Healthfirst’s highest priority is ensuring our members have access to the quality care they need
In fall 2024, Healthfirst and NewYork-Presbyterian agreed to a multi-year contract that is in effect through 2027 and provides Healthfirst members in-network access to the NewYork-Presbyterian system and affiliated providers.
However, on July 7, 2025, NewYork-Presbyterian notified us of their decision to terminate our contract, without cause, effective November 3, 2025.
As a result, NewYork-Presbyterian and their affiliated physicians, including ColumbiaDoctors and Weill Cornell Medicine, are scheduled to be out-of-network effective November 3, 2025.
Healthfirst members can continue to access in-network care at all NewYork-Presbyterian hospitals and with NewYork-Presbyterian affiliated providers through November 2, 2025. Because NewYork-Presbyterian has notified us of their decision to end our contract, starting November 3, the NewYork-Presbyterian hospital system and all affiliated healthcare providers are expected to no longer accept Healthfirst insurance.
We know that your relationship with your doctor is incredibly important. We are making every effort to reach a fair solution with NewYork-Presbyterian and we are actively working to prevent any disruption for Healthfirst members.
80+ in-network hospitals including some of the world’s best hospital systems and medical centers
40,000+ healthcare providers
Dedicated member support team you can reach at (866) 888-5283
For Members:
Call (866) 888-5283 to reach our dedicated member support team or send an email to HFWhatToKnow@healthfirst.org. Please include the following information in your email:
For help finding a new in-network doctor or hospital you can also visit MyHFNY.org or use the Healthfirst NY Mobile App.
For Media:
If you are a journalist, please contact pressinquiries@healthfirst.org.
You can continue to get care at NewYork-Presbyterian through November 2, 2025. As of November 3, NewYork-Presbyterian is expected to be out-of-network for Healthfirst members.
Starting on November 3, 2025, you would need prior approval from Healthfirst before you can see NewYork-Presbyterian doctors or go to their hospitals. Emergency care at NewYork-Presbyterian will still be covered by Healthfirst.
We're here to help. Healthfirst will work with you to:
If you have a Signature PPO plan, your out-of-network benefits would cover care at NewYork-Presbyterian as long as the doctor still participates in Original Medicare, but with higher out-of-pocket costs for certain services.
You can keep scheduled appointments with your specialist through November 2, 2025. If you are in ongoing treatment that you expect to continue after November 2, 2025, please ask your NewYork-Presbyterian provider to request an authorization for continued care after November 2.
You can also contact us directly at (866) 888-5283 for any assistance.
Yes, should NewYork-Presbyterian be out-of-network, we’re here to help you find a new doctor in your area who is in-network with Healthfirst and can meet your health needs. You can choose from over 40,000+ doctors and providers in the Healthfirst network.
To find your new doctor, you can:
Yes, if your surgery is scheduled on or before November 2, you can move forward as scheduled. If you are in ongoing treatment that you expect will continue after November 2, 2025, please ask your NewYork-Presbyterian provider to request an authorization for continued care after November 2. You can also contact us directly at (866) 888-5283 for assistance.
After November 2, members must receive an authorization from Healthfirst prior to receiving care from a NewYork-Presbyterian physician in order for this care to be covered, as NewYork-Presbyterian is expected to be out-of-network. This does not apply to Signature PPO members.
For Signature PPO plan members, there would be no change to member copays for care at NewYork-Presbyterian’s urgent care centers and emergency services. For other services, Signature PPO would cover care at NewYork-Presbyterian as an out-of-network benefit as long as the doctor participates in Original Medicare, but with higher out-of-pocket costs for certain services. This includes some preventive care services, PCP and specialist visits, inpatient hospital stays, and ambulatory surgery and outpatient services. Please check your Summary of Benefits and Explanation of Evidence of Coverage for specifics.
The NewYork-Presbyterian healthcare system includes the following hospitals and healthcare providers:
Emergency care will continue to be covered.
ColumbiaDoctors, as well as Weill Cornell Medicine doctors, are affiliated with NewYork-Presbyterian. As a result of NewYork-Presbyterian’s decision to leave Healthfirst’s network, these physicians who are affiliated with NewYork-Presbyterian would no longer be part of our network, effective November 3, 2025.
We believe all New Yorkers deserve access to high-quality, affordable, and equitable healthcare.
We put the health and well-being of our members first and foremost in everything we do.
We are a not-for-profit health plan serving New York City, Long Island, and the Hudson Valley.
We are the highest-rated health plan for quality in our service area and have ranked at the top of Medicaid and Essential Plan quality ratings by New York State, and our main Medicare contract was rated 4.5 out of 5 stars by Centers for Medicare & Medicaid Services for the 2025 program year.
Our excellent care network includes more than 80 hospitals including world-renowned hospital systems and medical centers, and 40,000+ providers, including community physicians and FQHCs, across New York City, Long Island, and the Hudson Valley.
To learn more, visit healthfirst.org.