Medicare & Long-Term Care Welcome to Healthfirst Signature (HMO)

Thank you for choosing a Healthfirst Medicare Advantage plan. Here's how to get the most out of your plan.

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This information is for Healthfirst coverage starting January 1, 2027. If your coverage starts before then, go here.

Get ready to use your plan on day one

Set up your online account today to access your personalized member experience. You don't have to wait for your coverage to start.

Create your Healthfirst account

Your digital account lets you:

View your digital Member ID card, manage your OTC Plus card, change your primary care provider (PCP), 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.

Create Your Account

Download the Healthfirst NY Mobile App

Welcome mailed materials

These items will be on their way 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 to save.

Welcome download materials

You can download these materials right now

Get more detailed information by downloading the following guides.

All plan documents

Plan ahead for your coverage

Set yourself up for success by completing the following once your coverage begins.

Welcome activate otc card

Activate your Flex card

You must activate your Flex card before you can use it.

You’ll need your Flex card and Healthfirst Member ID card numbers.

Welcome prescriptions

Manage your prescriptions

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.

Find an in-network pharmacy

If you use medical equipment or diabetic supplies, such as a Continuous Glucose Monitor (CGM), call us at 1-855-771-1081 so we can make sure it gets set up correctly.

Welcome ongoing care

Let us know if you have ongoing care needs

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.

1-855-771-1081
Welcome phi release

Allow someone to talk to us on your behalf

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.

Your benefits at a glance

Click on the tabs below for a quick overview of some key plan benefits.

Flex card

Your Flex card has an allowance of $100 a year that you can use to pay cost shares and copays, such as:

  • Specialist visits
  • Urgent care
  • Physical therapy
  • Lab tests
  • And more

To activate your card:

Call 1-833-684-8472

Your card will be loaded with $100 each year. Use the full balance each year, as it does not roll over.

To check your card balance:

To check your balance and get additional information, log in to your account or open the Healthfirst NY Mobile App and go to the Flex card section.

Medical care

Your Signature (HMO) plan has no medical deductible and includes access to care with copays as low as $0.

Your plan includes:

  • $0 copay for a PCP visit
  • $40 copay for a specialist visit (no referral needed)
  • $0 copay for a telehealth visit
  • $40 copay for urgent care
  • $115 copay for emergency care

For more plan details:

Log in to your account

To find an in-network doctor, specialist, dentist, or other care provider:

Find a doctor

Dental care

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:

  • $0 copays for all covered preventive and comprehensive services*, including:
    • dental checkups and cleanings twice a year
    • cavity fillings, crowns, and dentures
    • oral surgery and root canals
  • $0 dental deductible, so you pay nothing right from the start of your coverage
  • $40 copay for Medicare-covered dental services
  • $2,000 annual maximum for combined preventive and comprehensive services

To find an in-network dentist:

Find a 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.

Vision care

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:

  • $0 copays for covered services, including:
    • routine eye exams
    • glaucoma tests
    • screening for diabetic retinopathy
  • A $200 allowance for eyeglasses or contacts

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

For vision-related medical issues, such as cataracts, call Member Services.

Contact us

Hearing care

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:

  • $0 copays for annual routine hearing exams
  • Covered prescription hearing aids as low as $0
  • Three (3) follow-up visits to make sure your hearing aids fit right, and to address any issues you may have with them

To find a covered hearing provider, schedule an appointment, or ask about benefits, call NationsHearing® at:

1-877-438-7251 (TTY 711)

Monday to Friday, 8am–8pm

Prescription drugs

Your Signature (HMO) plan includes Medicare Part D prescription drug coverage.

Your plan includes:

  • $0 prescription deductible for Tier 1 (preferred generic), Tier 2 (generic), and Tier 6 (select care) drugs and insulin. $550 deductible for Tier 3 (preferred brand and non-preferred generic), Tier 4 (non-preferred), and Tier 5 (specialty) drugs.
  • $0 copay for Tier 1 and Tier 6 drugs
  • $2 copay for Tier 2 drugs, 19% coinsurance for Tier 3, 45% coinsurance for Tier 4, and 27% coinsurance for Tier 5 drugs
  • Extra convenience with options for:
    • 90-day supplies
    • Home delivery
    • Pick up at large national chains or small local pharmacies

Find an in-network pharmacy near you:

Find a pharmacy

Mental health

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:

  • $0 copay for outpatient:
    • individual and group therapy visits
    • substance abuse services
    • opioid treatment services
  • $522 copay per day for days 1–4 of inpatient care; $0 copay per day for days 5–90

Find an in-network mental health doctor:

Find a 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.

Acupuncture

This traditional Chinese medicine practice may be beneficial for those suffering from a number of conditions.

Your plan includes:

  • $0 copay for up to 20 visits a year for chronic lower back pain
  • $0 copay for 12 additional visits for any condition, including lower back pain

Find an acupuncturist in the Healthfirst provider network at:

Find a doctor

Flex card

Your Flex card has an allowance of $100 a year that you can use to pay cost shares and copays, such as:

  • Specialist visits
  • Urgent care
  • Physical therapy
  • Lab tests
  • And more

To activate your card:

Call 1-833-684-8472

Your card will be loaded with $100 each year. Use the full balance each year, as it does not roll over.

To check your card balance:

To check your balance and get additional information, log in to your account or open the Healthfirst NY Mobile App and go to the Flex card section.

Medical care

Your Signature (HMO) plan has no medical deductible and includes access to care with copays as low as $0.

Your plan includes:

  • $0 copay for a PCP visit
  • $40 copay for a specialist visit (no referral needed)
  • $0 copay for a telehealth visit
  • $40 copay for urgent care
  • $115 copay for emergency care

For more plan details:

Log in to your account

To find an in-network doctor, specialist, dentist, or other care provider:

Find a doctor

Dental care

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:

  • $0 copays for all covered preventive and comprehensive services*, including:
    • dental checkups and cleanings twice a year
    • cavity fillings, crowns, and dentures
    • oral surgery and root canals
  • $0 dental deductible, so you pay nothing right from the start of your coverage
  • $40 copay for Medicare-covered dental services
  • $2,000 annual maximum for combined preventive and comprehensive services

To find an in-network dentist:

Find a 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.

Vision care

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:

  • $0 copays for covered services, including:
    • routine eye exams
    • glaucoma tests
    • screening for diabetic retinopathy
  • A $200 allowance for eyeglasses or contacts

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

For vision-related medical issues, such as cataracts, call Member Services.

Contact us

Hearing care

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:

  • $0 copays for annual routine hearing exams
  • Covered prescription hearing aids as low as $0
  • Three (3) follow-up visits to make sure your hearing aids fit right, and to address any issues you may have with them

To find a covered hearing provider, schedule an appointment, or ask about benefits, call NationsHearing® at:

1-877-438-7251 (TTY 711)

Monday to Friday, 8am–8pm

Prescription drugs

Your Signature (HMO) plan includes Medicare Part D prescription drug coverage.

Your plan includes:

  • $0 prescription deductible for Tier 1 (preferred generic), Tier 2 (generic), and Tier 6 (select care) drugs and insulin. $550 deductible for Tier 3 (preferred brand and non-preferred generic), Tier 4 (non-preferred), and Tier 5 (specialty) drugs.
  • $0 copay for Tier 1 and Tier 6 drugs
  • $2 copay for Tier 2 drugs, 19% coinsurance for Tier 3, 45% coinsurance for Tier 4, and 27% coinsurance for Tier 5 drugs
  • Extra convenience with options for:
    • 90-day supplies
    • Home delivery
    • Pick up at large national chains or small local pharmacies

Find an in-network pharmacy near you:

Find a pharmacy

Mental health

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:

  • $0 copay for outpatient:
    • individual and group therapy visits
    • substance abuse services
    • opioid treatment services
  • $522 copay per day for days 1–4 of inpatient care; $0 copay per day for days 5–90

Find an in-network mental health doctor:

Find a 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.

Acupuncture

This traditional Chinese medicine practice may be beneficial for those suffering from a number of conditions.

Your plan includes:

  • $0 copay for up to 20 visits a year for chronic lower back pain
  • $0 copay for 12 additional visits for any condition, including lower back pain

Find an acupuncturist in the Healthfirst provider network at:

Find a doctor

Member Services

1-855-771-1081

TTY English: 1-888-542-3821

TTY Español: 1-888-867-4132

DYNAMIC CALL CENTER HOURS

Coverage is provided by Healthfirst Health Plan, Inc. Plans contain exclusions and limitations.

Eyewear allowance can only be used at participating retailers.

No out-of-pocket costs for entry-level hearing aids.

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