Healthfirst Insurance: Coverage and Benefits

Healthfirst Insurance is a health insurance provider that offers various health plans to individuals and families in the New York City metropolitan area. It was founded in 1993 and has been serving the community with high-quality healthcare services ever since. Healthfirst Insurance is a non-profit organization that has a network of over 40,000 healthcare providers.

Who is eligible for Healthfirst Insurance?

Healthfirst Insurance is available to individuals and families who live in New York City metropolitan area. It is also available to those who are eligible for Medicaid, Child Health Plus, or the Essential Plan. Healthfirst Insurance offers different plans to cater to the needs of its members. Each plan has a different level of coverage and benefits.

The following are the plans offered by Healthfirst Insurance:

Plan
Description
Medicaid Managed Care
For individuals who are eligible for Medicaid and need a comprehensive health plan.
Child Health Plus
For children under the age of 19 who are not eligible for Medicaid and come from families with low income.
Essential Plan
For individuals who are not eligible for Medicaid and whose income is below 200% of the Federal Poverty Level.
Qualified Health Plan
For individuals and families who are not eligible for Medicaid or the Essential Plan and need a comprehensive health plan.

Healthfirst Insurance offers different levels of coverage and benefits under each plan. Members can select a plan that meets their needs and budget.

What are the benefits of Healthfirst Insurance?

Healthfirst Insurance offers a wide range of benefits to its members. The benefits include:

Preventive Care

Members of Healthfirst Insurance can get preventive care services at no extra cost. These services include annual check-ups, screenings, and vaccinations. Preventive care services can help detect health issues early and prevent them from becoming more serious.

Hospitalization and Emergency Care

Healthfirst Insurance covers hospitalization and emergency care services. Members can get medical care at a hospital or emergency room without worrying about the cost. Healthfirst Insurance also covers ambulance services.

Mental Health and Substance Abuse Services

Healthfirst Insurance covers mental health and substance abuse services. Members can get counseling and therapy sessions at no extra cost. Healthfirst Insurance also covers inpatient treatment for mental health and substance abuse issues.

Prescription Drugs

Healthfirst Insurance covers prescription drugs. Members can get their prescribed drugs at a discounted price. Healthfirst Insurance also covers generic drugs.

Vision and Dental Care

Healthfirst Insurance offers vision and dental care services. Members can get a comprehensive eye exam and buy glasses or contacts at a discounted price. Healthfirst Insurance also covers dental services, including cleanings and fillings.

How to enroll in Healthfirst Insurance?

Enrolling in Healthfirst Insurance is easy. You can enroll online, by phone, or in person. You will need to provide some basic information, including your income, family size, and residency status.

If you are eligible for Medicaid, Child Health Plus, or the Essential Plan, you can enroll at any time. If you want to enroll in a Qualified Health Plan, you can only do so during the open enrollment period.

FAQ

Can I keep my current doctor if I enroll in Healthfirst Insurance?

Healthfirst Insurance has a network of over 40,000 healthcare providers. You can check if your current doctor is part of the network by using the online provider directory. If your current doctor is not part of the network, you can select a new doctor from the directory.

What if I can’t afford Healthfirst Insurance?

If you cannot afford Healthfirst Insurance, you may be eligible for financial assistance. You can apply for financial assistance through the New York State of Health website.

What if I have a pre-existing condition?

Healthfirst Insurance cannot deny you coverage or charge you more because of a pre-existing condition. You will be covered for all the services that are covered under your plan.

What if I lose my job or my income changes?

If you lose your job or your income changes, you may be eligible for a Special Enrollment Period. You can enroll in a new health plan or change your current plan during this period. You can also apply for financial assistance if you meet the eligibility criteria.

Can I cancel my Healthfirst Insurance plan?

You can cancel your Healthfirst Insurance plan at any time. You will need to notify Healthfirst Insurance in writing.

Conclusion

Healthfirst Insurance is a non-profit organization that offers various health plans to individuals and families in the New York City metropolitan area. It offers different levels of coverage and benefits under each plan. Members can select a plan that meets their needs and budget. Healthfirst Insurance has a network of over 40,000 healthcare providers. Members can get preventive care services at no extra cost, hospitalization and emergency care services, mental health and substance abuse services, prescription drugs, vision and dental care services. Enrolling in Healthfirst Insurance is easy, and you can do it online, by phone, or in person.