Individual and Family plans

Whether you need health insurance for yourself or your family, you can find the right coverage here.
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Convenient and Affordable Access to Healthcare

We’re working to help every New Yorker live a healthier life. Everyone, from new mothers to new immigrants, can find a Healthfirst plan that gives them affordable access to the care they need.

What types of plans are available?

Individual and Family Essential Plans
Essential Plans

For qualified individuals and eligible immigrants age 19-64 who do not qualify for Medicaid.

Individual and Family Medicaid Managed Care
Medicaid Managed Care

For low-income families, and for individuals.

Individual and Family Child Health Plus
Child Health Plus

For children under age 19 regardless of household income or immigration status.

Individual and Family Leaf and Leaf Premier
Marketplace Plans

For families and for individuals under 65 who don’t qualify for Medicaid, Essential Plan, or Child Health Plus.

Essential Plan 200-250

For U.S. citizens, and permanent or legal residents

  • Naturalized citizens
  • New York State residents

Essential Plans 1 & 2

For U.S. citizens, and permanent or legal residents

  • Naturalized citizens
  • New York State residents

Essential Plans 3 & 4

For Immigrants / Students

  • Students with valid visas
  • Immigrants Permanently Residing Under Color Of Law (PRUCOL), but not Deferred Action for Childhood Arrivals (DACA)

Essential Plan 200-250

See Eligibility

For a $0 monthly plan premium, qualified individuals age 19-64 can get access to essential health benefits like doctor visits, lab tests, prescription drugs, hospitalization, urgent and emergency care, and more-plus vision and dental benefits with a $0 copay.

Plan highlights
Is my provider in-network?
Are my drugs covered?
Benefits
    • $0 annual checkups
    • Hospital, emergency room, urgent care visits, and retail health clinics

    • Lab tests and X-rays

    • Prescription drug coverage

    • Maternity coverage

    • 24/7 access to care with telemedicine

    • No-cost dental and vision coverage*

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

Premium
$0
Deductible
$0

Essential Plans 1 & 2

See Eligibility

For a $0 monthly plan premium, qualified individuals age 19-64 can get access to essential health benefits like doctor visits, lab tests, prescription drugs, hospitalization, urgent and emergency care, and more-plus vision and dental benefits with a $0 copay.

View plan highlights
Is my provider in-network?
Are my drugs covered?
Benefits
  • $0 annual checkups
  • Hospital, emergency room, urgent care visits, and retail health clinics
  • Lab tests and X-rays
  • Prescription drug coverage
  • Maternity coverage
  • 24/7 access to care with telemedicine
  • No-cost dental and vision coverage*

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

Star Ratings
Premium
$0
Deductible
$0

Essential Plans 3 & 4

See Eligibility

For a $0 monthly plan premium, eligible immigrants age 21-64 can get access to essential health benefits like doctor visits, lab tests, prescription drugs, hospitalization, urgent and emergency care, and more-plus vision and dental benefits with a $0 copay.

View plan highlights
Is my provider in-network?
Are my drugs covered?
Benefits
  • $0 annual checkups
  • Hospital, emergency room, urgent care visits, and retail health clinics
  • Lab tests and X-rays
  • Prescription drug coverage
  • Maternity coverage
  • 24/7 access to care with telemedicine
  • No-cost dental and vision coverage*

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

Star Ratings
Premium
$0
Deductible
$0

Medicaid Managed Care Plan

See Eligibility

This five-star-rated Medicaid plan has a $0 monthly plan premium, a $0 deductible, and low or no copays for doctor visits, lab tests, hospitalization, and more. This plan is for qualified low-income families and for individuals.

Plan highlights
Is my provider in-network?
Drugs covered by the Medicaid NYRx pharmacy program
Benefits
  • $0 annual checkups
  • Hospital, emergency room, urgent care visits, and retail health clinics
  • Maternity coverage for you and your newborn
  • Hearing, vision, dental coverage
  • 24/7 access to care with telemedicine
  • Over-the-counter nonprescription drug coverage. Prescription drugs are covered by New York State*
Star Ratings
Premium
$0
Deductible
$0

Child Health Plus Plan

For qualified children under the age of 19, this low-cost health insurance plan offers a $0 deductible and no copays for pediatrician and other doctor visits, lab tests, emergency care, dental, vision, hearing, and more. Monthly premium may vary based on income.

Plan highlights
Is my provider in-network?
Are my drugs covered?
Benefits
  • Vaccines (shots)
  • Hospital, emergency room, urgent care visits, and retail health clinics
  • Lab tests and X-rays
  • Prescription drug coverage
  • Hearing, vision, and dental coverage
  • Care Management programs
  • Physical, occupational, and speech therapy
    Star Ratings
    Premium
    Call For A Quote
    Deductible
    $0

    Marketplace Plans

    See Eligibility

    Our Marketplace plans offer everyday health benefits for families and for individuals under 65. There are various options you can choose from based on your needs and budget, including adult vision and adult dental care. (These plans are also called Qualified Health Plans or Healthfirst Leaf Plans.)

    Plan highlights
    Is my provider in-network?
    Are my drugs covered?
    Benefits
    • $0 annual checkups
    • Preventive and wellness visits
    • Hospital, emergency room, urgent care visits, and retail health clinics
    • Lab tests and X-rays
    • Prescription drug coverage
    • Maternity and newborn coverage
    • 24/7 access to care with telemedicine
        Premium / Deductible
        Call For A Quote

        2024 Open Enrollment is here!

        Now is the time to apply for new health insurance or to switch plans

        Plan Benefits and Features

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        $0 checkups, maternity care, dental options, and more.

        Icon doctor min

        Large network of doctors, with no referrals needed to see in-network specialists

        Icon membercare min

        Member Services who will help you get the care and support you need—from day one

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        Care options including 24/7 telemedicine, retail health clinics, urgent care centers, and more

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        The benefit information provided is a brief summary, not a complete description, of benefits. For more information, contact the plan.

        Ratings are based on a five-star scale from indicators chosen by the New York State Department of Health and are published in its 2014 through 2023 publications of A Consumer's Guide to Medicaid Managed Care in NYC and on Long Island.

        Coverage is provided by Healthfirst Health Plan, Inc., Healthfirst PHSP, Inc., and/or Healthfirst Insurance Company, Inc. (together, “Healthfirst”).

        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.