Healthfirst Signature (PPO) is a Medicare Advantage Prescription Drug plan that gives you the flexibility to go out of network and visit any doctor or hospital in the U.S. that accepts Medicare for medical care. This Medicare Advantage (PPO) plan offers the benefits of Original Medicare, plus much more. For a $0 monthly premium, you will get access to benefits such as prescription drug coverages, dental, hearing, vision, and the SilverSneakers® fitness program. In addition, you have a $700/year Flex card that can be used for dental, vision, and hearing out-of-pocket costs. This plan is designed for people who do not qualify for programs like Extra Help (also known as Low Income Subsidy), Medicare Savings Programs (MSP), or Medicaid.
Plan Highlights:
- A broad network of providers, plus the flexibility to go out of network to visit the provider of your choice
- $700/year Flex card for dental, vision, and hearing out-of-pocket costs
- No-cost preferred generic drugs
- Preventive and comprehensive dental with no additional premium
- Vision exams and eyeglasses with no additional premium
- Hearing exams and hearing aids
- Supplemental drug coverage for select prescription vitamins and erectile dysfunction (ED) drugs
- 2024
We want to help you get the most out of your Part D prescription drug benefits. Please refer to the formulary links below to see which medications fall under each tier. Please note that Healthfirst may add drugs to or remove them from the Medicare formulary during the year. You’ll receive notice when changes are made.
More Information: Medicare Coverage Decisions, Appeals, and Complaints
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 formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
You must continue to pay your Medicare Part B premium.
Coverage is provided by Healthfirst Insurance Company, Inc., which offers a PPO plan that contracts with the Federal Government. Enrollment in Healthfirst Medicare Plan depends on contract renewal.
Plans contain exclusions and limitations.
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).
Telemedicine (Teladoc) and the Nurse Help Line are not replacements for your primary care provider (PCP). Your PCP should always be your first choice for care (both in-person and virtual visits).
No out-of-pocket costs for entry-level hearing aids. Eyewear allowance can only be used at participating retailers.
EyeMed® is contracted with Healthfirst to provide vision benefits to its members.
Dental services must be medically necessary; limitations and exclusions apply.
SilverSneakers is a registered trademark of Tivity Health, Inc. © 2023 Tivity Health, Inc. All rights reserved.
Last update January 18, 2024 @ 2:15 pm
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Additional Plan Highlights
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24/7 Access to Telemedicine with Teladoc*
Talk to a doctor any time—for a $0 copay. Visit with board-certified doctors through video chat or phone for prescriptions, treatment of non-emergency health issues, and more. Access to dermatologists is also available.
*Telemedicine (Teladoc) isn’t a replacement for your primary care provider (PCP). Your PCP should always be your first choice for care (both in-person and virtual visits).
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24/7 Access to care with the Nurse Help Line
Talk to a nurse any time—for a $0 copay. Get wellness advice and help finding a doctor.
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Urgent Care Center Network
Get the care you need when you need it at an urgent care center in our network – no appointment needed. Urgent care centers offer convenient late-night and weekend hours. Visit an in-network urgent care center to get help with non-emergency health issues like earache, upset stomach, and sprains; for wounds that need stitches; and more.
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SilverSneakers
Get access to live classes and workshops taught by instructors trained in senior fitness, 200+ workout videos in the SilverSneakers On-Demand™ online library, online fitness and nutrition tips, and their mobile app with digital workout programs.
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Healthfirst Medication Therapy Management Program
The Healthfirst Medication Therapy Management (MTM) program is an in-depth, one-on-one review of all your medications (prescription drugs, over-the-counter nonprescription drugs, and herbal and nutritional supplements). The goal is to help you get the most from your medications. Services include:
- Phone consultation with a licensed pharmacist to complete a Comprehensive Medication Review (CMR). The call will take about 30 to 60 minutes and the pharmacist will answer any questions you may have. (A CMR is offered once each year, if you qualify.)
- Medication Action Plan (MAP)
- Medication recommendations may be sent to your provider from the MTM pharmacist, also known as Targeted Medication Review (TMR)
- A list that shows all your medications
Additional Plan Highlights
Frequently Asked
Questions
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Support When You Need It
We’re happy to answer your questions. Our service centers hours are:
- October through March, 7 days a week, 8am—8pm
- April through September, Monday to Friday, 8am–8pm
Can’t talk right now?
Request a callback and we’ll get back to you within one business day.
You can also visit us in person at one of our community offices.
The following link will take you to Medicare.gov where you can enroll online.