Medicare & Managed
Long-Term Care Plans

Healthfirst Medicare Advantage plans provide all the benefits and services that Original Medicare does, plus a whole lot more — for less. We offer a variety of plans to meet your needs with benefits such as prescription drug coverage, over-the-counter allowance, dental, hearing and vision benefits, SilverSneakers® fitness program, 24/7 access to care via phone or video chat, and the Nurse Help Line.

Healthfirst Long-Term Care Plans provide health benefits that help you (or your loved one) remain at home and as independent as possible. We offer plans that combine hospital, medical and prescription drug coverage with long-term care benefits, as well as a stand-alone managed long-term care plan option. Our long-term care plans provide access to a care management team, which includes a primary care manager and other support staff that will help you develop your own personal care plan centered around your care goals, and coordinate the services you need in order to meet your care goals. Together, they will help you (or your loved one) with your day-to-day needs, and coordinate care with you, your doctor, and your family.


Healthfirst offers a variety of plans designed to meet your unique needs. See below for plan details or call us for more information.

Healthfirst Medicare Advantage plans provide all the benefits and services that Original Medicare does, plus a whole lot more — for less. We offer a variety of plans to meet your needs with benefits such as prescription drug coverage, over-the-counter allowance, dental, hearing and vision benefits, SilverSneakers® fitness program, 24/7 access to care via phone or video chat, and the Nurse Help Line.

Healthfirst Long-Term Care Plans provide health benefits that help you (or your loved one) remain at home and as independent as possible. We offer plans that combine hospital, medical and prescription drug coverage with long-term care benefits, as well as a stand-alone managed long-term care plan option. Our long-term care plans provide access to a care management team, which includes a primary care manager and other support staff that will help you develop your own personal care plan centered around your care goals, and coordinate the services you need in order to meet your care goals. Together, they will help you (or your loved one) with your day-to-day needs, and coordinate care with you, your doctor, and your family.


Healthfirst offers a variety of plans designed to meet your unique needs. See below for plan details or call us for more information.

See Description
  • Deductible

    The amount of money you must pay in covered expenses each year before your plan or program pays anything for certain covered services. The deductible may not apply to all services. There may be different deductibles for different services (e.g., medical vs. pharmacy). Not all plans require deductibles. This is separate from a monthly premium payment. Example: If your deductible is $500, you need to spend $500 for covered healthcare services within one year before your plan or program will start paying for your health services. Your deductible resets once every year.

  • Extra Help

    A federal program to help people with limited income and resources pay Medicare prescription drug program costs like premiums, deductibles, and coinsurance.

  • Premium

    The amount of money you must pay monthly, quarterly, or twice a year to be covered by a health insurance plan or program.

  • SilverSneakers ©

    SilverSneakers is a Medicare fitness program that promotes well-being among seniors through exercise and social opportunities.

Medicare Advantage Plans

Signature (HMO)

Plan Details

This Medicare Advantage Prescription Drug plan is for those that want the flexibility to pick benefits that best suit their needs. It provides a specially-trained member services team dedicated to making healthcare easy, a $0 monthly plan premium, prescription drug coverage, and low or no copays, with more than what Original Medicare offers.

65 Plus Plan (HMO)

Plan Details

This Medicare Advantage Prescription Drug plan is for those looking for hospital, medical, and prescription drug coverage all in one plan. It offers a $0 monthly plan premium, prescription drug coverage, and low or no copays, with more than what Original Medicare offers.

Increased Benefits Plan (HMO)

Plan Details

This Medicare Advantage Prescription Drug plan is for those who qualify for full Extra Help, also known as Low Income Subsidy (LIS), which helps lower prescription drug costs. It offers a $0 monthly plan premium*, prescription drug coverage, and low or no copays.

Coordinated Benefits Plan (HMO)

Plan Details

This Medicare Advantage plan is for those looking for hospital and medical benefits who don’t need prescription drug coverage. It offers a $0 monthly plan premium and low or no copays, with more than what Original Medicare offers.

Life Improvement Plan (HMO D-SNP)

Plan Details

This Medicare Advantage Prescription Drug plan is for those who are eligible for both Medicare and who are receiving full Medicaid benefits or cost-sharing assistance from Medicaid. It offers a $0 monthly plan premium, prescription drug coverage and low or no copays.

Connection Plan (HMO D-SNP)

Plan Details

This Medicare Advantage Prescription Drug plan is for those who are eligible for both Medicare and are current members of a Healthfirst Medicaid plan. It offers a $0 monthly plan premium, prescription drug coverage, and low or no copays.

CompleteCare (HMO D-SNP)

Plan Details

This Medicare Advantage Prescription Drug plan is for those eligible for Medicare and who are receiving full Medicaid benefits, and are eligible for a nursing home level of care. Healthfirst CompleteCare integrates Medicare and Medicaid benefits with added long-term care benefits, including all medical, hospital, prescription drugs, home care and adult day healthcare. It offers a $0 monthly plan premium, prescription drug coverage, and no copays.

Long-Term Care Plans

CompleteCare (HMO D-SNP)

Plan Details

This Medicare Advantage Prescription Drug plan is for those eligible for Medicare and who are receiving full Medicaid benefits, and are eligible for a nursing home level of care. Healthfirst CompleteCare integrates Medicare and Medicaid benefits with added long-term care benefits, including all medical, hospital, prescription drugs, home care and adult day healthcare. It offers a $0 monthly plan premium, prescription drug coverage, and no copays.

Senior Health Partners Managed Long-Term Care (MLTC) Medicaid Plan

Plan Details

A Managed Long-Term Care plan that provides and coordinates healthcare services, such as home care and adult day care. This plan may be right for you if you already receive medical, hospital and prescription drug coverage from a different health plan.

Learn about Coverage Decisions, Appeals, and Complaints for Medicare Plan Members

You also have the option to submit complaints/grievances directly through Medicare.gov

Frequently Asked
Questions

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Support When You Need It

We're happy to answer your questions.

Learn about enrollment

1-877-237-1303

7 days a week, 8am—8pm

1-888-542-3821

1-888-867-4132

Member Services

1-888-260-1010

7 days a week, 8am—8pm

1-888-542-3821

1-888-867-4132

Can't talk right now?

Request a callback, and we’ll get back to you within one business day.

You can also visit our Virtual Community Office to connect with a local Healthfirst representative or to find a community office near you.

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Healthfirst

100 Church Street, 
New York NY 10007

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, 10am–6pm, to schedule a free evaluation.

Coverage is provided by Healthfirst Health Plan, Inc. 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 and has a contract with New York State Medicaid for its Dual-Eligible Special Needs Plans. 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.

The State of New York has created a Participant Ombudsman Program called the Independent Consumer Advocacy Network (ICAN) to provide Participants free, confidential assistance on any services offered by Healthfirst Health Plan, Inc. ICAN may be reached toll-free at 1-844-614-8800 or online at icannys.org. (TTY users call 711, then follow the prompts to dial 844-614-8800).

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.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-305-0408 (TTY 1-888-867-4132). 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-866-305-0408 (TTY 1-888-542-3821).

Last update October 1, 2021 @ 2:29 pm

Y0147_MKT22_56 1081-21_2022

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