2013 Coordinated Benefits Plan (HMO) - Eligibility and Cost

To receive coverage under the Healthfirst Coordinated Benefits Plan (HMO), you must meet the following qualifications:

• Qualify for Medicare Part A (you are 65 or older, or under 65 with certain disabilities).
• Enroll in and continue to pay for Medicare Part B.
• Live in the Healthfirst service area: Bronx, Kings (Brooklyn), New York (Manhattan), Queens, Richmond (Staten Island), and Nassau counties.
• Do not have end-stage renal disease (permanent kidney disease requiring dialysis or a kidney transplant), except under certain limited circumstances.

Members may enroll in the plan only during specific times of the year. Contact Healthfirst for more information.

There is no monthly plan premium for the Healthfirst Coordinated Benefits Plan (HMO).

Benefits, premium and/or co-payments/co-insurance may change on January 1, 2014.

Premiums, copays, co-insurance, and deductibles may vary based on the level of help that beneficiaries may receive; beneficiaries should contact the plan for further details.

The plan's contract with the Centers for Medicare & Medicaid Services is renewed annually. Availability of coverage beyond the end of the current contract year is not guaranteed.

Money Saving Programs Social Service Coordinators (SSC) help Healthfirst Medicare Plan members apply for cost-saving programs.  Find out if you qualify for help paying your health care premiums and out-of-pocket or prescription drug costs.  You may even qualify for help paying your telephone, utility or other non-medical costs.  Click on the SSC box below to learn more. Please note that clicking on this link will take you away from the Healthfirst website.

Healthfirst Medicare Plan is a Coordinated Care plan with a Medicare contract and a contract with the New York Medicaid program.

H3359_MKT13_17 CMS Approved 11152012