Prior Approval Rate Changes

Learn more about commercial plan rates, how we request premium rate changes, and how this process affects you.

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On Wednesday, May 15, 2024, Healthfirst submitted a rate-change request to the New York State Department of Financial Services (NYDFS) to change the premium rates for our 2025 commercial plans. If the NYDFS approves the change, the new rates will go into effect on January 1, 2025. Healthfirst members will receive a notice about these rate changes at least 60 days prior to the effective date of the new rates.

If you have any questions about our rate-change requests, please send an email to PremiumrateChange@healthfirst.org

Narrative Summary
Member Letter Sample - Platinum Leaf and Leaf Premier Plans
Member Letter Sample - Gold Leaf, Leaf Premier, and Leaf Premier Plus Plans
Member Letter Sample - Silver Leaf, Leaf Premier, and Leaf Premier Plus Plans
Member Letter Sample - Bronze Leaf and Leaf Premier Plans
Member Letter Sample - Green Leaf Plan
Narrative Summary
Member Letter Sample - HMO A and HMO A-VAD Plans
Member Letter Sample - HMO B and HMO B-VAD Plans
Member Letter Sample - HMO C and HMO C-VAD Plans
Member Letter Sample - HMO D and HMO D-VAD Plans
Member Letter Sample - HMO E Plan

On Tuesday, May 10, 2023, Healthfirst submitted a rate-change request to the New York State Department of Financial Services (NYDFS) to change the premium rates for our 2024 commercial plans. If the NYDFS approves the change, the new rates will go into effect on January 1, 2024. Healthfirst members will receive a notice about these rate changes at least 60 days prior to the effective date of the new rates.

If you have any questions about our rate-change requests, please send an email to PremiumrateChange@healthfirst.org

Narrative Summary
Member Letter Sample - Platinum Leaf and Leaf Premier Plans
Member Letter Sample - Gold Leaf, Leaf Premier, and Leaf Premier Plus Plans
Member Letter Sample - Silver Leaf, Leaf Premier, and Leaf Premier Plus Plans
Member Letter Sample - Bronze Leaf and Leaf Premier Plans
Member Letter Sample - Green Leaf Plan
Narrative Summary
Member Letter Sample - Platinum Leaf and Leaf Premier Plans
Member Letter Sample - Gold Leaf, Leaf Premier, and Leaf Premier Plus Plans
Member Letter Sample - Silver Leaf, Leaf Premier, and Leaf Premier Plus Plans
Member Letter Sample - Bronze Leaf and Leaf Premier Plans
Member Letter Sample - Green Leaf Plan
Narrative Summary
Member Letter Sample - HMO A and HMO A-VAD Plans
Member Letter Sample - HMO B and HMO B-VAD Plans
Member Letter Sample - HMO C and HMO C-VAD Plans
Member Letter Sample - HMO D and HMO D-VAD Plans
Member Letter Sample - HMO E Plan
Narrative Summary
Member Letter Sample - HMO A and HMO A-VAD Plans
Member Letter Sample - HMO B and HMO B-VAD Plans
Member Letter Sample - HMO C and HMO C-VAD Plans
Member Letter Sample - HMO D and HMO D-VAD Plans
Member Letter Sample - HMO E Plan

On Tuesday, May 10, 2022, Healthfirst submitted a rate-change request to the New York State Department of Financial Services (NYDFS) to change the premium rates for our 2023 commercial plans. If the NYDFS approves the change, the new rates will go into effect on January 1, 2023. Healthfirst members will receive a notice about these rate changes at least 60 days prior to the effective date of the new rates.

If you have any questions about our rate-change requests, please send an email to PremiumrateChange@healthfirst.org

Narrative Summary
Member Letter Sample - Platinum Leaf Premier and Platinum Leaf Plans
Member Letter Sample - Gold Leaf Premier and Gold Leaf Plans
Member Letter Sample - Silver Leaf Premier and Silver Leaf Plans
Member Letter Sample - Bronze Leaf Premier and Bronze Leaf Plans
Member Letter Sample - Green Leaf Plan
Narrative Summary
Member Letter Sample- Platinum Leaf & Leaf Premier Plans
Member Letter Sample - Gold Leaf & Leaf Premier Plans
Member Letter Sample - Silver Leaf & Leaf Premier Plans
Member Letter Sample - Bronze Leaf & Leaf Premier Plans
Member Letter Sample - Green Leaf Plan
Narrative Summary
Member Letter Sample - HMO A and HMO A-VAD Plans
Member Letter Sample - HMO B and HMO B-VAD Plans
Member Letter Sample - HMO C and HMO C-VAD Plans
Member Letter Sample - HMO D and HMO D-VAD Plans
Member Letter Sample - HMO E Plan
Narrative Summary
Member Letter Sample - HMO A and HMO A-VAD Plans
Member Letter Sample - HMO B and HMO B-VAD Plans
Member Letter Sample - HMO C and HMO C-VAD Plans
Member Letter Sample - HMO D and HMO D-VAD Plans
Member Letter Sample - HMO E Plan
Narrative Summary
Member Letter Sample - Platinum Total EPO
Member Letter Sample - Gold Total EPO
Member Letter Sample - Silver Total EPO
Member Letter Sample - Bronze Total EPO
Narrative Summary
Member Letter Sample - Platinum Total EPO
Member Letter Sample - Gold Total EPO
Member Letter Sample - Silver Total EPO
Member Letter Sample - Bronze Total EPO
Narrative Summary
Member Letter Sample - Platinum Pro and Pro Plus EPO Plans
Member Letter Sample - Gold 1350 Pro Plus EPO Plan
Member Letter Sample - Silver Pro, Silver 40/75/4700 Pro, Silver Pro Plus, and Silver 40/75/4700 Pro Plus EPO Plans
Member Letter Sample - Bronze Pro and Bronze Pro Plus EPO Plans
Group Letter Sample - Platinum Pro and Pro Plus EPO Plans
Group Letter Sample - Gold 1350 Pro Plus EPO Plan
Group Letter Sample - Silver Pro, Silver 40/75/4700 Pro, Silver Pro Plus, and Silver 40/75/4700 Pro Plus EPO Plans
Group Letter Sample - Bronze Pro and Bronze Pro Plus EPO Plans
Narrative Summary
2022 Platinum Pro and Pro Plus EPO (LI) (employee) - sample
2022 Gold 1350 Pro Plus EPO Plan (LI) (employee) - sample
2023 Silver Pro and Pro Plus EPO (LI) (employee) - sample
Member Letter Sample - Bronze Pro and Bronze Pro Plus EPO Plans
2023 Platinum Pro and Pro Plus EPO Plans (LI) (employer group) - sample
2023 Gold 1350 Pro Plus EPO Plan (LI) (employer group) - sample
2023 Silver Pro and Pro Plus EPO Plans (LI) (employer group) - sample
Group Letter Sample - Bronze Pro and Bronze Pro Plus EPO Plans

On Monday, May 12, 2021, Healthfirst submitted a rate-change request to the New York State Department of Financial Services (NYDFS) to change the premium rates for our 2022 commercial plans. If the NYDFS approves the change, the new rates will go into effect on January 1, 2022. Healthfirst members will receive a notice about these rate changes at least 60 days prior to the effective date of the new rates.

If you have any questions about our rate-change requests, please send an email to PremiumrateChange@healthfirst.org

Narrative Summary
Member Letter Sample - Platinum Leaf & Leaf Premier Plans
Member Letter Sample - Gold Leaf & Leaf Premier Plans
Member Letter Sample - Silver Leaf & Leaf Premier Plans
Member Letter Sample - Bronze Leaf & Leaf Premier Plans
Member Letter Sample - Green Leaf Plan
Narrative Summary
Member Letter Sample - Platinum Leaf & Leaf Premier Plans
Member Letter Sample - Gold Leaf & Leaf Premier Plans
Member Letter Sample - Silver Leaf & Leaf Premier Plans
Member Letter Sample - Bronze Leaf & Leaf Premier Plans
Member Letter Sample - Green Leaf Plan
Narrative Summary
Member Letter Sample - HMO A and HMO A-VAD Plans
Member Letter Sample - HMO B and HMO B-VAD Plans
Member Letter Sample - HMO C and HMO C-VAD Plans
Member Letter Sample - HMO D and HMO D-VAD Plans
Member Letter Sample - HMO E Plan
Narrative Summary
Member Letter Sample - HMO A and HMO A-VAD Plans
Member Letter Sample - HMO B and HMO B-VAD Plans
Member Letter Sample - HMO C and HMO C-VAD Plans
Member Letter Sample - HMO D and HMO D-VAD Plans
Member Letter Sample - HMO E Plan
Narrative Summary
Member Letter Sample - Platinum Total EPO
Member Letter Sample - Gold Total EPO
Member Letter Sample - Silver Total EPO
Member Letter Sample - Bronze Total EPO
Narrative Summary
Member Letter Sample - Platinum Total EPO
Member Letter Sample - Gold Total EPO
Member Letter Sample - Silver Total EPO
Member Letter Sample - Bronze Total EPO
Narrative Summary
Member Letter Sample - Platinum Pro and Pro Plus EPO Plans
Member Letter Sample - Gold Pro, Gold 25/50/0 Pro, Gold Pro Plus, and Gold 25/50/0 Pro Plus EPO Plans
Member Letter Sample - Silver Pro, Silver 40/75/4700 Pro, Silver Pro Plus, and Silver 40/75/4700 Pro Plus EPO Plans
Member Letter Sample - Bronze Pro, Bronze 6650 Pro, Bronze 8150 Pro, Bronze Pro Plus, and Bronze 6650 Pro Plus EPO Plans
Group Letter Sample - Platinum Pro and Pro Plus EPO Plans
Group Letter Sample - Gold Pro, Gold 25/50/0 Pro, Gold Pro Plus, and Gold 25/50/0 Pro Plus EPO Plans
Group Letter Sample - Silver Pro, Silver 40/75/4700 Pro, Silver Pro Plus, and Silver 40/75/4700 Pro Plus EPO Plans
Group Letter Sample - Bronze Pro, Bronze 6650 Pro, Bronze 8150 Pro, Bronze Pro Plus, and Bronze 6650 Pro Plus EPO Plans
Narrative Summary
2022 Platinum Pro and Pro Plus EPO (LI) (employee) - sample
2022 Gold Pro and Pro Plus EPO (LI) (employee) - sample
2022 Silver Pro and Pro Plus EPO (LI) (employee) - sample
Member Letter Sample - Bronze Pro, Bronze 6650 Pro, Bronze 8150 Pro, Bronze Pro Plus, and Bronze 6650 Pro Plus EPO Plans
2022 Platinum Pro and Pro Plus EPO (LI) (employer group) - sample
2022 Gold Pro and Pro Plus EPO (LI) (employer group) - sample
2022 Silver Pro and Pro Plus EPO (LI) (employer group) - sample
Group Letter Sample - Bronze Pro, Bronze 6650 Pro, Bronze 8150 Pro, Bronze Pro Plus, and Bronze 6650 Pro Plus EPO Plans

On Monday, May 18, 2020, Healthfirst submitted a rate-change request to the New York State Department of Financial Services (NYDFS) to change the premium rates for our 2021 commercial plans. If the NYDFS approves the change, the new rates will go into effect on January 1, 2021. Healthfirst members will receive a notice about these rate changes at least 60 days prior to the effective date of the new rates.

If you have any questions about our rate-change requests, please send an email to PremiumrateChange@healthfirst.org

Narrative Summary
Member Letter Sample - Platinum Leaf & Leaf Premier Plans
Member Letter Sample - Gold Leaf & Leaf Premier Plans
Member Letter Sample - Silver Leaf & Leaf Premier Plans
Member Letter Sample - Bronze Leaf & Leaf Premier Plans
Member Letter Sample - Green Leaf Plan
Narrative Summary
Member Letter Sample - Platinum Leaf & Leaf Premier Plans
Member Letter Sample - Gold Leaf & Leaf Premier Plans
Member Letter Sample - Silver Leaf & Leaf Premier Plans
Member Letter Sample - Bronze Leaf & Leaf Premier Plans
Member Letter Sample - Green Leaf Plan
Narrative Summary
Member Letter Sample - HMO A and HMO A-VAD Plans
Member Letter Sample - HMO B and HMO B-VAD Plans
Member Letter Sample - HMO C and HMO C-VAD Plans
Member Letter Sample - HMO D and HMO D-VAD Plans
Member Letter Sample - HMO E Plan
Narrative Summary
Member Letter Sample - HMO A and HMO A-VAD Plans
Member Letter Sample - HMO B and HMO B-VAD Plans
Member Letter Sample - HMO C and HMO C-VAD Plans
Member Letter Sample - HMO D and HMO D-VAD Plans
Member Letter Sample - HMO E Plan
Narrative Summary
Member Letter Sample - Platinum Total EPO
Member Letter Sample - Gold Total EPO
Member Letter Sample - Silver Total EPO
Member Letter Sample - Bronze Total EPO
Narrative Summary
Member Letter Sample - Platinum Total EPO
Member Letter Sample - Gold Total EPO
Member Letter Sample - Silver Total EPO
Member Letter Sample - Bronze Total EPO
Narrative Summary
Member Letter Sample - Platinum Pro and Pro Plus EPO Plans
Member Letter Sample - Gold Pro, Gold 25/50/0 Pro, Gold Pro Plus, and Gold 25/50/0 Pro Plus EPO Plans
Member Letter Sample - Silver Pro, Silver 40/75/4700 Pro, Silver Pro Plus, and Silver 40/75/4700 Pro Plus EPO Plans
Member Letter Sample - Bronze Pro, Bronze 6650 Pro, Bronze Pro Plus, and Bronze 6650 Pro Plus EPO Plans
Group Letter Sample - Platinum Pro and Pro Plus EPO Plans
Group Letter Sample - Gold Pro, Gold 25/50/0 Pro, Gold Pro Plus, and Gold 25/50/0 Pro Plus EPO Plans
Group Letter Sample - Silver Pro, Silver 40/75/4700 Pro, Silver Pro Plus, and Silver 40/75/4700 Pro Plus EPO Plans
Group Letter Sample - Bronze Pro, Bronze 6650 Pro, Bronze Pro Plus, and Bronze 6650 Pro Plus EPO Plans

On Monday, May 13, 2019, Healthfirst submitted a rate-change request to the New York State Department of Financial Services (NYDFS) to change the premium rates for our 2020 commercial plans. If the NYDFS approves the change, the new rates will go into effect on January 1, 2020. Healthfirst members will receive a notice about these rate changes at least 60 days prior to the effective date of the new rates.

If you have any questions about our rate-change requests, please send an email to PremiumrateChange@healthfirst.org

Narrative Summary
Member Letter Sample - Platinum Leaf & Leaf Premier Plans
Member Letter Sample - Gold Leaf & Leaf Premier Plans
Member Letter Sample - Silver Leaf & Leaf Premier Plans
Member Letter Sample - Bronze Leaf & Leaf Premier Plans
Member Letter Sample - Green Leaf Plan
Narrative Summary
Member Letter Sample - Platinum Leaf & Leaf Premier Plans
Member Letter Sample - Gold Leaf & Leaf Premier Plans
Member Letter Sample - Silver Leaf & Leaf Premier Plans
Member Letter Sample - Bronze Leaf & Leaf Premier Plans
Member Letter Sample - Green Leaf Plan
Narrative Summary
Member Letter Sample - HMO A and HMO A-VAD Plans
Member Letter Sample - HMO B and HMO B-VAD Plans
Member Letter Sample - HMO C and HMO C-VAD Plans
Member Letter Sample - HMO D and HMO D-VAD Plans
Member Letter Sample - HMO E Plan
Narrative Summary
Member Letter Sample - HMO A and HMO A-VAD Plans
Member Letter Sample - HMO B and HMO B-VAD Plans
Member Letter Sample - HMO C and HMO C-VAD Plans
Member Letter Sample - HMO D and HMO D-VAD Plans
Member Letter Sample - HMO E Plan
Narrative Summary
Member Letter Sample - Platinum Total EPO
Member Letter Sample - Gold Total EPO
Member Letter Sample - Silver Total EPO
Member Letter Sample - Bronze Total EPO
Narrative Summary
Member Letter Sample - Platinum Pro and Pro Plus EPO Plans
Member Letter Sample - Gold Pro, Gold 25/50/0 Pro, Gold Pro Plus, and Gold 25/50/0 Pro Plus EPO Plans
Member Letter Sample - Silver Pro, Silver 40/75/4700 Pro, Silver Pro Plus, and Silver 40/75/4700 Pro Plus EPO Plans
Member Letter Sample - Bronze Pro, Bronze 6650 Pro, Bronze Pro Plus, and Bronze 6650 Pro Plus EPO Plans
Group Letter Sample - Platinum Pro and Pro Plus EPO Plans
Group Letter Sample - Gold Pro, Gold 25/50/0 Pro, Gold Pro Plus, and Gold 25/50/0 Pro Plus EPO Plans
Group Letter Sample - Silver Pro, Silver 40/75/4700 Pro, Silver Pro Plus, and Silver 40/75/4700 Pro Plus EPO Plans
Group Letter Sample - Bronze Pro, Bronze 6650 Pro, Bronze Pro Plus, and Bronze 6650 Pro Plus EPO Plans

On Monday, May 14, 2018, Healthfirst submitted a rate-change request to the New York State Department of Financial Services (NYDFS) to change the premium rates for our 2019 commercial plans. If the NYDFS approves the change, the new rates will go into effect on January 1, 2019. Healthfirst members will receive a notice about these rate changes at least 60 days prior to the effective date of the new rates.

If you have any questions about our rate-change requests, please send an email to PremiumrateChange@healthfirst.org

Narrative Summary
Member Letter Sample - Platinum Leaf & Leaf Premier Plans
Member Letter Sample - Gold Leaf & Leaf Premier Plans
Member Letter Sample - Silver Leaf & Leaf Premier Plans
Member Letter Sample - Bronze Leaf & Leaf Premier Plans
Member Letter Sample - Green Leaf Plan
Narrative Summary
Member Letter Sample - HMO A and HMO A-VAD Plans
Member Letter Sample - HMO B and HMO B-VAD Plans
Member Letter Sample - HMO C and HMO C-VAD Plans
Member Letter Sample - HMO D and HMO D-VAD Plans
Member Letter Sample - HMO E Plan
Narrative Summary
Member Letter Sample - Platinum Total EPO Plan
Member Letter Sample - Gold Total EPO Plan
Member Letter Sample - Silver Total EPO Plan
Member Letter Sample - Bronze Total EPO Plan
Narrative Summary
Member Letter Sample - Platinum Total EPO Plan
Member Letter Sample - Gold Total EPO Plan
Member Letter Sample - Silver Total EPO Plan
Member Letter Sample - Bronze Total EPO Plan
Narrative Summary
Member Letter Sample - Platinum Pro & Platinum Pro Plus EPO Plans
Member Letter Sample - Gold Pro & Gold Pro Plus EPO Plans
Member Letter Sample - Silver Pro & Silver Pro Plus EPO Plans
Member Letter Sample - Bronze Pro & Bronze Pro Plus EPO Plans
Group Letter Sample - Platinum Pro & Pro Plus EPO Plans
Group Letter Sample - Gold Pro & Pro Plus EPO Plans
Group Letter Sample - Silver Pro & Pro Plus EPO Plans
Group Letter Sample - Bronze Pro & Pro Plus EPO Plans
Narrative Summary
Member Letter Sample
Group Letter Sample
Narrative Summary
Member Letter Sample
Group Letter Sample

On Monday, May 15, 2017, Healthfirst submitted a rate-change request to the New York State Department of Financial Services (NYDFS) to change the premium rates for our 2018 commercial plans. If the NYDFS approves the change, the new rates will go into effect on January 1, 2018. Healthfirst members will receive a notice about these rate changes at least 60 days prior to the effective date of the new rates.

If you have any questions about our rate-change requests, please send an email to PremiumrateChange@healthfirst.org

Narrative Summary
Member Letter Sample - Platinum Leaf Premier and Platinum Leaf Plans
Member Letter Sample - Gold Leaf Premier and Gold Leaf Plans
Member Letter Sample - Silver Leaf Premier and Silver Leaf Plans
Member Letter Sample - Bronze Leaf Premier and Bronze Leaf Plans
Member Letter Sample - Green Leaf Plan
Narrative Summary
Member Letter Sample - Platinum Leaf Premier and Platinum Leaf Plans
Member Letter Sample - Gold Leaf Premier and Gold Leaf Plans
Member Letter Sample - Silver Leaf Premier and Silver Leaf Plans
Member Letter Sample - Bronze Leaf Premier and Bronze Leaf Plans
Member Letter Sample - Green Leaf Plan
Narrative Summary
Member Letter Sample - HMO A and HMO A-VAD Plans
Member Letter Sample - HMO B and HMO B-VAD Plans
Member Letter Sample - HMO C and HMO C-VAD Plans
Member Letter Sample - HMO D and HMO D-VAD Plans
Member Letter Sample - HMO E Plan
Narrative Summary
Member Letter Sample - HMO A and HMO A-VAD Plans
Member Letter Sample - HMO B and HMO B-VAD Plans
Member Letter Sample - HMO C and HMO C-VAD Plans
Member Letter Sample - HMO D and HMO D-VAD Plans
Member Letter Sample - HMO E Plan
Narrative Summary
Member Letter Sample - Platinum Total EPO
Member Letter Sample - Gold Total EPO
Member Letter Sample - Silver Total EPO
Member Letter Sample - Bronze Total EPO
Narrative Summary
Member Letter Sample - Platinum Pro and Pro Plus EPO Plans
Member Letter Sample - Gold Pro and Pro Plus EPO Plans
Member Letter Sample - Silver Pro and Pro Plus EPO Plans
Member Letter Sample - Bronze Pro and Pro Plus EPO Plans
Group Letter Sample - Platinum Pro and Pro Plus EPO Plans
Group Letter Sample - Gold Pro and Pro Plus EPO Plans
Group Letter Sample - Bronze Pro and Pro Plus EPO Plans
Group Letter Sample - Bronze Pro and Pro Plus EPO Plans
Narrative Summary
Member Letter Sample
Group Letter Sample
Narrative Summary
Member Letter Sample
Group Letter Sample

On Monday, May 9, 2016, Healthfirst submitted a rate-change request to the New York State Department of Financial Services (NYDFS) to change the premium rates for our 2017 commercial plans. If the NYDFS approves the change, the new rates will go into effect on January 1, 2017. Healthfirst members will receive a notice about these rate changes at least 60 days prior to the effective date of the new rates.

If you have any questions about our rate-change requests, please send an email to PremiumrateChange@healthfirst.org

Narrative Summary
Member Letter Sample - Platinum Leaf Premier and Platinum Leaf Plans
Member Letter Sample - Gold Leaf Premier and Gold Leaf Plans
Member Letter Sample - Silver Leaf Premier and Silver Leaf Plans
Member Letter Sample - Bronze Leaf Premier and Bronze Leaf Plans
Member Letter Sample - Green Leaf Plan
Narrative Summary
Member Letter Sample - HMO A and HMO A-VAD Plans
Member Letter Sample - HMO B and HMO B-VAD Plans
Member Letter Sample - HMO C and HMO C-VAD Plans
Member Letter Sample - HMO D and HMO D-VAD Plans
Member Letter Sample - HMO E Plan
Narrative Summary
Member Letter Sample
Group Letter Sample
Narrative Summary
Member Letter Sample
Group Letter Sample

On Friday, May 15, 2015, Healthfirst submitted a rate-change request to the New York State Department of Financial Services (NYDFS) to change the premium rates for our 2016 commercial plans. If the NYDFS approves the change, the new rates will go into effect on January 1, 2016. Healthfirst members will receive a notice about these rate changes at least 60 days prior to the effective date of the new rates.

If you have any questions about our rate-change requests, please send an email to PremiumrateChange@healthfirst.org

Narrative Summary
Member Letter Sample - Platinum Leaf Premier and Platinum Leaf Plans
Member Letter Sample - Gold Leaf Premier and Gold Leaf Plans
Member Letter Sample - Silver Leaf Premier and Silver Leaf Plans
Member Letter Sample - Bronze Leaf Premier and Bronze Leaf Plans
Member Letter Sample - Green Leaf Plan
Narrative Summary
Member Letter Sample - HMO A and HMO A-VAD Plans
Member Letter Sample - HMO B and HMO B-VAD Plans
Member Letter Sample - HMO C and HMO C-VAD Plans
Member Letter Sample - HMO D and HMO D-VAD Plans
Member Letter Sample - HMO E Plan
Narrative Summary
Member Letter Sample
Group Letter Sample
Narrative Summary
Member Letter Sample
Group Letter Sample