^*Dental services must be medically necessary; limitations and exclusions apply.

^**These are special supplemental benefits for members enrolled in a Healthfirst dual-eligible special needs plan. To be eligible, you must have a chronic condition such as cardiovascular disorder, disabling mental health condition, diabetes, lung disorders, obesity, or another eligible condition not listed. Benefit eligibility is not based on your chronic condition alone. 

Coverage is provided by Healthfirst Health Plan, Inc. and/or Healthfirst PHSP, Inc. (together, "Healthfirst"), which offer HMO plans with a Medicare contract and a contract with the NY State Medicaid program. Enrollment in Healthfirst Medicare Plan depends on contract renewal. Plans contain exclusions and limitations.

OTC items are subject to the plan’s list of eligible items and the plan’s participating network of retail, online, and utility providers. No out-of-pocket costs for entry-level hearing aids. Eyewear allowance can only be used at participating retailers. A sales person will be present with information and applications. For accommodations of persons with special needs at meetings, call 1-888-260-1010 (TTY 1-888-542-3821).

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