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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 When to Sign Up for Healthfirst Medicare Plan

The Annual Enrollment Period runs from October 15th through December 7th.

You can sign up for a Healthfirst Medicare Plan during specific enrollment periods.

If you can’t find the answers you need below, or have other questions, feel free to Contact Us. We’re here to help you.

When to Sign Up for a Medicare Plan

When can I first apply for a Medicare plan?

The time when you can first apply for a Medicare plan is called the Initial Coverage Election Period (ICEP).

  • If you’re turning 65 years old: You can apply when you first become eligible for Medicare: from 3 months before the month you turn age 65 until 3 months after the month you turn age 65.
  • For example: If your 65th birthday is June 15th, 2013, you can apply for Medicare any time between March and September 2013.
     
  • If you get Medicare due to a disability: You can apply from 3 months before until 3 months after your 25th month of cash disability payments.
  • For example: If you have been receiving cash disability payments since March 2012, you can apply for Medicare any time between December 2013 and July 2014.

When can I apply or switch my Medicare plan?

If you are eligible for Medicare, you can apply for Medicare or switch plans during the Annual Enrollment Period. In 2013, the Annual Enrollment Period is October 15 - December 7, 2013.

  • For example: You can switch from Original Medicare to a Medicare Advantage Plan (like Healthfirst 65 Plus HMO Plan) any time between October 15 - December 7, 2013. Your new plan coverage will be effective on January 1, 2014.

Who can qualify for a Special Election Period (SEP)?

For a variety of reasons, you may be able to sign up for or change Medicare coverage at any time of the year. This is known as a Special Election Period (SEP). Below are situations that might qualify you for an SEP:

  • You move permanently outside your plan’s service area.
  • You’re enrolled in another prescription drug plan or a Medicare Advantage Plan whose contract is ended.
  • You are eligible for both Medicare and Medicaid (you are "dual eligible").
  • You either recently qualified or no longer qualify for extra help paying for prescription drugs.
  • You belong to a pharmacy assistance program provided by the state.
  • You want to move from an employer-sponsored Prescription Drug Plan to a Medicare Prescription Drug Plan.
  • Your enrollment or disenrollment is caused by an error by a federal employee or contractor hired by the federal government.
  • You lose your previous coverage through no action of your own.
  • You are approved for Medicare on a date after your Initial Election Coverage Period (ICEP).
  • You want to leave your current Medicare Prescription Drug Plan because it was:
  • Warned by the federal government; or
  • The federal government has determined the plan broke its Medicare contract in relation to services provided to you.
  • You’re enrolled in a plan that isn’t renewing its contract with Medicare. This SEP will last from October 1-December 31 of that year.
  • You want to move from a Program of All-Inclusive Care for the Elderly (PACE) to an MA-PD.
  • You live in — or are moving in or out of — one of the following:
  • Skilled nursing facility
  • Nursing facility
  • Intermediate care facility for the mentally retarded
  • Psychiatric hospital or unit
  • Rehabilitation hospital or unit
  • Long-term care hospital
  • Swing-bed hospital
  • You are not eligible for premium-free Part A and enroll in Medicare Part B during the Part B General Enrollment Period.

Click here to learn more about how you might qualify for an SEP.

Are there any other times when I can make changes to my Medicare plan?

You can make changes to your Medicare Advantage and Medicare prescription drug coverage when certain events happen in your life, such as a move or losing other insurance coverage. These chances to make changes are called Special Election Periods (SEPs). Rules about when you can make changes and the type of changes you can make are different for each SEP. See the next question below for more details.

If you also have Medicaid coverage or get other extra help to pay for your health coverage, you can enroll, change, or drop Medicare Advantage or Medicare prescription drug coverage at any time.

What if I want to stop my Medicare plan?

Medicare beneficiaries can stop (or “disenroll from”) their Medicare Advantage program any time between January 1 - February 14. If you decide to disenroll, you must:

  • Switch to Original Medicare;
  • Select a Part D prescription drug plan if you are also disenrolling from a Medicare Advantage Prescription Drug plan (MAPD).

All changes are effective the first day of the next month (February or March, depending on your disenrollment date).


I want to sign up for Healthfirst Medicare Plan now. What should I do?

 

To sign up for a Healthfirst Medicare plan, just click on the “Enroll Now” button next to the plan that best fits your needs. If you’re not sure which plan is right for you, just call us or visit a community office near you. We’ll be happy to help you find the right plan.

 

PLAN NAME

YOU MUST LIVE IN ONE OF THESE COUNTIES

ENROLL

Increased Benefits Plan (HMO) Bronx, Kings (Brooklyn), New York (Manhattan), Queens, Nassau, Richmond (Staten Island)

>Enroll Now

65 Plus Plan (HMO)

Bronx, Kings (Brooklyn), New York (Manhattan), Queens, Nassau, Richmond (Staten Island)

>Enroll Now

Coordinated Benefits Plan (HMO) Bronx, Kings (Brooklyn), New York (Manhattan), Queens, Nassau, Richmond (Staten Island)

>Enroll Now

**Life Improvement Plan (HMO SNP) Bronx, Kings (Brooklyn), New York (Manhattan), Queens, Nassau, Richmond (Staten Island), Westchester Online Enrollment Not Available**
**Maximum Plan (HMO SNP) Bronx, Kings (Brooklyn), New York (Manhattan), Queens, Nassau, Westchester Online Enrollment Not Available**
**AssuredCare (HMO SNP) Bronx, Kings (Brooklyn), Nassau, New York (Manhattan), Queens, Richmond (Staten Island) Online Enrollment Not Available**
**CompleteCare (HMO SNP) Bronx, Kings (Brooklyn), New York (Manhattan), Richmond (Staten Island), Queens Online Enrollment Not Available**

 

Medicare beneficiaries may enroll in a Healthfirst Medicare Plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. * Please note that clicking on this link will take you away from the Healthfirst website.

 

*By clicking Enroll Now, you will be redirected to the Centers for Medicare & Medicaid Services web site.

 

**Healthfirst does not offer online enrollment for these plans. Please call us at 1-866-463-6743, Monday - Friday, 8am to 6pm to sign up for these plans.  For the hearing impaired please call TTY/TDD English 1-888-542-3821 and TTY/TDD Español 1-888-867-4132, Monday - Friday, 8am to 6pm.


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 2014-07-11 14:44