Medicare & Long-Term Care Plan Documents

Select a Healthfirst plan below to see its Summary of Benefits, Evidence of Coverage, Member Handbook, and other important documents.

If you’re a Healthfirst member, log in to the Member Portal to see your plan benefits and more helpful information.

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Forms for Medicare Advantage and Long-Term Care plans

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65 Plus Plan (HMO) CompleteCare (HMO-DSNP) Connection Plan (HMO-DSNP) Increased Benefits Plan
(HMO) Life Improvement Plan
(HMO D-SNP) Senior Health Partners MLTC Medicaid Plan Signature (HMO) Signature (PPO) Additional Resources

65 Plus Plan (HMO)

65 Plus Plan Formulary Search Tool

CompleteCare (HMO D-SNP)

This plan includes long-term care services and supports.

CompleteCare Formulary Search Tool

Connection Plan (HMO D-SNP)

Connection Plan Formulary Search Tool

Increased Benefits Plan (HMO)

Increased Benefits Plan Formulary Search Tool

Life Improvement Plan (HMO D-SNP)

Life Improvement Plan Formulary Search Tool

Senior Health Partners MLTC Medicaid Plan*

Signature (HMO)

Signature Formulary Search Tool

Signature (PPO)

Signature Formulary Search Tool

Additional Resources

Helpful Member and Plan Information

Disclaimers

Medicare Advantage Members:

*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.

Premiums, copays, coinsurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.

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.

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)。

Last update June 24, 2026 @ 1:57 pm

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