Plan Renewals | Healthfirst

Plan Renewals

Keep your health coverage!
Find renewal information for your plan below.

Essential Plans must be renewed annually

If you have The Essential Plan, you must renew your plan once a year, on or before the anniversary of when you signed up.

Our dedicated reps can even contact you and NY State of Health to coordinate the renewal of your health insurance.

Get in touch to renew your Essential plan

We’re happy to answer any questions you may have.

We make it easy!

1-855-718-1822

Monday to Friday, 9am–5pm

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.

©2020 HF Management Services, LLC. CRP1064: XP16_89

Plans are offered by affiliates of Healthfirst, Inc. Plans contain exclusions and limitations.
To learn more about applying for health insurance through NY State of Health, The Official Health Plan Marketplace, visit www.nystateofhealth.ny.gov or call 1-855-355-5777.

Child Health Plus Plans must be renewed annually

If your child has Healthfirst Child Health Plus, you must renew your plan once a year, on or before the anniversary of when you signed up.

Here’s what you need to know:

  • You will recieve a notice from either Healthfirst, NY State of Health (NYSOH), the Human Resources Administration (HRA), or the Local Department of Social Services (LDSS) before your child’s anniversary date. Make sure you open and read the notice to get all the details about how to renew your child’s health insurance plan.
  • If your child turned 19 and is no longer eligible for Child Health Plus, your child may still be eligible for a different health insurance plan. We can help you or your child find the plan that best fits his or her needs and budget.

We can help you through the process and answer your questions. Our dedicated reps can even contact you and NY State of Health to coordinate the renewals of your child’s health insurance.

Leaf & Leaf Premier Plans must be renewed annually

If you have Leaf & Leaf Premier Plans, you must renew your plan once a year, on or before the anniversary of when you signed up.

Here’s what you need to know:

  • You can renew or change your health insurance plan during that annual Open Enrollment Period, which usually runs from November through January. The specific dates are subject to change each year.
  • ou can still get a health insurance plan outside the Open Enrollment Period if you’ve had a major life changing event, called a Qualifying Life Event (QLE).
    • These events include job loss or change, marital status change, becoming pregnant, losing your insurance, and more.
    • But dont wait. You must apply for a health insurance plan within 60 days of a Qualifying Life Event.
  • You can renew your plan online at the NY State of Health website.

©2020 HF Management Services, LLC. CRP1064: XP16_89

Plans are offered by affiliates of Healthfirst, Inc. Plans contain exclusions and limitations.
To learn more about applying for health insurance through NY State of Health, The Official Health Plan Marketplace, visit www.nystateofhealth.ny.gov or call 1-855-355-5777.

Medicaid plans must be renewed annually.

If you or members of your family have Healthfirst Medicaid Managed Care, you must renew your plan once a year, before the anniversary of when you enrolled. The way you renew your Medicaid coverage may have changed.

Get in touch to renew your Essential plan

We’re happy to answer any questions you may have.

We make it easy!

1-855-718-1822

Monday to Friday, 9am–5pm

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.

Need further assistance?

We’re here to make the renewal process easy and to answer your questions. We can even call you and New York State of Health at the same time and submit any required documentation electronically to make your renewal faster.

Frequently Asked Questions
English / Español / 中文


Updating your information

It’s important that your information is up-to-date with both Healthfirst and New York State of Health.

If you need to update your information with Healthfirst:

Call us:
1-866-463-6743

Monday to Friday, 8am–6pm

If you need to update your information with the New York State of Health:

Call us:
1-855-355-5777

You can also make updates through your online account.


Benefits of Renewal

Stay covered!

With the FIVE-STAR QUALITY Medicaid Managed Care program offered by Healthfirst, you get access to benefits such as:

24/7 Access to Telemedicine with Teladoc*

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

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

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.

PLUS, you’ll have access to:

  • A large network of doctors and specialists at many of New York’s top hospitals
  • Healthfirst community locations in your neighborhood
  • Help in many languages, including English, Spanish, and Chinese

©2020 HF Management Services, LLC. CRP1064: XP18_86
Plans are offered by affiliates of Healthfirst, Inc. Plans contain exclusions and limitations.

To learn more about applying for health insurance through NY State of Health, The Official Health Plan Marketplace, visit www.nystateofhealth.ny.gov or call 1-855-355-5777.

Enrolling for the First Time

Introduction to Medicare

Turning 65

You’ll have a seven-month period to enroll in Medicare. This period starts three months before the month of your birthday and continues for three months after. If you miss your Initial Enrollment Period, you must wait until the General Enrollment Period (January 1–March 31) to enroll.

Social Security Recipients

If you’re under 65 and have a disability, you’re automatically enrolled in Part A and Part B after you get Social Security or Railroad Retirement benefits for 24 months.

Initial Enrollment Period

Example: If you are turning 65 on April 15, you will be eligible to enroll for Medicare January 1 through July 31.

Contact Social Security to Enroll

Changing Plans

Annual and Open Enrollment Periods

If you’re unhappy with your current plan, have moved, or had a change in income, give us a call today and we’ll make it easy for you to switch your Medicare coverage.

Medicare Annual Enrollment Period

October 15–December 7

During this period, you can

  • switch from Original Medicare to Medicare Advantage, or back to what you had.
  • switch from one Medicare Advantage plan to another, or from one Medicare Part D (prescription drug) plan to another.

Note: if you didn’t enroll in a Medicare Part D plan when you were first eligible, you can do so during this period.

Medicare Advantage Open Enrollment Period

January 1–March 31

During this period, you have the one-time opportunity to

  • switch from one Medicare Advantage plan to a different one.
  • switch from your Medicare Advantage plan and return to Original Medicare.

Exceptions

See if you qualify

Special Enrollment Periods

Have you recently moved or lost your coverage? There are certain life events that will allow you to switch coverage during additional time periods.

Examples of life events include

  • moving outside your plan’s service area.
  • becoming eligible for both Medicare and Medicaid.
  • losing your health insurance.

Disenrollment

You can disenroll or change coverage during enrollment periods.

Not sure if you should stay with your current coverage?
Give us a call and we’ll help you figure out the best Medicare option to fit your needs.

Switching between Medicare Advantage Plans

If you enroll in a new Medicare Advantage plan, you’ll be automatically disenrolled from your current one.

If you receive financial assistance from the government

You don’t need to wait for enrollment periods to disenroll from your plan.* You may disenroll by sending a signed and dated disenrollment request to Healthfirst Medicare plan in writing or by enrolling in another Medicare Advantage plan or Prescription Drug plan.

In the event that you did not mean to disenroll from Healthfirst Medicare Plan, you have the right and responsibility to ask us to cancel your disenrollment. However, you must notify us before the last day of the month you are enrolled in our plan. The effective date is the end of the month in which you made the completed request.

*You have the chance to disenroll once every three months during the first nine months of the year.

Switching back to Original Medicare.

You may disenroll from our plan and return to Original Medicare by asking us to disenroll you. We will send you written confirmation of your disenrollment that will be effective January 1 of the following year or at the end of the month in which you completed a request.

Mail or fax a coverage change notice

Healthfirst Member Services
P.O. Box 5165
New York, NY 10274-5165

Fax: 1-646-313-4618

Or visit www.medicare.gov
1-800-MEDICARE (1-800-633-4227),
24 hours a day, 7 days a week.
TTY: 1-877-486-2048

Loss of Coverage

You’ll be automatically disenrolled from your Healthfirst Medicare Advantage Plan if

  • you enroll in another plan.
  • you lose entitlement to either Medicare Part A or B, lose special needs status, and do not regain your entitlement.
  • you’re not in the United States legally.
  • your Healthfirst Medicare Plan terminates its contract.
  • you permanently move outside of our service area, are absent from the service area for more than six consecutive months, or become incarcerated. To avoid gaps in coverage if you move, review information on Special Enrollment Periods.

In any of these circumstances, Healthfirst Medicare Plan will send you a letter to notify you of the reason for your disenrollment.

Learn how a Healthfirst Medicare Advantage plan can benefit you

A Healthfirst representative will help you find out

  • if you’re eligible for Medicare.
  • when you can enroll in Medicare.
  • if you qualify for any financial assistance.
  • which plans benefits work for your personal needs.
  • if your current doctor and specialists are in the Healthfirst network.

Support When You Need It

We’re happy to answer your questions.

1-855-718-1822

Monday to Friday, 9am–5pm

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 ourcommunity offices

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

Healthfirst Health Plan, Inc. offers HMO plans that contract with the Federal Government. Enrollment in Healthfirst Medicare Plan depends on contract renewal.

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).

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