BackHealthfirst NY 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.
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.
Healthfirst Medicare Advantage plans give you more of the benefits and features you want, such as:
OTC Plus card of up to $525/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
Flexibility to go out of network and visit any doctor or hospital in the U.S. that accepts Medicare for medical care
Just answer a few quick questions below. Or skip the questions and see all plans.
We've been helping New Yorkers of all ages and incomes get access to affordable, quality health insurance for 30 years. And we can help you, too. Healthfirst has the largest Medicare Advantage membership in the NY metropolitan area, including New York City, Nassau, Westchester, and the Lower Hudson Valley.*
*Based on June 2022 CMS Medicare Advantage/Part D Contract and Enrollment data, excludes EGHP and ISNP.Depending on your plan, you will receive an OTC Plus/OTC card with a maximum limit for purchasing approved over-the-counter (OTC) non-prescription drugs and health-related items at participating pharmacies and retailers. In the case of CompleteCare, you can also purchase healthy foods, home utilities, exercise equipment, and activity trackers. Life Improvement Plan members can also use their OTC Plus card for personal emergency response systems (PERS). In the case of Signature (PPO), you receive a $700/year Flex card that can be used for dental, vision, and hearing out-of-pocket costs.
It’s now easier than ever to qualify for help paying your Medicare expenses. New York State expanded the Medicare Savings Program (MSP) by raising the Federal Poverty Level (FPL) eligibility requirement. That means Medicare members with higher incomes can now qualify. MSP helps pay for your Medicare premiums and lower your drug plan costs. Depending on your income, the MSP may also pay for other cost-sharing expenses—with an average savings of up to $7,000/year!
Give us a call!
Give us a call!
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.
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. Home utilities include gas, oil, electric, water, and internet service.
Dental services must be medically necessary; limitations and exclusions apply.
Out-of-network healthcare services may have higher costs. Plans vary by service area. 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.
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. (c) 2023 Tivity Health, Inc. All rights reserved.
EyeMed is contracted with Healthfirst to provide vision benefits to its members.
Healthfirst has four-star rated (out of five stars) Medicare Advantage plans in 2022. Every year, Medicare evaluates plans based on a 5-star rating system.
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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