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Healthfirst
100 Church Street
New York, NY 10007

Want to become a Healthfirst member? Have a question about our benefits?
Contact us at:

Medicare
1-877-237-1303
TDD/TTY English
1-888-542-3821
TDD/TTY Español
1-888-867-4132
Monday-Friday, 8:30 am to 6 pm

Already a Healthfirst member? For answers to your questions, contact us at:
Medicare
1-888-260-1010
TDD/TTY English
1-888-542-3821
TDD/TTY Español
1-888-867-4132
Monday - Sunday, 8 am to 8 pm

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2014 Life Improvement Plan (HMO SNP) - Eligibility and Cost

To receive coverage under the Healthfirst Life Improvement Plan (HMO SNP), 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), Nassau and Westchester counties. 
  • Do not have End-Stage Renal Disease (ESRD) (permanent kidney disease requiring dialysis or a kidney transplant), except under certain limited circumstances.
  • Qualify for medical assistance from both NY State and Medicare.

If you get Extra Help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium (monthly plan payment) will be lower than what it would be if you did not get Extra Help from Medicare. The amount of Extra Help you get will determine your total monthly plan premium as a member of our plan. This table shows you what your monthly plan premium will be if you get Extra Help. 

This table shows you what your monthly plan premium will be if you get Extra Help.

Your level of extra help

Monthly Premium for:

Healthfirst Life Improvement Plan

(HMO SNP)*

100%

$0.00

75%

$9.30

50%

$18.60

25%

$27.90

*This does not include any Medicare Part B premium you may have to pay.
 
The monthly plan premium for the Healthfirst Life Improvement Plan (HMO SNP) ranges from $0 up to $37.20 per month, depending on your level of Extra Help.

Click here to download your Low Income Subsidy (LIS) Premium Table. (English  Español  中文)

Eligible beneficiaries can enroll in this plan at any time. Contact Healthfirst for more information.


Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year.

You must use contracted network pharmacies to access your prescription drug benefit except under non-routine circumstances, in which case quantity limitations and restrictions may apply.

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
As a Healthfirst Medicare member, you may be eligible to sign up for more cost-saving programs through My Advocate from Altegra Health.
 
Find out if you qualify to get help paying for your healthcare or other non-medical costs like nutrition, home expenses, and transportation.
 
Click the MyAdvocateHelps.com box to learn more. This link will take you away from the Healthfirst website.

Healthfirst Medicare Plan is an HMO plan with a Medicare contract and a contract with the New York Medicaid program. Enrollment in Healthfirst Medicare Plan depends on contract renewal.

H3359_MKT14_18 CMS Approved 10252013

Last update 2014-08-25 08:20

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