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Individual and Family Plans

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Finding health insurance coverage at a price you can afford can feel challenging. At Healthfirst, we can help you find the coverage you need at a price that fits within your budget. We can even help you figure out if you and your family qualify for financial assistance. Take a look at the chart below to see the types of benefits each plan offers. Then click on the View Details button of whichever plan you’d like to know more about. Let’s get started.

criteria criteria Essential Plans Essential Plans Medicaid Managed Care Medicaid Managed Care Child Health Plus Child Health Plus Leaf Premier Plans Leaf & Leaf Premier Plans Leaf Plans Leaf Plans
Eligibility
Eligibility 19–64 Under 65 Under 19 Under 65 Under 65 Under 65
Monthly Premium
Monthly Premium $0 or $20 $0 As low as $0. Depends on family size, income Depends on plan, family size, income Depends on plan, family size, income
Deductible
Deductible $0 $0 $0 Depends on plan, family size, income Depends on plan, family size, income
Annual Checkup (Preventive Care) Cost
Annual Checkup (Preventive Care) Cost $0 $0 $0 $0 $0 $0
Financial Help
Financial Help n/a
Doctors and Specialists
Doctors and Specialists
Telemedicine
Telemedicine
Hospital Visits
Hospital Visits
Adult Dental and Vision
Adult Dental and Vision n/a n/a
Pediatric Dental and Vision
Pediatric Dental and Vision n/a
Prescription Drugs
Prescription Drugs
Enrollment Period
Enrollment Period Year-round Year-round Year-round November – January 31 November – January 31

What's New?

Proudly serving the Hudson Valley*

Healthfirst is now serving Orange, Rockland, Sullivan, and Westchester counties. So more New Yorkers, like you, can get the coverage they need.

*Service area may vary by plan.

New Essential Plan Landing Page

We now have a new place to learn all about Healthfirst Essential Plans. Come visit our new landing page and see why the Essential Plan may be right for you.

Click here to learn more

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Healthfirst Benefits

24/7 Access to doctors with Teladoc

You can use the phone or video to talk with a doctor any time.†

Urgent Care Center Network

Get fast help for non-emergency conditions. No appointment necessary.

Dental and Vision Benefits

Comprehensive dental and vision coverage is included with many plans.

Home Delivery for Prescriptions

Many plans offer convenient at-home delivery for your medications.

Contact us to learn more about enrollment

Call Us to Enroll:

1-844-434-7785

Monday to Saturday, 8am–8pm

TTY English: 1-888-542-3821

TTY Español: 1-888-867-4132

Schedule an Appointment to Enroll:

Make an appointment with a local Sales Representative online right now.

Can’t talk right now?

Request a callback and we’ll get back to you within one business day.

†Telemedicine isn’t a replacement for your Primary Care Provider (PCP). Your PCP should always be your first choice for care and for routine visits.

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

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 2019 publications of A Consumer’s Guide to Medicaid Managed Care in NYC and on Long Island.

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We look forward to helping you!

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†Signature Authorization Notice:

"†Signature Authorization Notice: By submitting this form, I authorize Healthfirst to contact me about Healthfirst products using the information provided above by automated means, including email, phone, or text. Message & data rates may apply. Submitting this form does not obligate me to enroll in a plan, affect my current enrollment, or enroll me in a Healthfirst plan."

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†Signature Authorization Notice:

"†Signature Authorization Notice: By submitting this form, I authorize Healthfirst to contact me about Healthfirst products using the information provided above by automated means, including email, phone, or text. Message & data rates may apply. Submitting this form does not obligate me to enroll in a plan, affect my current enrollment, or enroll me in a Healthfirst plan."

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