Planes Medicare Advantage - Healthfirst



Planes Medicare Advantage

Llámenos: 1-877-741-6511
los 7 días de la semana,
de 8:00 a.m. a 8:00 p.m.

TTY
Inglés: 1-888-542-3821
Español: 1-888-867-4132

Our Medicare Advantage Plans offer more benefits and services than Original Medicare, giving you flexible coverage, extra services, and peace of mind. 

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Our Medicare Advantage Plans offer more benefits and services than Original Medicare, giving you flexible coverage, extra services, and peace of mind. 

All Plans include:
Salud dental

Vista

Benefits such as

  • $0 or low monthly premium
  • $0 or low copay for primary care visits
  • $0 or low copay for specialist visits
  • Copago de $0 para los exámenes preventivos cubiertos por Medicare
  • $0 or low copays for preferred generic drugs
  • An over-the-counter (OTC) benefits card
  • $0 copay for dental cleanings, exams, and X-rays; covered eye exams and more
  • $0 copay for acupuncture visits
PDF y documento impreso

 

For a FREE copy of 10 Things You Need To Know About Medicare Now Call 1-877-741-6511 7 days a week, 8am–8pm
TTY English: 1-888-542-3821, Spanish: 1-888-867-4132

¡Obtenga más información sobre las opciones del plan Medicare en una sesión informativa GRATUITA sobre Medicare en su vecindario! Haga clic aquí to find session dates, times, and locations. No cost. No obligation to enroll.

Whether you’re new to Medicare or you’re looking to switch health insurance, Healthfirst has a Medicare plan that works for your needs and budget.

We've been serving New York for more than 20 years, and more than 1 million of New Yorkers rely on our different health plans. Our Member Services offers help in six spoken languages other than English, and in many more through telephone language-line services. Plus, we have many community offices conveniently located throughout New York City, and Long Island.

Our Medicare Advantage Plans include all the same benefits of Original Medicare: Part A (Hospital) and Part B (Doctors), with additional benefits such as dental, vision, and hearing. Most plans include prescription drug coverage, and some even offer an over-the-counter (OTC) card.

You can find a Healthfirst Medicare Advantage Plan that's right for you, whether you need financial assistance, want coverage only in Manhattan, or require benefit services to help with daily activities. Our plans are as diverse as New Yorkers themselves.

Turning 65 or enrolling in Medicare for the first time?

Está en el lugar correcto. We can help you find the Medicare plan that fits your needs and budget. Give us a call and 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 plan benefits work for your personal needs
  • If your current doctors and specialists are in the Healthfirst network

We’ll also help explain Medicare basics, including:

  • The difference between Medicare Parts A, B, C, and D
  • The difference between Original Medicare and a Medicare Advantage Plan
  • The penalty and risks of late enrollment

Learn how a Healthfirst Medicare Advantage Plan can benefit you. Call 1-877-741-6511 7 days a week, 8am–8pm
TTY English: 1-888-542-3821, Spanish: 1-888-867-4132, or visit one of our convenient community offices.

When should I sign up for Medicare?

Maybe you're unhappy with your current plan, have moved, or have had your income change. Call us today and we'll make it easy for you to change your Medicare coverage.

  • We’ll let you know if you qualify for a special enrollment period, which lets you change Medicare plans now.
  • If not, we’ll help you change Medicare plans without penalty during the annual enrollment period (October 15th - December 7th).
  • We’ll help you find out if you’re eligible for any Extra Help or financial assistance and help you change to a new plan that fits your needs and budget.

Learn more about your Medicare Advantage Plan options with Healthfirst. Call 1-877-741-6511 7 days a week, 8am–8pm
TTY English: 1-888-542-3821, Spanish: 1-888-867-4132, or visit one of our convenient community offices.

When should I sign up for Medicare?

You become eligible to apply for Medicare three months before your 65th birthday, with coverage starting on the first day of the month in which you turn 65 (unless your birthday is on the first day of the month, in which case coverage starts the month before your birthday).

Your Medicare Initial Enrollment Period runs for seven months, starting three months before the month you turn 65 and continuing for three months after your birth month. 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. Please note that if you're already receiving Social Security benefits, you'll automatically be enrolled in Original Medicare. If you're choosing a Part D plan or a Medicare Advantage Plan, you must enroll in that plan separately.

Medicare beneficiaries who miss their Initial Enrollment Period for Part B coverage must wait until the General Enrollment Period (GEP), which runs between January 1 and March 31 each year. If you enroll in Part B during the GEP, your Part B coverage will begin July 1 of the year you enroll.

 

What happens if I don’t enroll in Medicare when I’m eligible?

For most people, there's a 10% premium penalty for each year you wait beyond your Initial Enrollment Period. And you'll have to pay that penalty as long as you have Part B. If you qualify, you can sign up for premium-free Part A (which covers hospital services) any time, with no penalty.

Not everyone qualifies for premium-free Part A. You must have been working a certain amount of time and paying federal taxes. A person is automatically enrolled in Part A if they have been receiving Social Security benefits for at least four months before their 65th birthday. Otherwise, they must file an application with Social Services within six months of the month they turn 65, and they must have Part B to get premium-free Part A. You may also owe a late-enrollment penalty for Part D if at any time after your Initial Enrollment Period is over there's a period of 63 or more days in a row when you don't have Part D or other creditable prescription drug coverage. You'll be able to sign up for Part D during the Medicare Open Enrollment Period (sometimes referred to as the Annual Election Period, or AEP), which runs between October 15th and December 7th  each year.

 

What does Original Medicare cover?

Original Medicare is a fee-for-service plan that covers certain healthcare services and medical supplies. You can go to any doctor or hospital that accepts Medicare. When you go to those doctors or hospitals, you can use your red, white, and blue Medicare card to receive care. However, with Original Medicare there are costs you must pay, like coinsurance, copayments, deductibles, and some medical expenses that aren't covered. That's why getting a Medicare Advantage Plan (Part C) like Healthfirst Medicare Advantage HMO may help with most of your medical expenses.

 

How is Healthfirst Medicare Advantage different from Original Medicare?

In most cases, Healthfirst can actually save you money on your Medicare coverage. Some of our plans have no plan premium; however, you need to continue paying your Medicare Part B premium. Healthfirst Medicare Advantage Plans also offer additional benefits on top of Original Medicare, like:

  • Cobertura de medicamentos recetados
  • Dental coverage
  • Vision coverage
  • Hearing coverage
  • OTC allowance
  • Transportation to and from covered doctor appointments
  • FREE 24/7 Nurse Help Line

 

Who can join Healthfirst Medicare Advantage (HMO)?

To join a Healthfirst Medicare Advantage Plan, you must be entitled to Medicare Part A, be enrolled in and continue to pay for Medicare Part B, not have End-Stage Renal Disease (ESRD), and live in the Healthfirst service area, which includes the following counties in New York: Bronx, Kings, Nassau, New York, Queens, and Richmond. Plans vary by county.

 

What happens to my Medicare benefits if I join Healthfirst?

When you join a Healthfirst Medicare Advantage Plan (Part C), you're simply telling Medicare that you prefer to have your hospital insurance (Part A) and medical insurance (Part B) managed by Healthfirst. You also get additional benefits, including access to our extensive network of doctors, hospitals, urgent care centers, and pharmacies, and in most cases, prescription drug coverage (Part D). As long as you continue to pay your Medicare Part B premium, if applicable, you will always be entitled to Medicare.

 

Does Healthfirst have a network of doctors?

Yes. Healthfirst has a large network that includes more than 30,000 healthcare provider office locations in the New York metropolitan area. If your doctor is in our network, you may continue to see him or her.

 

When can I enroll in Healthfirst?

You may enroll during certain times of the year, based on special needs and other eligibility requirements. To find out when you’re eligible to enroll in a Healthfirst plan, call 1-877-741-6511 7 days a week, 8am–8pm, TTY English: 1-888-542-3821, Spanish: 1-888-867-4132

Have more questions? We’re here for you. Call 1-877-741-6511 7 days a week, 8am–8pm
TTY English: 1-888-542-3821, Spanish: 1-888-867-4132, or visit one of our convenient community offices.

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Complete este formulario y nos comunicaremos para responder sus preguntas.

Al enviar este formulario, autorizo a Healthfirst a contactarme sobre los productos de Healthfirst utilizando la información brindada anteriormente por medios automáticos, como emails, por teléfono o mensajes de texto. Se pueden aplicar cargos de mensajes y datos.

Nos complace responder sus preguntas.

Llámenos: 1-877-741-6511
los 7 días de la semana,
de 8:00 a.m. a 8:00 p.m.

TTY
Inglés: 1-888-542-3821
Español: 1-888-867-4132

¡Enviado!

Gracias por contactarse.
Uno de nuestros representantes se comunicará con usted.

Healthfirst Medicare Advantage Plans offer benefits such as

  • $0 or low monthly premium
  • $0 or low copay for primary care visits
  • $0 or low copay for specialist visits
  • Copago de $0 para los exámenes preventivos cubiertos por Medicare
  • $0 or low copays for preferred generic drugs
  • An over-the-counter (OTC) benefits card
  • $0 copay for dental cleanings, exams, and X-rays; covered eye exams and more
  • $0 copay for acupuncture visits

We've been serving New York for more than 20 years, and more than 1 million of New Yorkers rely on our different health plans. Our Member Services offers help in six spoken languages other than English, and in many more through telephone language-line services. Plus, we have many community offices conveniently located throughout New York City, <<Westchester,>> and Long Island.

Our Medicare Advantage Plans include all the same benefits of Original Medicare: Part A (Hospital) and Part B (Doctors), with additional benefits such as dental, vision, and hearing. Most plans include prescription drug coverage, and some even offer an over-the-counter (OTC) card. Unlike Original Medicare, our plans have an annual maximum out-of-pocket limit, which helps our members save money, especially on costly hospital stays.
Whether you need financial assistance, want coverage only in Manhattan, or require care services to help with daily activities, you can find a Healthfirst Medicare Advantage Plan that's right for you. Our plans are as diverse as New Yorkers themselves.

Let us help you find the right Medicare plan.

Call 1-877-741-6511

los 7 días de la semana,
de 8:00 a.m. a 8:00 p.m.

TTY

Inglés: 1-888-542-3821

Español: 1-888-867-4132

¡Haga clic aquí para contactarnos
y obtener más información!

For a FREE copy of 10 Things You Need To Know About Medicare Now

Call 1-877-741-6511

TTY English: 1-888-542-3821

Español: 1-888-867-4132

los 7 días de la semana, desde las 8:00 a.m. hasta las 8:00 p.m.

¡Obtenga más información sobre las opciones del plan Medicare en una sesión informativa GRATUITA sobre Medicare en su vecindario! Haga clic aquí to find session dates, times, and locations. No cost. No obligation to enroll.


H3359_MKT18_62 Approved 10032017

Healthfirst Health Plan, Inc., ofrece planes HMO que tienen contratos con el gobierno federal. El Plan Medicare de Healthfirst tiene un contrato con el programa Medicaid de Nueva York para el Plan Atención Integral (HMO SNP) de Healthfirst y un Acuerdo de Coordinación de Beneficios con el Departamento de Salud del Estado de Nueva York para el Plan Mejor Calidad de Vida (HMO SNP) de Healthfirst. La inscripción en el Plan Medicare de Healthfirst está sujeta a la renovación del contrato.

Estará presente un representante de ventas con información y solicitudes. For accommodation of persons with special needs at sales meetings call 1-877-741-6511 TTY English: 1-888-542-3821, Spanish: 1-888-867-4132, 7 days a week, 8am–8pm.

Esta información no es una descripción completa de los beneficios. Para más información, comuníquese con el plan. Limitaciones, copagos y restricciones podrían aplicarse. Los beneficios, las primas y/o los copagos/coseguros pueden cambiar a partir del 1 de enero cada año.

Debe continuar pagando su prima de Medicare Parte B. La prima de Medicare Parte B está destinada a los miembros con doble elegibilidad con cobertura completa de Medicaid. Las primas, los copagos, el coseguro y los deducibles pueden variar según el nivel de ayuda extra que usted recibe. Comuníquese con un representante del plan para obtener más detalles.

El Plan Medicare de Healthfirst cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you.
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)

Nos complace responder sus preguntas.

Llámenos: 1-877-741-6511
los 7 días de la semana,
de 8:00 a.m. a 8:00 p.m.

TTY
Inglés: 1-888-542-3821
Español: 1-888-867-4132