Medicare & Long Term Care Plans
Medicare Advantage Plan
out of five stars in 2020*
*Every year, Medicare evaluates plans based on a 5-star rating system.
Healthfirst offers a variety of plans designed to meet your unique needs.
Medicare Advantage Plans
Healthfirst Medicare Advantage plans provide all the benefits and services that Original Medicare does, plus a whole lot more—for less.
Get more benefits such as:
- An allowance of up to $150 per month to purchase over-the-counter nonprescription drugs and health-related items *
- dental services as low as $0, including dentures, crowns and root canals **
- $0 SilverSneakers® fitness program
- prescription drug coverage
All with $0 monthly plan premiums and $0 or low copays to primary care doctors and specialists.* Pharmacies and retailers may vary by plan for OTC allowance usage.
** Dental services must be medically necessary to be covered, and limitations may apply.
Managed Long Term Care Plans
Healthfirst Managed Long Term Care plans provide managed long term care benefits that help you (or your loved one) remain in your home and as independent as possible.
Additional benefits such as:
- personal care
- meal preparation
- light housekeeping
- prescription drug coverage
We offer plans that combine hospital, medical, and prescription drug coverage with managed long term care benefits, as well as a stand-alone managed long-term care plan option.
Based on August, 2020 CMS Medicare Advantage/Part D Contract and Enrollment data, excludes EGHP and ISNP. Healthfirst has the largest Medicare Advantage membership in the NY metropolitan area, including New York City, Nassau, Westchester, and Lower Hudson Valley.
Every year, Medicare evaluates plans based on a 5-star rating system.
If you receive Medicaid and want to know whether you are eligible for a Managed Long Term Care Plan, you can call the Conflict-Free Evaluation and Enrollment Center (CFEEC) at 1-855-222-8350, Monday to Friday, 8:30am-8pm, and Saturday, 10:00am-6:00pm, to schedule a free evaluation.
Coverage is provided by Healthfirst Health Plan, Inc., Healthfirst PHSP, Inc., and/or Healthfirst Insurance Company, Inc. (together, “Healthfirst”). Plans contain exclusions and limitations.
Plans above reflect amounts after Extra Help or Medicaid secondary coverage has been applied.
Healthfirst Health Plan, Inc. offers HMO plans that contract with the Federal Government. Healthfirst Medicare Plan has a contract with New York State Medicaid for Healthfirst CompleteCare (HMO SNP) and a Coordination of Benefits Agreement with the New York State Department of Health for the Healthfirst Life Improvement Plan (HMO SNP). Enrollment in Healthfirst Medicare Plan depends on contract renewal.
This information is not a complete description of benefits. Contact the plan for more information. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year.
Healthfirst Medicare Plan, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
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Last update May 28, 2020 @ 9:51 pm