Thank you for choosing a Healthfirst Medicare Advantage plan. Here's how to get the most out of your plan.
This information is for Healthfirst coverage starting January 1, 2027. If your coverage starts before then, go here.
Set up your online account today to access your personalized member experience and begin earning Member Rewards. You don't have to wait for your coverage to start.
Your digital account lets you:
View your digital Member ID card, manage your OTC Plus card, change your primary care provider (PCP), earn Member Rewards, check prescription drug prices, and more.
Simply enter your name, address, email, and Member ID number.
You can find your ID number on your Member ID card or in the Enrollment Confirmation letter we mailed to your home.
To see more information about each, click on the following.
Includes your Member ID number and plan name, which you can use to get care before your card arrives.
Includes your Member ID number, PCP, plan name, and copays.
Once activated, you can use your card each month to save.
Get more detailed information by downloading the following guides.
As a new Healthfirst member you can earn up to $35 in Member Rewards. Simply log in to your account and complete these easy tasks:
You don’t have to wait for your coverage to begin to start earning rewards.
Set yourself up for success by completing the following once your coverage begins.
You can find easy-to-follow activation and usage instructions on our OTC Plus page. Your card is worth $180 a month, so don’t miss out on any savings!
If you have any outstanding refills, be sure to fill them before your current plan ends.
If you’re switching pharmacies, you‘ll need to transfer your current prescriptions. Your new pharmacy can help with that.
If you use medical equipment or diabetic supplies, such as a Continuous Glucose Monitor (CGM), call us at 1-888-260-1010 so we can make sure it gets set up correctly.
If you’re currently getting treatment, have ongoing treatments (such as dialysis), or have a scheduled procedure, please call us so we can make sure there’s no interruption in your care.
You can designate a caregiver, family member, or friend as a trusted contact to speak with us on your behalf if you need assistance or are sick or unavailable.
You’ll just need to complete and return a Protected Health Information (PHI) form. You can also complete a PHI form by logging in to your account.
Click on the tabs below for a quick overview of some key plan benefits.
CHOOSE A BENEFIT
Your Life Improvement Plan includes an OTC Plus card worth $180 a month to pay for over-the-counter (OTC) non-prescription drugs and health-related items.
You can use your card to save in-person at retailers and pharmacies, and online at Amazon, Instacart, and more.
To activate your card:
Call 1-833-684-8472
Your card will be automatically loaded each month. Use the full $180 each month, as your balance does not roll over.
To check your card balance:
Text BAL to HF4YOU (434968)
For more details, as well as a full list of eligible items and participating retailers, log in to your account or open the Healthfirst NY Mobile App and go to the OTC Plus section.
Your Life Improvement Plan has no deductible and includes access to care with $0 copays.
Your plan includes:
For more plan details:
To find an in-network doctor, specialist, dentist, or other care provider:
In addition to finding dental problems such as cavities early, dental exams can detect the first signs of diabetes, heart disease, and kidney disease. So it’s important to stay on top of your dental health.
Your plan includes:
To find an in-network dentist:
To make an appointment, call our trusted dental partner, DentaQuest®, at:
1-800-508-2047 (TTY 1-800-466-7566)
Monday to Friday, 8am–8pm
*Dental services must be medically necessary; limitations and exclusions apply.
In addition to checking your eyesight and getting eyewear, annual eye exams can detect vision problems early, so you can better treat diseases such as glaucoma, macular degeneration, and diabetic eye disease.
Your plan includes:
To make an appointment for routine vision care, such as eye exams and eyeglasses or contacts, call EyeMed® at:
1-844-844-0881 (TTY 711)
Monday to Friday, 8am–8pm
Saturday and Sunday, 9am–5:30pm
We know hearing needs can sometimes go unaddressed. That’s why your plan includes hearing services and hearing aids to help you get the care you need.
Your plan includes:
To find a covered hearing provider, schedule an appointment, or ask about benefits, call NationsHearing® at:
Monday to Friday, 8am–8pm
Your Life Improvement Plan includes Medicare Part D Prescription Drug coverage, so you can keep your prescription costs down.
Your plan includes:
Find an in-network pharmacy near you:
**Low-income subsidy (LIS), also known as Extra Help, cost-sharing for tiers 3–5 prescriptions. Depending on your level of LIS, you pay $0, $1.65, or $5.80 for generics and $0, $5, or $14.40 for brands and other drugs.
Mental health conditions can affect anyone at any time. If you’re suffering from anxiety, depression, the stress of aging, or any other mental health condition, reach out for help.
Your plan includes:
Find an in-network mental health doctor:
If you are experiencing a medical emergency, please dial 911. If you’re in distress, call or text 988 for free, confidential support 24/7.
This traditional Chinese medicine practice may be beneficial for those suffering from a number of conditions.
Your plan includes:
Find an acupuncturist in the Healthfirst provider network at:
For added convenience, we’ll cover rides to your healthcare providers for covered services.
Your plan includes:
To schedule a ride:
Call 1-844-772-6629
Monday to Friday, 8am–8pm
(Call 24 hours a day, 7 days a week for urgent/same-day needs)
Or use the Modivcare app to schedule rides, track your ride status and location, and to find out how many rides you have left for the year.
Your Life Improvement Plan includes an OTC Plus card worth $180 a month to pay for over-the-counter (OTC) non-prescription drugs and health-related items.
You can use your card to save in-person at retailers and pharmacies, and online at Amazon, Instacart, and more.
To activate your card:
Call 1-833-684-8472
Your card will be automatically loaded each month. Use the full $180 each month, as your balance does not roll over.
To check your card balance:
Text BAL to HF4YOU (434968)
For more details, as well as a full list of eligible items and participating retailers, log in to your account or open the Healthfirst NY Mobile App and go to the OTC Plus section.
Your Life Improvement Plan has no deductible and includes access to care with $0 copays.
Your plan includes:
For more plan details:
To find an in-network doctor, specialist, dentist, or other care provider:
In addition to finding dental problems such as cavities early, dental exams can detect the first signs of diabetes, heart disease, and kidney disease. So it’s important to stay on top of your dental health.
Your plan includes:
To find an in-network dentist:
To make an appointment, call our trusted dental partner, DentaQuest®, at:
1-800-508-2047 (TTY 1-800-466-7566)
Monday to Friday, 8am–8pm
*Dental services must be medically necessary; limitations and exclusions apply.
In addition to checking your eyesight and getting eyewear, annual eye exams can detect vision problems early, so you can better treat diseases such as glaucoma, macular degeneration, and diabetic eye disease.
Your plan includes:
To make an appointment for routine vision care, such as eye exams and eyeglasses or contacts, call EyeMed® at:
1-844-844-0881 (TTY 711)
Monday to Friday, 8am–8pm
Saturday and Sunday, 9am–5:30pm
We know hearing needs can sometimes go unaddressed. That’s why your plan includes hearing services and hearing aids to help you get the care you need.
Your plan includes:
To find a covered hearing provider, schedule an appointment, or ask about benefits, call NationsHearing® at:
Monday to Friday, 8am–8pm
Your Life Improvement Plan includes Medicare Part D Prescription Drug coverage, so you can keep your prescription costs down.
Your plan includes:
Find an in-network pharmacy near you:
**Low-income subsidy (LIS), also known as Extra Help, cost-sharing for tiers 3–5 prescriptions. Depending on your level of LIS, you pay $0, $1.65, or $5.80 for generics and $0, $5, or $14.40 for brands and other drugs.
Mental health conditions can affect anyone at any time. If you’re suffering from anxiety, depression, the stress of aging, or any other mental health condition, reach out for help.
Your plan includes:
Find an in-network mental health doctor:
If you are experiencing a medical emergency, please dial 911. If you’re in distress, call or text 988 for free, confidential support 24/7.
This traditional Chinese medicine practice may be beneficial for those suffering from a number of conditions.
Your plan includes:
Find an acupuncturist in the Healthfirst provider network at:
For added convenience, we’ll cover rides to your healthcare providers for covered services.
Your plan includes:
To schedule a ride:
Call 1-844-772-6629
Monday to Friday, 8am–8pm
(Call 24 hours a day, 7 days a week for urgent/same-day needs)
Or use the Modivcare app to schedule rides, track your ride status and location, and to find out how many rides you have left for the year.
Coverage is provided by Healthfirst Health Plan, Inc. and/or Healthfirst PHSP, Inc. (together, “Healthfirst”). Plans contain exclusions and limitations.
OTC items are subject to the plan’s list of eligible items and the plan’s participating network of retail, online, and utility providers. Unused balances will expire at the end of each benefit period, at the end of the calendar year and if you disenroll from Healthfirst.
Eyewear allowance can only be used at participating retailers.
No out-of-pocket costs for entry-level hearing aids.
Modivcare and Medical Answering Services provide the covered transportation services under your plan.
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