BackHealthfirst Medicare Advantage Plans
Our Medicare Advantage plans (HMO & PPO) offer you more benefits than Original Medicare. And our new PPO plan lets you see out-of-network healthcare providers that accept Medicare.
Our Medicare Advantage plans (HMO & PPO) offer you more benefits than Original Medicare. And our new PPO plan lets you see out-of-network healthcare providers that accept Medicare.
Healthfirst Medicare Advantage plans give you more of the benefits and features you want, such as:
OTC Plus card of up to $475/quarter for over-the-counter items, healthy foods, and more. Now including most home utilities!
As low as $0 copays for dental coverage, which includes root canals, extractions, dentures, crowns, and more
As low as $0 monthly plan premiums, $0 deductible, and as low as $0 copays for prescription drugs
NEW option to go out of network and visit any doctor or hospital in the U.S. that accepts Medicare
Just answer a few quick questions below. Or skip the questions and see all plans.
Give us a call!
Give us a call!
Sources:
* https://www.kff.org/medicare/issue-brief/more-than-half-of-all-people-on-medicare-do-not-compare-their-coverage-options-annually/
** https://www.nytimes.com/2022/05/20/business/medicare-retirement-health-care.html
† https://www.ssa.gov/benefits/medicare/prescriptionhelp.html
‡ https://www.health.ny.gov/health_care/medicaid/program/update/savingsprogram/
ª https://www.medicare.gov/your-medicare-costs/get-help-paying-costs/find-your-level-of-extra-help-part-d
Coverage is provided by Healthfirst Health Plan, Inc. or Healthfirst Insurance Company, Inc. (“Healthfirst”). Healthfirst Medicare Plan has HMO and PPO plans with a Medicare contract. Our SNPs also have contracts with the NY State Medicaid program. Enrollment in Healthfirst Medicare Plan depends on contract renewal. Plans contain exclusions and limitations.
Plans above reflect amounts after Extra Help or Medicaid secondary coverage has been applied.
Some dental services must be medically necessary to be covered; limitations and exclusions apply.
OTC items are subject to the plan’s list of eligible items and the plan’s participating network of retail, online, and utility providers. Balances expire upon disenrollment.
No out-of-pocket costs for entry-level hearing aids. Eyewear allowance can be used at participating retailers.
Out-of-network healthcare services may have higher costs. Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
Healthfirst CompleteCare will cover Non-Emergency Medicaid-covered transportation provided that it is included as a Managed Long Term Care benefit by the New York State Department of Health.
You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Benefits, premiums, and/or copayments/coinsurance may change each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
SilverSneakers is a registered trademark of Tivity Health, Inc. ©2022 Tivity Health, Inc. All rights reserved.
Healthfirst complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
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