Individual & Family Plans
Healthfirst offers comprehensive individual and family health plans that fit your needs and your budget, including plans with no monthly premium or deductible. Regardless of your family size, you have access to a wide range of benefits and services.
Behavioral Health Services
Behavioral health services are a variety of services that can support mental health and substance abuse needs you may have. This support can include emotional, social, educational, vocational, peer support and recovery services, in addition to more traditional psychiatric or medical services.
The amount of money you must pay in covered expenses each year before your plan or program pays anything for certain covered services. The deductible may not apply to all services. There may be different deductibles for different services (e.g., medical vs. pharmacy). Not all plans require deductibles. This is separate from a monthly premium payment. Example: If your deductible is $500, you need to spend $500 for covered healthcare services within one year before your plan or program will start paying for your health services. Your deductible resets once every year.
Medicaid is a joint federal and state program that helps with medical costs for some people with limited income and resources. Medicaid programs vary from state to state, but most healthcare costs are covered if you qualify for both Medicare and Medicaid.
The amount of money you must pay monthly, quarterly, or twice a year to be covered by a health insurance plan or program.
Substance abuse, also known as drug addiction or substance use disorders, occur when the recurrent use of alcohol and/or drugs causes clinically significant impairment, including health problems, disability, and failure to meet major responsibilities at work, school, or home.
Medicaid Managed Care
A Medicaid plan with a $0 monthly plan premium and low or no copays for doctor visits, lab tests, prescription drugs, hospitalization, and more. This plan is for qualified low-income families and individuals under 65.
A plan with access to essential health benefits like doctor visits, lab tests, prescription drugs, hospitalization and more — all for a $0 or low monthly plan premium. This plan is for qualified individuals age 19-64. Monthly premium may vary based on income and plan selection.
Leaf & Leaf Premier Plans
A range of plans to fit your needs offering doctor visits, lab tests, prescription drugs, hospitalization, and more for families and individuals under 65. Deductible and monthly premium depend on plan, family size, and income. Financial assistance is available to those who qualify. Monthly premium and medical deductible vary based on plan selection.
Personal Wellness Plan
This plan is for Medicaid Managed Care members who may benefit from extra behavioral health or substance abuse services.
Frequently Asked Questions
Healthfirst is a not-for-profit community organization sponsored by some of the most prestigious and nationally recognized hospitals and medical centers in New York. With more than a million members and growing, Healthfirst has been serving communities in New York City for more than 25 years. With access to thousands of doctors and specialists, you’re sure to find the service you need nearby. Each of our community offices is fully staffed with representatives who can answer questions—in many different languages—about our health insurance plans and programs, whether you’re a member or not.
Support When You Need It
We’re happy to answer your questions.