*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.
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.
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. © 2025 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 sales meetings, call 1-888-260-1010 (TTY 1-888-542-3821).
The number of provider locations is current as of August 4, 2025, 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 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.
