BackMedicare and 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 prescription drug coverage; over-the-counter allowance; dental, hearing, and vision benefits; the SilverSneakers® fitness program; 24/7 access to care via phone or video chat; and the option to go out of network for care.
Healthfirst Long-Term Care plans provide health benefits that help you (or your loved one) remain at 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 long-term care plans provide access to a care management team, which includes a primary care manager and other support staff that will help you develop your own personal care plan centered around your care goals, and coordinate the services you need in order to meet your care goals. Together, they will help you (or your loved one) with your day-to-day needs and 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 prescription drug coverage; over-the-counter allowance; dental, hearing, and vision benefits; the SilverSneakers® fitness program; 24/7 access to care via phone or video chat; and the option to go out of network for care.
Healthfirst Long-Term Care plans provide health benefits that help you (or your loved one) remain at 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 long-term care plans provide access to a care management team, which includes a primary care manager and other support staff that will help you develop your own personal care plan centered around your care goals, and coordinate the services you need in order to meet your care goals. Together, they will help you (or your loved one) with your day-to-day needs and 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.
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Deductible
The amount 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.
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Extra Help
A federal program to help people with limited income and resources pay Medicare prescription drug program costs like premiums, deductibles, and coinsurance.
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Premium
The amount you must pay monthly, quarterly, or twice a year to be covered by a health insurance plan or program.
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SilverSneakers ©
SilverSneakers is a Medicare fitness program that uses exercise and social opportunities to promote well-being among seniors.
Medicare Advantage Plans
Signature (PPO)
This new Medicare Advantage Prescription Drug plan is for those who want the flexibility to go out of network and visit any doctor and hospital in the U.S. that accepts Medicare. In addition to a $0 monthly plan premium, prescription drug coverage, and copays as low as $0, it offers dental and vision benefits with no additional premium and a Flex card that can be used for dental, vision, and hearing out-of-pocket costs.
Signature (HMO)
This Medicare Advantage Prescription Drug plan is for those who want the flexibility to pick a benefit that best suits their needs. It provides a specially trained member services team dedicated to making healthcare easy, a $0 monthly plan premium, prescription drug coverage, and low or no copays, with more than what Original Medicare offers.
65 Plus Plan (HMO)
This Medicare Advantage Prescription Drug plan is for those looking for hospital, medical, and prescription drug coverage all in one plan. It offers a $0 monthly plan premium, prescription drug coverage, and low or no copays, with more than what Original Medicare offers.
Increased Benefits Plan (HMO)
This Medicare Advantage Prescription Drug plan is for those who qualify for full Extra Help (also known as Low Income Subsidy (LIS), which helps to lower prescription drug costs. It offers a $0 monthly plan premium,* prescription drug coverage, an OTC card, and low or no copays.
*If you qualify for full Extra Help, your monthly premium will be $0. If you lose full Extra Help, your monthly premium may be $29.60.
Life Improvement Plan (HMO D-SNP)
This Medicare Advantage Prescription Drug plan is for those who are eligible for Medicare and who are also receiving full Medicaid benefits or cost-sharing assistance from Medicaid. It offers a $0 monthly plan premium, $0 for all covered prescription drugs (2023 plan feature), an OTC Plus card, and low or no copays.
CompleteCare (HMO D-SNP)
This Medicare Advantage Special Needs Plan is for those who have Medicare Part A and Part B Medicare, are receiving full Medicaid benefits, and require a nursing home level of care. Healthfirst CompleteCare integrates Medicare and Medicaid benefits with added long-term care benefits, including all medical, hospital, prescription drugs, home care, and adult day healthcare. It offers a $0 monthly plan premium, prescription drug coverage, an OTC Plus card, and no copays.
Long-Term Care Plans
CompleteCare (HMO D-SNP)
This Medicare Advantage Special Needs Plan is for those who have Medicare Part A or Part B , are receiving full Medicaid benefits, and require a nursing home level of care. Healthfirst CompleteCare integrates Medicare and Medicaid benefits with added long-term care benefits, including all medical, hospital, prescription drugs, home care, and adult day healthcare. It offers a $0 monthly plan premium, prescription drug coverage, an OTC Plus card, and no copays.
Senior Health Partners Managed Long-Term Care (MLTC) Medicaid Plan
A managed long-term care plan that provides and coordinates healthcare services such as home care and adult day care. This plan may be right for you if you need long-term care, services, support, and are Medicaid eligible.
Learn about Coverage Decisions, Appeals, and Complaints for Medicare Plan Members
You also have the option to submit complaints/grievances directly through Medicare.gov
Read about
Your access to benefits during a declared disaster or emergency.
Frequently Asked
Questions
See All
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Who is eligible to enroll?
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Why should I choose Healthfirst?
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How can I enroll?
Support When You Need It
Learn about enrollment
1-877-237-1303
7 days a week, 8am—8pm
TTY English: 1-888-542-3821
TTY Español: 1-888-867-4132
Member Services
Medicare: 1-888-260-1010
7 days a week, 8am—8pm
TTY English: 1-888-542-3821
TTY Español: 1-888-867-4132
Other ways to reach us
Request a callback, and we’ll get back to you within one business day.
You can also visit our Virtual Community Office to connect with a local Healthfirst representative or to find a community office near you.
Healthfirst
100 Church Street,
New York NY 10007
If you receive Medicaid and want to know whether you are eligible for a managed long-term care plan, you can call the New York Independent Assessor (NYIA) formerly Conflict-Free Evaluation Enrollment (CFEEC) at 1-855-222-8350, Monday to Friday, 8:30am–8pm, and Saturday, 10am–6pm, to schedule their initial assessment.
Coverage is provided by Healthfirst Health Plan, Inc. or Healthfirst Insurance Company, Inc. which offer HMO and/or PPO plans that contract with the Federal Government. Healthfirst Health Plan, Inc. has a contract with New York State Medicaid for its Dual-Eligible Special Needs Plans. 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.
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.
Healthfirst 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).
Last update April 28, 2023 @ 11:54 am
Y0147_MKT23_90 0816-22_2023
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