Healthfirst Medicare Advantage Plans New York 2025
Looking for Healthfirst Medicare Advantage plans in New York? Understand your options with clear, concise insights into each Healthfirst Medicare advantage plan New York.
This article strips away the confusion to bring you direct information on the HMO, PPO, and HMO D SNP plans, including potential benefits which may include drug, dental, and vision coverage.
We’ll guide you through plan specifics, helping you determine the best Medicare Advantage plan for your needs in New York for 2025.
Key Takeaways
- Healthfirst provides a range of Medicare Advantage Plans, including HMO, PPO, and HMO D SNP plans, with comprehensive coverage which may include prescription drugs, dental, vision, and hearing services.
- Members may benefit from telehealth services, 24/7 access to a Nurse Help Line, and an extensive provider network, including urgent care centers and a variety of healthcare providers.
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Healthfirst Medicare Advantage Plans Overview
As a trusted name in the healthcare industry, Healthfirst provides a variety of Medicare Advantage Plans to suit a range of needs.
With options such as HMO, PPO, and HMO D SNP plans, Healthfirst aims to deliver the best from your Medicare Advantage Plan.
Healthfirst truly puts your health first, providing a potential additional benefits image of affordability and care.
HMO Plans
The Healthfirst Signature (HMO) plan offers comprehensive coverage, a range of medical services, and care when you need it. Keep in mind that not all plans provide these benefits.
PPO Plans
The Signature (PPO) plan by Healthfirst offers:
- Flexibility and peace of mind
- Access to any doctor or hospital in the U.S. that accepts Medicare, giving members freedom from network limitations.
D-SNP Plans
Residents of New York City’s five boroughs and select counties can take advantage of the Healthfirst CompleteCare plan. This D-SNP plan, designed for individuals with both Medicare and full Medicaid, combines benefits from Original Medicare and Medicaid.
It may also include prescription drug coverage and other potential additional benefits, making it a comprehensive choice for those in need of in-home or long-term care services, such as a skilled nursing facility.
Comprehensive Benefits and Coverage
The Medicare Advantage Plans by Healthfirst may offer extensive benefits and coverage. They may encompass everything from prescription drug coverage to dental, vision, and hearing services.
Prescription Drug Coverage
A crucial element of Healthfirst Medicare Advantage Plans is the Medicare Advantage prescription drug coverage.
These plans offer the following potential benefits:
- Competitive copays for other drugs
- Deductible for prescriptions in Tiers 4 and 5
- Insulin products are available at a maximum copay for a 30-day or 90-day supply without any deductible requirement.
These features simplify and make healthcare management more cost-effective.
Dental, Vision, and Hearing Services
Healthfirst ensures that your healthcare needs are met beyond just medical coverage. Plans may offer coverage for dental, vision, and hearing services, which oftentimes encompasses a large array of standard procedures and costs.
Telehealth and Nurse Help Line Access
Membership with Healthfirst comes with the added convenience of telehealth services via Teladoc and round-the-clock access to a Nurse Help Line, guaranteeing immediate medical support whenever required.
Teladoc Telemedicine Service
Teladoc, a telemedicine service offered by Healthfirst, enables members to consult with board-certified doctors any time via phone or video for non-emergency medical issues.
This convenient service allows you to seek advice, receive a diagnosis, and get treatment recommendations right from the comfort of your home.
Nurse Help Line
The Nurse Help Line offered by Healthfirst ensures that you have around-the-clock access to medical advice and support. Whether you have a minor health issue or need advice on whether a condition requires emergency care, the Nurse Help Line is there to guide you.
Urgent Care Centers and Provider Network
Healthfirst members have access to an extensive network of urgent care centers and healthcare providers. This network ensures that you can receive medical treatment promptly when you need it.
Urgent Care Center Network
The urgent care center network provided by Healthfirst is designed to offer services for conditions that require prompt attention but are not life-threatening.
Whether it’s an earache, an upset stomach, a sprain, or a wound requiring stitches, the in-network urgent care centers are available for walk-in visits, providing treatment quickly and efficiently.
Provider Network
Healthfirst’s extensive provider network, including primary care providers (PCP), ensures that members have broad access to the care they need.
The network includes a comprehensive range of healthcare services, from numerous specialists to emergency treatment by out-of-network or non-contracted providers.
Support and Resources
Healthfirst provides an array of support services and resources to help members navigate their Medicare Advantage Plans. Detailed contact information for member services and locations of community offices are readily available to assist members when needed.
Member Services Contact Information
Healthfirst offers a 24/7 phone line for Medicare Advantage plan members to get customer support and assistance.
Additionally, a virtual community office is available where members can schedule appointments for enrollment.
Community Office Locations
Healthfirst community offices are strategically located across New York, including locations in Nassau, Westchester, Main Plaza Mall, Smith Haven Mall, and Westfield South Shore Mall. Members can visit these offices for in-person assistance without needing an appointment.
Summary
In summary, Healthfirst Medicare Advantage Plans offer comprehensive coverage and numerous potential benefits.
From prescription drug coverage to wellness programs, these plans are designed to provide complete healthcare support to members.
Frequently Asked Questions
→ Does NY have Medicare Advantage plans?
Yes, New York does have Medicare Advantage plans offered by multiple private health insurance providers, including Aetna Medicare and CDPHP Medicare Advantage.
These plans are regulated by the federal government’s Centers for Medicare and Medicaid Services.
→ What is the star rating for Healthfirst Medicare?
Healthfirst Medicare Advantage plans are rated four stars out of five in 2022.
→ What is the most highly rated Medicare Advantage plan?
The most highly rated Medicare Advantage plan for 2025 is offered by Humana, with 94% of its members enrolled in plans rated 4 stars and above.
This makes Humana one of the top choices for Medicare Advantage coverage.
→ What types of plans does Healthfirst offer?
Healthfirst offers HMO, PPO, and D-SNP Medicare Advantage plans in New York, providing a range of options for different healthcare needs.
ZRN Health & Financial Services, LLC, a Texas limited liability company
Russell Noga is the CEO of ZRN Health & Financial Services, and head content editor of several Medicare insurance online publications. He has over 15 years of experience as a licensed Medicare insurance broker helping Medicare beneficiaries learn about Medicare, Medicare Advantage Plans, Medigap insurance, and Medicare Part D prescription drug plans.