Personal Wellness Plan

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The Healthfirst Personal Wellness Plan is for Medicaid Managed Care members who may benefit from extra behavioral health or substance abuse services. It offers all of the benefits in Medicaid, plus extra services like community support and substance abuse programs, mental health treatment, and behavioral health services.

Plan Highlights:

  • All your current Medicaid benefits
  • Individual and group counseling
  • Crisis intervention services
  • Substance use disorder services
  • Continuing day treatment
  • Personalized recovery services
  • Assertive community treatment services
  • Access to home- and community-based services
  • 2019
Personal Wellness Plan
Summary of Benefits and Coverage (PDF)
Comprehensive Formulary
Premium
$0
Eligible Age
21 to 64
Eligible Service Areas
Within New York City’s five boroughs (the Bronx, Brooklyn, Manhattan, Queens, and Staten Island), Long Island, and Westchester, Sullivan, and Orange counties
Other Eligibility Requirements
Enrolled in a Medicaid Managed Care plan
Identified by New York State as eligible for a Health and Recovery Plan
Dental Cleanings
$0 copay
Vision Exams
$0 copay
Teladoc
$0 copay
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Additional Benefits

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    24/7 Access to Telemedicine with Teladoc*

    Talk to a doctor any time—for a $0 copay. Connect with board-certified doctors through video chat or phone for prescriptions, help diagnosing and treating non-emergency conditions, and more. Access to dermatologists is also available.

    *Telemedicine isn’t a replacement for your Primary Care Provider (PCP). Your PCP should always be your first choice for care and for routine visits.

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    Urgent Care Center Network

    Get the care you need when you need it at an urgent care center in our network–no appointment needed. Urgent care centers offer late-night and weekend hours, often with faster service at a lower cost than the Emergency Room (ER).

    Visit an in-network urgent care center to get help for non-emergency conditions like earache, upset stomach, sprains, stitches, and more.

Additional Benefits

  • 24/7 Access to Telemedicine with Teladoc*

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  • Urgent Care Center Network

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Frequently Asked
Questions

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Support When You Need It

We're happy to answer your questions.

Learn about enrollment

1-844-488-1486

Monday to Friday, 9am—8pm

TTY English: 1-888-542-3821

TTY Español: 1-888-867-4132

Member Services

1-855-659-5971

7 days a week, 24 hours a day

TTY English: 1-888-542-3821

TTY Español: 1-888-867-4132

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.

You can also go to the NY State of Health’s website to view your choices, or call the NY State of Health customer service center at 1-855-355-5777.

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