Medicare Advantage Plans – Healthfirst

Medicare Advantage Plans

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

Get in Touch today to find out which Medicare Advantage Plan is right for you.

Plans include: Dental Icon
Dental
Vision Icon
Vision

Benefits such as:

  • $0 or low monthly premium
  • $0 or low copay for primary care and specialist visits
  • $0 or low copays for preferred generic drugs
  • Up to $120 monthly OTC card
  • $0 copay for SilverSneakers® fitness program
  • $0 copay for dental cleanings, exams, and X-rays; covered eye exams and more
  • $0 copay for 24/7 access to doctors by phone or video chat

Contact

Call us: 1-877-741-6511
7 days a week, 8am—8pm

TTY
English: 1-888-542-3821
Spanish: 1-888-867-4132

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Learn more about your Medicare plan options at a FREE Medicare information session in your neighborhood! Click here to find session dates, times, and locations. Attend for free, with 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 25 years, and more than 1.3 million 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 on Long Island.

Our Medicare Advantage plansMedicare Part C (Medicare Advantage Plan)
A Medicare Part C or Medicare Advantage Plan is a type of Medicare health plan offered by a private company that contracts with Medicare. Medicare Advantage Plans provide all your Part A and Part B benefits. Most Medicare Advantage Plans offer prescription drug coverage.
include all the same benefits of Original MedicareOriginal Medicare
Original Medicare is coverage managed by the federal government. It offers Part A (hospital insurance) and Part B (medical insurance).
Part AMedicare Part A
Medicare Part A (hospital insurance) covers inpatient hospital care, skilled nursing facility, hospice, lab tests, surgery, and home healthcare.
(Hospital) and Part BMedicare Part B
Medicare Part B (medical insurance) covers doctor and other healthcare providers’ services and outpatient care. Part B also covers durable medical equipment, home healthcare, and some preventive services.
(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 or help with daily activities. Our plans are as diverse as New Yorkers themselves.

Turning 65 or enrolling in Medicare for the first time?

You’re in the right place. We can help you find the MedicareMedicare
Medicare is the federal health insurance program for:
• People who are 65 or older
• Certain younger people with disabilities
• People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant), sometimes called ESRD
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 doctor and specialists are in the Healthfirst network

We’ll also help explain Medicare basics, including:

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

Already enrolled in Medicare but looking to switch to another health plan?

Maybe you’re unhappy with your current plan, have moved, or had a change in income. Call us today and we’ll make it easy for you to switch your MedicareMedicare
Medicare is the federal health insurance program for:
• People who are 65 or older
• Certain younger people with disabilities
• People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant), sometimes called ESRD
coverage.

Below are the time periods when you can switch to another Medicare plan:

  1. Annual Enrollment Period (AEP): Runs from October 15 to December 7, for coverage beginning January 1. We’ll help you select a plan that meets your current health needs and budget. You may change plans during this time with no penalty. Additionally, we can help you find out if you’re eligible for financial assistance or Extra HelpExtra Help
    A Medicare program to help people with limited income and resources pay Medicare prescription drug program costs, like premiums, deductibles, and coinsurance. or financial assistance and help you change to a new plan that fits your needs and budget.
    .
  2. Open Enrollment Period (OEP): Runs from January 1 to March 31. Individuals enrolled in a Medicare Advantage (MA) plan or a Medicare Advantage Prescription Drug (MAPD) plan can make a one-time change during this timeframe. You may add or drop Part D Medicare Prescription Drug coverage or switch to another Medicare plan, including Original Medicare.
  3. Special Enrollment PeriodSpecial Enrollment Period (SEP)
    You qualify for a Special Enrollment Period if you’ve had certain life events, including losing health coverage, moving, getting married, having a baby, or adopting a child. If you qualify for an SEP, you usually have up to 60 days following the event to enroll in a plan.
    : Lets you switch plans outside of the AEP and OEP, if you’ve had a qualifying life event such as having moved or had a change in financial situation.

Learn how a Healthfirst Medicare Advantage planMedicare Part C (Medicare Advantage Plan)
A Medicare Part C or Medicare Advantage Plan is a type of Medicare health plan offered by a private company that contracts with Medicare. Medicare Advantage Plans provide all your Part A and Part B benefits. Most Medicare Advantage Plans offer prescription drug coverage.
can benefit you. Call 1-877-741-6511 (TTY English: 1-888-542-3821; Spanish: 1-888-867-4132), 7 days a week, 8am–8pm, or visit one of our convenient community offices.

When should I sign up for Medicare?

You become eligible to apply for MedicareMedicare
Medicare is the federal health insurance program for:
• People who are 65 or older
• Certain younger people with disabilities
• People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant), sometimes called ESRD
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 Medicare Initial Enrollment Period
There are only certain times when people can enroll in Medicare. Depending on the situation, some people may get Medicare automatically, and others need to apply for Medicare. The first time you can enroll is called your Initial Enrollment Period, which usually:
• Begins three (3) months before the month you turn 65
• Includes the month you turn 65
• Ends three (3) months after the month you turn 65
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 Medicare Part A
Medicare Part A (hospital insurance) covers inpatient hospital care, skilled nursing facility, hospice, lab tests, surgery, and home healthcare.
and Part B Medicare Part B
Medicare Part B (medical insurance) covers doctor and other healthcare providers’ services and outpatient care. Part B also covers durable medical equipment, home healthcare, and some preventive services.
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 Original Medicare
Original Medicare is coverage managed by the federal government. It offers Part A (hospital insurance) and Part B (medical insurance).
. If you’re choosing a Medicare Part DMedicare Part D
Medicare Part D covers prescription drugs. Each Medicare drug plan has its own list of covered drugs (called a formulary). Many Medicare drug plans place drugs into different “tiers” on their formularies. Drugs in each tier have a different cost.
Prescription Drug plan or a Medicare Advantage plan Medicare Part C (Medicare Advantage Plan)
A Medicare Part C or Medicare Advantage Plan is a type of Medicare health plan offered by a private company that contracts with Medicare. Medicare Advantage Plans provide all your Part A and Part B benefits. Most Medicare Advantage Plans offer prescription drug coverage.
, 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 PeriodGeneral Enrollment Period
If you didn’t sign up for Medicare during your Initial Enrollment Period (starts three months before you turn 65 and ends three months after the month you turn 65), you can sign up for Part A and/or Part B during the General Enrollment Period (between January 1 and March 31 each year) if both of these apply:
• You didn’t sign up when you were first eligible
• You aren’t eligible for a Special Enrollment Period
You must pay premiums for Part A and/or Part B. Your coverage will start July 1. You may have to pay a higher premium for late enrollment in Part A and/or a higher premium for late enrollment in Part B.
(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 for 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 Annual Enrollment Period, or AEP, which runs from October 15 to December 7 each year.

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, such as:

  • Prescription drug coverage
  • Dental coverage
  • Vision coverage
  • Hearing coverage
  • OTC allowance
  • Transportation to and from covered doctor appointments
  • Fitness program
  • FREE 24/7 Nurse Help Line
  • FREE 24/7 access to doctors via phone or video chat

Who can join Healthfirst Medicare Advantage (HMO)?

To join a Healthfirst Medicare Advantage plan, you must be eligible for 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, Richmond, and Westchester. 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 40,000 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 (TTY English: 1-888-542-3821; Spanish: 1-888-867-4132), 7 days a week, 8am–8pm.

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

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TTY
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Spanish: 1-888-867-4132

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We are happy to answer your questions.

Call us: 1-877-741-6511
7 days a week, 8am-8pm

TTY
English: 1-888-542-3821
Spanish: 1-888-867-4132