Medicare & Long Term Care Plans | Healthfirst

Medicare & Managed Long
Term Care Plans

Healthfirst Medicare Advantage plans provide all the benefits and services that Original Medicare does, plus a whole lot more—for less. We offer a variety of plans to meet your needs, with benefits such as an over-the-counter nonprescription drug card, SilverSneakers® fitness program, dental and vision benefits, hearing aids, prescription drug coverage, and more.

Healthfirst Managed Long Term Care plans provide health benefits that help you (or your loved one) remain in your home and as independent as possible. We offer plans that combine hospital, medical, and prescription drug coverage with long-term care benefits, as well as a stand-alone, managed long-term care plan option. Our Managed Long Term Care plans provide access to a care management team that includes a nurse, a social worker, and a support coordinator. Together, they will help you (or your loved one) with your day-to-day needs and will coordinate care with you, your doctor, and your family.


Healthfirst offers a variety of plans designed to meet your unique needs. See below for plan details or call us for more information.

Healthfirst Medicare Advantage plans provide all the benefits and services that Original Medicare does, plus a whole lot more—for less. We offer a variety of plans to meet your needs, with benefits such as an over-the-counter nonprescription drug card, SilverSneakers® fitness program, dental and vision benefits, hearing aids, prescription drug coverage, and more.

Healthfirst Managed Long Term Care plans provide health benefits that help you (or your loved one) remain in your home and as independent as possible. We offer plans that combine hospital, medical, and prescription drug coverage with long-term care benefits, as well as a stand-alone, managed long-term care plan option. Our Managed Long Term Care plans provide access to a care management team that includes a nurse, a social worker, and a support coordinator. Together, they will help you (or your loved one) with your day-to-day needs and will coordinate care with you, your doctor, and your family.


Healthfirst offers a variety of plans designed to meet your unique needs. See below for plan details or call us for more information.

See Description
  • Deductible

    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. Extra Help A Medicare program to help people with limited income and resources pay Medicare prescription drug program costs, like premiums, deductibles, and coinsurance. Premium The amount of money you must pay monthly, quarterly, or twice a year to be covered by a health insurance plan or program. SilverSneakers SilverSneakers is a Medicare fitness program that promotes well-being among seniors through exercise and social opportunities. A fee that you pay each time you go to the doctor, get a drug prescription filled, or get other services. Example: If your health plan has a $20 Primary Care Doctor (PCP) copayment, you must pay $20 for a checkup with your PCP.

  • Extra Help

    A federal program to help people with limited income and resources pay Medicare prescription drug program costs like premiums, deductibles, and coinsurance.

  • Premium

    The amount of money you must pay monthly, quarterly, or twice a year to be covered by a health insurance plan or program.

  • SilverSneakers ©

    SilverSneakers is a Medicare fitness program that promotes well-being among seniors through exercise and social opportunities.

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Learn about Coverage Decisions, Appeals, and Complaints for Medicare Plan Members

You also have the option to submit complaints/grievances directly through Medicare.gov

Frequently Asked Questions

Who is eligible to enroll?

We have plans for all ages, needs, and income levels. To see which Healthfirst plans are right for you, please use our plan recommendation tool or contact us.

Why should I choose Healthfirst?

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.

How can I enroll?

The easiest way to enroll in a Healthfirst plan is to contact us. Our sales reps can guide you to the best plan for you and ease the enrollment process.

To learn more about our Healthfirst plans or find the one that’s right for you, use our plan recommendation tool.

Learn more about our plans

We’re happy to answer your questions.

Call us today

1-877-237-1303

7 days a week, 8am–8pm

TTY English: 1-888-542-3821
TTY Español: 1-888-867-4132

Find a FREE Medicare Information Session

Can’t talk right now?

Request a callback, and we’ll get back to you within one business day.
You can also visit us in person at our community offices.

If you receive Medicaid and want to know whether you are eligible for a Managed Long Term Care Plan, you can call the Conflict-Free Evaluation and Enrollment Center (CFEEC) at 1-855-222-8350, Monday to Friday, 8:30am-8pm, and Saturday, 10:00am-6:00pm, to schedule a free evaluation.

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

Plans above reflect amounts after Extra Help or Medicaid secondary coverage has been applied.

Healthfirst Health Plan, Inc. offers HMO plans that contract with the Federal Government. Healthfirst Medicare Plan has a contract with New York State Medicaid for Healthfirst CompleteCare (HMO SNP) and a Coordination of Benefits Agreement with the New York State Department of Health for the Healthfirst Life Improvement Plan (HMO SNP). Enrollment in Healthfirst Medicare Plan depends on contract renewal.

This information is not a complete description of benefits. Contact the plan for more information. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year.

Healthfirst Medicare Plan, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-305-0408 (TTY 1-888-867-4132). 注意:如果您使用繁體中文,您可以免費獲得語言援助服 務。請致電 1-866-305-0408 (TTY 1-888-542-3821).

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