OTC Plus and OTC (Over-the-Counter) Card

Staying healthy is easier with a Healthfirst OTC card. Save on items you use every day, such as toothpaste, eye drops, aspirin and more when you shop at participating neighborhood and online retailers with free home delivery options available. Click the tabs below to learn more.

Benefits Overview Viewing Information for:

Healthfirst Medicare Advantage Plans with an OTC Plus Card

If you’re a Healthfirst Medicare Advantage plan member with an OTC Plus card, you have the flexibility to spend your benefit in more
ways and at more places.

Use your OTC Plus card to pay for non-prescription drugs, health-related items, healthy foods and even home Internet service.

Save at your neighborhood pharmacy, farmers markets, online and other participating retailers.

Remember to activate your OTC Plus card and bring it with you to participating pharmacies and other retailers as you cannot use your Healthfirst Member ID or Medicare card to purchase OTC items.

Healthfirst Plans with an OTC Plus card:

  1. Life Improvement Plan (HMO D-SNP)
    $158/month allowance
  2. CompleteCare Plan (HMO D-SNP)
    $170/month allowance
  3. Connection Plan (HMO D-SNP)
    $270/quarter allowance

Any unused balance will automatically expire at the end of each month or upon disenrollment from the plan.

You must activate your Healthfirst OTC Plus card before you can use it.

Learn More

Category Life Improvement Plan (HMO D-SNP) CompleteCare (HMO D-SNP) Connection Plan (HMO D-SNP)
OTC Health Related Items
Checked Checked Checked
Healthy Food
Checked Checked Checked
Fitness Equipment/Activity Trackers
Checked Checked Checked
Home Internet Service
Checked Checked Checked
Hearing Aids
Checked
Personal Emergency Response Systems
Checked

Click on each category to learn more

OTC Health-Related Items

Purchase non-prescription drugs and health-related items such as aspirin, vitamins, eye drops, laxatives and more at participating pharmacies and other retailers. Visit OTCnetwork.com for a list of approved items and participating retailers.

  • Buy OTC items online with no-cost delivery at NationsOTC
    • Visit NationsOTC.com/Healthfirst or call 1-877-236-7027 (TTY 711), Monday to Friday, 8am—8pm. Language support services are available if needed.
    • Enter your OTC card number to log in.
    • Update your account profile with shipping address details.
    • To place an order online, select products and complete the checkout process.
    • To order by mail, complete the order form included in your NationsOTC catalog and mail it to NationsOTC.

Healthy Foods

Purchase healthy foods from participating retailers and farmer’s markets. Examples of approved food items are fruits vegetables, meats, poultry, seafood, eggs, dairy, rice, pasta, beans, and much more. Visit OTCnetwork.com for a list of approved items and participating retailers.

  • Save on fresh fruits, vegetables and more at GrowNYC locations
    • Life Improvement Plan and CompleteCare members can use your OTC Plus card at Greenmarkets, Farmstands, or Fresh Food Box locations in GrowNYC’s network.
    • Visit grownyc.org/greenmarket/ourmarkets to locate a GrowNYC food retail site near you.
    • Go to the administrative tent at these locations and the GrowNYC attendant will show you how to use your OTC Plus card.
    • Depending on the GrowNYC location, you will
      either be able to:

      • Swipe your card to receive fresh fruits and vegetables or
      • You will receive “Healthfirst-GrowNYC Greenmarket Bucks”, which can then be exchanged for fruits and vegetables at these locations (Bucks can only be used/exchanged for fruits & vegetables)
  • Buy healthy foods online with no-cost delivery at NationsOTC
    • Visit NationsOTC.com/Healthfirst or call 1-877-236-7027 (TTY 711), Monday to Friday, 8am–8pm.
    • Order convenient pantry boxes and stock up on approved food items such as dried pasta, rice, beans and more.
  • Have freshly prepared meals delivered to your home with Mom’s Meals
    • Life Improvement Plan and CompleteCare members can use your OTC Plus card to have freshly prepared meals from Mom’s Meals delivered to your home.** If you qualify for Mom’s Meals, you may order up to 21 meals starting from $6.99 per meal ($7.99 for pureed, renal-friendly and gluten-free meals), with free shipping.
    • Visit momsmeals.com/healthfirst. Use discount code: Healthfirst to receive free shipping.
    • Call 1-877-347-3438, Monday to Friday, 8am-7pm. Please identify yourself as a Healthfirst member to receive free shipping. You will not need to provide your Member ID number.*

Exercise Equipment/Activity Trackers

Your OTC Plus card can help you purchase exercise equipment and activity trackers (such as Apple® Watches, pedometers, and other fitness watches) at participating retailers and through NationsOTC.com.

Home Internet Service

Your OTC Plus card can help pay for your home Internet service. If your Internet service provider is on our approved list (e.g. Verizon, Spectrum, RCN, Altice/Optimum and others), log into your account at OTCnetwork.com, select your Internet company, enter your account number and pay your bill using your OTC balance. If your Internet service provider is not listed at OTCnetwork.com, you may still be able to pay your bill using your balance. Just pay your home Internet bill as usual, download a reimbursement form, fill it out completely and mail it to us. If approved, we will mail you a check in a few weeks.

Personal Emergency Response Systems (PERS)

Life Improvement Plan members only: Order a PERS through NationsOTC.com which provides peace of mind knowing that help is available at a push of a button. Each emergency response system is powered by ADT, one of the nation’s leading providers of security, automation, and safety solutions. The system includes two-way communication to ADT monitoring centers, water resistant wristband and pendant options, and 24/7/365 monitoring services by ADT special senior sensitivity trained monitoring professionals.

Some CompleteCare members may qualify for PERS without using their OTC Plus card. Contact Member Services to see if you’re eligible.

Hearing Aids

Life Improvement Plan members only: Use your OTC Plus card toward your cost sharing for covered hearing aids through a participating audiologist. Please call NationsHearing at 1-877-438-7251 (TTY 711 ) to find an audiologist near you.

Some CompleteCare members may qualify for hearing aids without using their OTC Plus card. Contact Member Services to see if you’re eligible.

The OTC Plus card is not a debit or credit card and cannot be converted to cash, nor can it be used to purchase Part B or Part D covered prescription drugs. Certain brands may not be eligible at all locations. The list of eligible items may vary from month to month. Items may change, depending on availability. Limitations and restrictions may apply.

*Some CompleteCare members may qualify for home delivered meals without using their OTC allowance. Contact Member Services to see if you’re eligible.

Visit otcnetwork.com/ to activate your OTC Plus card and for a list of approved items and participating pharmacies and retailers. To purchase OTC items online or by mail order, visit otcnations.com or call 1-877-236-7027, Monday to Friday, 8am–8pm. Please have your OTC Plus card with your 19-digit member benefit card number ready.

Resources

For a complete list of participating pharmacies and retailers, you can:

Resource Name

Life Improvement Plan (HMO D-SNP) Eligible Items

Life Improvement Plan (HMO D-SNP) Participating Retailers

Life Improvement Plan (HMO D-SNP) OTC Plus Reimbursement Form

CompleteCare (HMO D-SNP) Eligible Items

CompleteCare (HMO D-SNP) Participating Retailers

CompleteCare (HMO D-SNP) OTC Plus Reimbursement Form

Connection Plan (HMO D-SNP) Eligible Items

Connection Plan (HMO D-SNP) Participating Retailers

Connection Plan (HMO D-SNP) OTC Plus Reimbursement Form

OTC items are subject to the plan’s list of eligible items and the plan’s participating network of retail and online providers.

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

Healthfirst Health Plan, Inc. is an HMO plan with a Medicare contract and a contract with the New York Medicaid program. Enrollment in Healthfirst Medicare Plan depends on contract renewal.

Healthfirst 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).

Y0147_MKT22_56 1081-21_2022

Benefits Overview Viewing Information for:

Healthfirst Medicare Advantage Plans with an OTC Card

If you’re a Healthfirst Medicare Advantage plan member with an OTC card, you can use your OTC card to shop for non-prescription drugs and health-related items and help you save money and stay healthy.

Remember to activate your OTC card and bring it with you to participating pharmacies and other retailers as you cannot use your Healthfirst Member ID or Medicare card to purchase OTC items.

Healthfirst Plans with an OTC Card:

  • Signature (HMO) Plan with OTC Choice Extras benefit $35/quarter allowance
  • Increased Benefits Plan (HMO) $20/month allowance

Any unused balance will automatically expire at the end of each month or upon disenrollment from the plan.

You must activate your Healthfirst OTC card before you can use it.

Learn More

Click on the category to learn more

OTC Health-Related Items

Purchase non-prescription drugs and health-related items such as aspirin, vitamins, eye drops, laxatives and more at participating pharmacies and other retailers. Visit OTCnetwork.com for a list of approved items and participating retailers.

  • Buy OTC items online with no-cost delivery at NationsOTC
    • Visit NationsOTC.com or call 1-877-236-7027 (TTY 711), Monday to Friday, 8am—8pm. Language support services are available if needed.
    • Enter your OTC card number to log in.
    • Update your account profile with shipping address details.
    • To place an order online, select products and complete the checkout process.
    • To order by mail, complete the order form included in your NationsOTC catalog and mail it to NationsOTC.

Resources

For a complete list of participating pharmacies and retailers, you can:

  1. Visit otcnetwork.com/member
  2. Call Member Services at:
    1-888-260-1010
    8am–8pm, 7 days a week
    TTY English: 1-888-542-3821
    TTY Español: 1-888-867-4132
  3. Call Signature (HMO) Member Services at:
    1-855-771-1081
    8am–8pm, 7 days a week
    TTY English: 1-888-542-3821
    TTY Español: 1-888-867-4132
Resource Name

Signature (HMO) Approved OTC Purchases

Signature (HMO) Approved OTC Retailers

Signature (HMO) OTC Reimbursement Form

Increased Benefits Plan (HMO) Approved OTC Purchases

Increased Benefits Plan (HMO) Approved OTC Retailers

Increased Benefits Plan (HMO) OTC Reimbursement Form

OTC items are subject to the plan’s list of eligible items and the plan’s participating network of retail and online providers.

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

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 D-SNP) and a Coordination of Benefits Agreement with the New York State Department of Health for the Healthfirst Life Improvement Plan (HMO D-SNP). Enrollment in Healthfirst Medicare Plan depends on contract renewal.

Healthfirst 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).

Y0147_MKT22_56 1081-21_2022

Healthfirst Medicare Advantage Plans with an OTC Card

If you’re a member of a plan with an OTC benefit card, after enrollment you’ll receive (and must activate) a Healthfirst OTC card with a pre-funded card.

Healthfirst Plans with an OTC card:

  1. Life Improvement Plan (HMO SNP)
  2. CompleteCare (HMO SNP)
  3. Increased Benefits Plan (HMO)
  4. Signature (HMO) Choice Extras

Your 2021 Benefit Allowance

Life Improvement Plan (HMO D-SNP) members will receive $145 per month for purchase of approved OTC non-prescription drugs, health-related items, and healthy foods and produce. Any unused balance will automatically expire at the end of each month or upon disenrollment from the plan.

CompleteCare (HMO D-SNP) members will receive $155 per month for purchase of approved OTC non-prescription drugs, health-related items, and healthy foods and produce. Any unused balance will automatically expire at the end of each month or upon disenrollment from the plan.

Increased Benefits Plan (HMO) members will receive $15 per month for purchase of OTC items (approved non-prescription drugs and health-related items). Any unused balance will automatically expire at the end of each month or upon disenrollment from the plan.

Signature (HMO) members may choose, as one of three Choice Extras benefits, to receive $35 per quarter for purchase of OTC items (approved non-prescription drugs and health-related items). Any unused balance will automatically expire at the end of each quarter or upon disenrollment from the plan.

You must activate your Healthfirst OTC card before you can use it.

Learn More

What Can I Buy with an OTC Card?

You may purchase approved OTC nonprescription drugs and health-related items (such as aspirin, cold/flu medicine, and bandages) at any participating retailer. If you are a Healthfirst Life Improvement Plan or Healthfirst CompleteCare member, you can purchase select healthy foods and produce items in addition to the nonprescription, health-related items.

For a complete list of participating pharmacies and retailers, you can:

  1. Visit otcnetwork.com/member
  2. Call Member Services at:
    1-888-260-1010
    8am–8pm, 7 days a week
    TTY English: 1-888-542-3821
    TTY Español: 1-888-867-4132
  3. Call Signature (HMO) Member Services at:
    1-855-771-1081
    8am–8pm, 7 days a week
    TTY English: 1-888-542-3821
    TTY Español: 1-888-867-4132

Resources

Resource Name

Signature (HMO) Eligible Items

Signature (HMO) Participating Retailers

Signature (HMO) OTC Reimbursement Claim Form

Increased Benefits Plan (HMO) Eligible Items

Increased Benefits Plan (HMO) Participating Retailers

Increased Benefits Plan (HMO) OTC Reimbursement Claim Form

CompleteCare (HMO) Eligible Items

CompleteCare (HMO) Participating Retailers

CompleteCare (HMO) OTC Reimbursement Claim Form

Life Improvement Plan (HMO) Eligible Items

Life Improvement Plan (HMO) Participating Retailers

Life Improvement Plan (HMO) Reimbursement Claim Form

Home Delivery

NationsOTC

Healthfirst members can order covered OTC items online, by phone, or by mail for home delivery. If you are a Life Improvement Plan or CompleteCare member, you can also order selected healthy food items online, by phone, or by mail for home delivery. Members can expect to receive their items within three to seven business days after an order is placed, unless a change is made to the order for any reason. To order OTC products for delivery:

  • Call NationsOTC at 1-877-236-7027 (TTY 711), Monday to Friday, 8am–8pm. Language support services are available if needed.
  • Visit NationsOTC.com/Healthfirst
    1. Enter your OTC card number to log in.
    2. Update your account profile with shipping address details.
    3. To place an order, select products and complete the checkout process.
  • Mail Complete the order form included in your NationsOTC catalog and mail it to NationsOTC.
    If the end of your benefit period is approaching and you’re not sure your order form will be received before the last business day of the month, please call or order online.

Mom's Meals

Life Improvement Plan and CompleteCare members can use their OTC card to have freshly prepared meals from Mom’s Meals delivered to their home.* If you qualify for Mom’s Meals, you may order 14 or 21 meals starting from $6.99 per meal ($7.99 for pureed, renal-friendly and gluten-free meals), with free shipping.

  • Visit momsmeals.com/healthfirst. Use discount code: Healthfirst to receive free shipping.
  • Call 1-877-347-3438, Monday to Friday, 8am–7pm. Please identify yourself as a Healthfirst member to receive free shipping. You will not need to provide your Member ID number.

*Some CompleteCare members may qualify for home delivered meals without using their OTC card. Contact Member Services to see if you’re eligible.

Healthy Foods and Produce

GrowNYC

Life Improvement Plan and CompleteCare members can use their OTC/Healthy Foods and Produce card at Greenmarkets, Farmstands, or Fresh Food Box locations in GrowNYC’s network.

If you are a Life Improvement Plan or CompleteCare member:

  • Visit grownyc.org/greenmarket/ourmarkets to locate a GrowNYC food retail site near you.
  • Go to the administrative tent at these locations and the GrowNYC attendant will show you how to use your OTC/Healthy Food and Produce card.
  • Depending on the GrowNYC location, you will either be able to:
    • Swipe your card to receive fresh fruits and vegetables or
    • You will receive “Healthfirst-GrowNYC Greenmarket Bucks”, which can then be exchanged for fruits and vegetables at these locations (Bucks can only be used/exchanged for fruits & vegetables).

OTC items are subject to the plan’s list of eligible items and the plan’s participating network of retail and online providers.

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

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 D-SNP) and a Coordination of Benefits Agreement with the New York State Department of Health for the Healthfirst Life Improvement Plan (HMO D-SNP). Enrollment in Healthfirst Medicare Plan depends on contract renewal.

Healthfirst 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 22, 2021 @ 4:42 pm

Y0147_MKT22_56 1081-21_2022

How to Activate and Use Your OTC Card

Step 1

Activate your card

<h2>Step 1</h2>
<h3>Activate your card</h3>

Activate your Healthfirst OTC Plus/OTC card before its first use. To activate, please call Card Services at 1-888-682-2400 (24 hours a day, 7 days a week) or visit OTCnetwork.com/member

You’ll need to provide:

  • The OTC Plus/OTC card number on the front of the card
  • Your Healthfirst Medicare Plan Member ID card number
  • Your birthdate (two-digit month, two-digit day, and four-digit year; for example, 05/20/1955

Step 2

Visit a participating location
(in person or online)

<h2>Step 2</h2>
<h3>Visit a participating location<br />
(in person or online)</h3>

Take your activated Healthfirst OTC Plus/OTC card to a participating store and select the approved items you want to purchase.

You can use your Healthfirst OTC Plus card at locations such as:

  • Retailers including Duane Reade, Walgreens, CVS, Rite Aid, or Family Dollar
  • Many local independent pharmacies
  • Home delivery options through NationsOTC or Mom’s Meals
  • GrowNYC locations

 

You can use your Healthfirst OTC card at locations such as:

  • Retailers like Duane Reade, Walgreens, CVS, Rite Aid, or Family Dollar
  • Many local independent pharmacies

 

A complete list of participating pharmacies and retailers, visit otcnetwork.com/member or call our Member Services Representatives at 1-888-260-1010 (TTY 1-888-542-3821), or for Signature (HMO) Member Service team, call 1-855-771-1081 (TTY 1-888-542-3821), 7 days a week, 8am–8pm (October through March) and Monday to Friday, 8am–8pm (April through September).

Step 3

Pay for your items

<h2>Step 3</h2>
<h3>Pay for your items</h3>

At local retailers, take your items to the checkout lanes. When
you check out, swipe your OTC Plus/OTC card for payment. Purchases of approved items are automatically deducted from your card balance.

Bring your OTC Plus/OTC card with you as you cannot use your Healthfirst Member ID card or Medicare card to purchase OTC items.

When you shop online, remember to enter your OTC Plus card’s 19-digit number.

OTC items are subject to the plan’s list of eligible items and the plan’s participating network of retail and online providers.

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

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. Healthfirst Medicare Plan has a contract with New York State Medicaid for Healthfirst CompleteCare (HMO D-SNP) and a Coordination of Benefits Agreement with the New York State Department of Health for the Healthfirst Life Improvement Plan (HMO D-SNP). Enrollment in Healthfirst Medicare Plan depends on contract renewal.

Healthfirst 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).

Y0147_MKT22_56 1081-21_2022

Limitations Viewing Information for:

Maximum Limits on OTC Cards

Depending on your plan, you will receive an OTC Plus/OTC card with a maximum limit for purchasing approved OTC nonprescription drugs, and health-related items at participating pharmacy locations. In the case of Life Improvement Plan and CompleteCare: you can also purchase healthy foods, home Internet Service, exercise equipment and activity trackers. Life Improvement Plan members can also use their OTC Plus card for personal emergency response systems (PERS) and hearing ads. For more information, view your Evidence of Coverage or contact Member Services.

Some items can be purchased only after a discussion with your provider.

While no prescription is needed before purchasing approved OTC nonprescription drugs and health-related items, some dual-purpose items* can be purchased only after a discussion with your provider. They’ll recommend the right OTC items for a specific diagnosis/condition.

*Dual-purpose items may include:

vitamins, minerals, supplements, herbal and Chinese medicine, hormone replacements, weight loss items, and diagnostic tools like blood pressure monitors.

Important Points to Remember

  • Eligible items may be purchased only for the enrollee, not for family members or friends
  • The OTC card is not a debit or credit card and cannot be converted to cash
  • It cannot be used to purchase Part B or Part D prescription drug
  • Any unused balances will automatically expire at the end of each month/quarter or upon disenrollment or transfer to another Healthfirst plan.
  • Please activate your card before using, and to receive your allowance
  • You cannot use your Healthfirst Member ID card or Medicare card to pay for non-prescription drugs, health-related items, healthy foods or produce

OTC items are subject to the plan’s list of eligible items and the plan’s participating network of retail and online providers.

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

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. Healthfirst Medicare Plan has a contract with New York State Medicaid for Healthfirst CompleteCare (HMO D-SNP) and a Coordination of Benefits Agreement with the New York State Department of Health for the Healthfirst Life Improvement Plan (HMO D-SNP). Enrollment in Healthfirst Medicare Plan depends on contract renewal.

Healthfirst 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 22, 2021 @ 4:42 pm

Y0147_MKT22_56 1081-21_2022

Maximum Limits on OTC Cards

Depending on your plan, you will receive an OTC card with a maximum limit for purchasing approved OTC nonprescription drugs, health-related items at participating pharmacy locations, and in the case of Life Improvement Plan and CompleteCare, healthy foods and produce items. For more information, view your Evidence of Coverage or contact Member Services.

Some items can be purchased only after a discussion with your provider.

While no prescription is needed before purchasing approved OTC nonprescription drugs and health-related items, some dual-purpose items* can be purchased only after a discussion with your provider. They’ll recommend the right OTC items for a specific diagnosis/condition.

*Dual-purpose items may include:

vitamins, minerals, supplements, herbal and Chinese medicine, hormone replacements, weight loss items, and diagnostic tools like blood pressure monitors.

Important Points to Remember

  • Eligible items may be purchased only for the enrollee, not for family members or friends
  • The OTC Plus card is not a debit or credit card and cannot be converted to cash
  • It cannot be used to purchase Part B or Part D prescription drugs
  • Any unused balances will automatically expire at the end of each month/quarter or upon disenrollment or transfer to another Healthfirst plan.
  • Please activate your card before using, and to receive your allowance
  • You cannot use your Healthfirst Member ID card or Medicare card to pay for non-prescription drugs, health-related items, healthy foods or produce

OTC items are subject to the plan’s list of eligible items and the plan’s participating network of retail and online providers.

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

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. Healthfirst Medicare Plan has a contract with New York State Medicaid for Healthfirst CompleteCare (HMO D-SNP) and a Coordination of Benefits Agreement with the New York State Department of Health for the Healthfirst Life Improvement Plan (HMO D-SNP). Enrollment in Healthfirst Medicare Plan depends on contract renewal.

Healthfirst 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 22, 2021 @ 4:42 pm

Y0147_MKT22_56 1081-21_2022

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