be right for you.
Great news! Here are the plans that may be right for you.
You may qualify for one of these plans depending on your income status; contact us for more details.
Increased Benefits Plan (HMO)

A Medicare Advantage plan with a $0 monthly plan premium, prescription drug coverage, and no or low copays. This plan is for those who qualify for Extra Help, also known as Low Income Subsidy (LIS), which helps to lower prescription drug costs.

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 $24.20 for your monthly premium.

65 Plus Plan (HMO)

A Medicare Advantage plan with a $0 monthly plan premium, prescription drug coverage, and no or low copays. This plan is for those who may qualify for additional financial assistance (Extra Help, Medicare Savings Programs, or Medicaid) providing help with drug costs, deductibles, and copays.

Do you need or currently get assistance at home?
Great news! Our Life Improvement (HMO D-SNP) plan may be right for you.
Great news! Here are the plans that may be right for you.
Life Improvement (HMO D-SNP)

A Medicare Advantage plan with a monthly plan premium as low as $0, prescription drug coverage, and no copays. This plan is for those who are dual eligible for both Medicare and Medicaid coverage.

Connection Plan (HMO D-SNP)

A Medicare Advantage plan with a monthly plan premium as low as $0, prescription drug coverage, and no copays. This plan is for those who are dual-eligible for both Medicare and cost-sharing assistance from Medicaid.

Great news! Our CompleteCare (HMO D-SNP) plan may be right for you.
No plans found matching these criteria.
65 Plus Plan (HMO)

A Medicare Advantage plan with a $0 monthly plan premium, prescription drug coverage, and no or low copays. This plan is for those who may qualify for additional financial assistance (Extra Help, Medicare Savings Programs, or Medicaid) providing help with drug costs, deductibles, and copays.

View plan highlights
View full plan details
Is my provider in-network?
Are my drugs covered?
Benefits
  • $25/month OTC Plus card that you can use for over-the-counter (OTC) items, personal emergency response systems (PERS), exercise equipment, activity trackers, and more.
  • $0 copay for primary care doctor visits
  • $35 copay for specialist visits
  • Comprehensive dental coverage for $0 ($1,250 annual benefit max)
  • 8 no-cost, non-emergent one-way trips per year to in-network doctors for covered services
  • 24/7 access to doctors by phone or video chat for $0
  • Routine vision and hearing exams, $150/year allowance for eyeglasses or contact lenses, and hearing aids for as low as $0
  • SilverSneakers® fitness program for $0
Star Ratings
Premium
$0
Deductible
$0
Connection Plan (HMO D-SNP)

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. Plus extra benefits, such as prescription medications, OTC Plus card, SilverSneakers® fitness program, 24/7 access to care via phone or video chat, and more. You also don’t need referrals to see in-network specialists.

View plan highlights
View full plan details
Is my provider in-network?
Are my drugs covered?
Benefits
  • $0 copays for primary care doctor and specialist visits
  • $55/month with the OTC Plus card for over-the-counter (OTC) items, healthy foods, home utilities, personal emergency response systems (PERS), exercise equipment, activity trackers, and more.*
  • $0 deductible and copays as low as $0 for covered prescription drugs
  • 18 no-cost, one-way trips per year to in-network doctors for covered services
  • Comprehensive dental, including dentures, extractions, crowns, root canals, and more for $0**
  • Routine vision and hearing exams, $250/year allowance for eyeglasses or contact lenses, and hearing aids for as low as $0
Star Ratings
Premium
$0
Deductible
$0
Increased Benefits Plan (HMO)

A Medicare Advantage plan with a $0 monthly plan premium, prescription drug coverage, and no or low copays. This plan is for those who qualify for Extra Help, also known as Low Income Subsidy (LIS), which helps to lower prescription drug costs.

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 $24.20 for your monthly premium.

View plan highlights
View full plan details
Is my provider in-network?
Are my drugs covered?
Benefits
  • $0 copay for primary care doctor visits
  • $25 copay for specialist visits
  • $35/month OTC Plus card for over-the-counter (OTC) items, personal emergency response systems (PERS), exercise equipment, activity trackers, and more
  • Comprehensive dental coverage for $0 ($1,500 annual benefit max)
  • 20 no-cost, one-way trips per year to in-network doctors for covered services
  • 24/7 access to doctors by phone or video chat for $0
  • Routine vision and hearing exams, $250/year allowance for eyeglasses or contact lenses, and hearing aids for as low as $0
  • SilverSneakers® fitness program for $0
    Star Ratings
    Premium
    $0
    Deductible
    $0
    Life Improvement Plan (HMO D-SNP)

    A Medicare Advantage plan with a $0 monthly plan premium, prescription drug coverage, and as low as $0 copays. This plan is for those who are dual eligible for both Medicare and Medicaid coverage.

    View plan highlights
    View full plan details
    Is my provider in-network?
    Are my drugs covered?
    Benefits
    • $0 copays for primary care doctor and specialist visits
    • $175/month with the OTC Plus card for over-the-counter (OTC) items, healthy foods, home utilities, personal emergency response systems (PERS), exercise equipment, activity trackers, and more*
    • $0 deductible and as low as $0 copays for covered prescription medications
    • 18 no-cost, one-way trips per year to in-network doctors for covered services
    • Comprehensive dental including dentures, extractions, crowns, root canals, and more for $0**
    • Routine vision and hearing exams, $300/year allowance for eyeglasses or contact lenses, and hearing aids for as low as $0
    Star Ratings
    Premium
    $0
    Deductible
    $0
    Signature (HMO)

    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.

    • $130/year Flex card for Medicare-covered cost shares, including prescription hearing aids, dental, vision, and hearing. Plus, you can use it for exercise equipment, activity trackers, and personal emergency response systems (PERS)
    • Access to more than 100,000 in-network providers
    View plan highlights
    View full plan details
    Is my provider in-network?
    Are my drugs covered?
    Benefits
    • $0 copay for primary care doctor visits
    • $40 copay for specialist visits

    • $1 copay for preferred generic drugs (30-day supply)

    Plus you'll get:

    • Comprehensive dental coverage for $0 ($1,000 annual benefit max)

    • Convenient prescription drug delivery options

    • Routine vision and hearing exams, $200/year allowance for eyeglasses or contact lenses, and hearing aids for as low as $0

    • Worldwide emergency and urgent care coverage with a maximum benefit allowance

    Premium
    $0
    Deductible
    $300

    for Bronx, Kings, Nassau, New York, Queens, Richmond Counties

    $450

    for Orange, Rockland, Sullivan, Westchester Counties

    Signature (PPO)

    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. Members will also get access to:

    • $75/year eyewear allowance
    • A broad network of more than 100,000 participating providers, plus the option to go out of network
    View plan highlights
    View full plan details
    Is my provider in-network?
    Are my drugs covered?
    Benefits
    • $0 copay for in-network primary care doctor visits / $50 out-of-network
    • $40 copay for in-network specialist visits / $75 out-of-network

    • $1 copay for preferred generic drugs (30-day supply)

    Plus you'll get:

    • Comprehensive dental coverage

    • Convenient prescription drug delivery options

    • Routine vision and hearing exams, $75/year allowance for eyeglasses or contacts, and hearing aids for as low as $0

    • Worldwide emergency and urgent care coverage with a maximum benefit allowance

    Premium
    $55
    Deductible (Combined In-Network/Out-of-Network)
    $500
    CompleteCare (HMO D-SNP)

    This all-in one Medicaid Advantage Plus (MAP) plan includes medical coverage (doctor visits), prescription drug coverage, Long Term Services and Supports, a $252/month OTC Plus card to spend on over-the-counter (OTC) items, healthy foods, home utilities, and much more.*

    View plan highlights
    View full plan details
    Is my provider in-network?
    Are my drugs covered?
    Benefits
    • Long-term care benefits, such as personal care aide services, adult day health center, social day center, and more
    • Dedicated Care Team to help you meet your care goals and live independently at home
    • $0 copay for primary care doctor visits
    • $0 copay for specialist visits
    • $252/month OTC Plus card for over-the-counter (OTC) items, healthy foods, exercise equipment, activity trackers, home utilities, including gas, oil, electric, water, and internet service, and more*
    • Comprehensive dental, including dentures, crowns, root canals for $0
    • $0 copay for all other covered services, including free entry-level hearing aids
    Star Ratings
    Premium
    $0
    Deductible
    $0

    Need to talk right now?

    Call us at 1-833-772-2454 TTY English: 1-888-542-3821 TTY Español: 1-888-867-4132

    7 days a week, 8am–8pm (October through March), 
and Monday to Friday, 8am–8pm (April through September)

    Schedule an appointment

    We can help you enroll in person.

    Benefits and features listed are for 2026.
    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.

    Plans above reflect amounts after Extra Help or Medicaid secondary coverage has been applied.

    *Healthy foods and home utilities 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.

    **Dental services must be medically necessary; limitations and exclusions apply.

    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. © 2025 Tivity Health, Inc. All rights reserved.

    DentaQuest® is contracted with Healthfirst to provide dental benefits to its members. No out-of-pocket costs for entry-level hearing aids. Eyewear allowance can only be used at participating retailers.

    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.

    Healthfirst has 4.5-star-rated (out of five stars) Medicare Advantage plans in 2025. 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.