Healthfirst is a Medicaid health insurance plan that offers various healthcare services to low-income families and individuals in New York. Healthfirst strives to make healthcare more accessible and affordable for its members. The plan has a team of dedicated healthcare professionals who work closely with members to ensure they receive the necessary care and support. Healthfirst also utilizes technology to enhance the member experience. The plan’s website offers a secure online portal where members can access their health information, view their benefits, and communicate with their healthcare providers.
Managed Care Organization (MCO)
Healthfirst Medicaid is a managed care organization (MCO) that provides health insurance coverage to New York State residents who qualify for Medicaid. Healthfirst Medicaid is a not-for-profit health plan that has been serving the community since 1993. Healthfirst Medicaid is one of the largest MCOs in New York State, with more than 1.7 million members. Healthfirst Medicaid offers a wide range of benefits and services to its members, including:
- Medical, dental, and vision care
- Mental health and substance abuse services
- Prescription drug coverage
- Preventive care and wellness services
- Transportation to medical appointments
Healthfirst Medicaid also offers a variety of programs and services to help members stay healthy and manage their care. These programs include:
- Care management
- Disease management
- Health education
- Wellness programs
- Support groups
Healthfirst Medicaid is committed to providing quality healthcare to its members. The plan offers a variety of resources and tools to help members get the care they need, when they need it. Healthfirst Medicaid also works closely with providers to ensure that members receive high-quality, coordinated care.
| Benefit | Description |
|---|---|
| Medical | Covers doctor’s visits, hospital stays, and other medical services. |
| Dental | Covers routine dental care, such as cleanings, fillings, and X-rays. |
| Vision | Covers eye exams and glasses or contact lenses. |
| Mental health and substance abuse | Covers therapy, counseling, and medication for mental health and substance abuse problems. |
| Prescription drug | Covers prescription drugs used to treat medical conditions. |
| Preventive care and wellness | Covers routine checkups, screenings, and immunizations. |
| Transportation | Covers transportation to and from medical appointments. |
Eligibility Requirements
To qualify for Healthfirst Medicaid, individuals must meet certain eligibility criteria. These criteria vary based on factors such as age, income, and disability status.
Income Requirements
- For adults and children, the income limit is 138% of the Federal Poverty Level (FPL).
- For pregnant women, the income limit is 190% of the FPL.
- For individuals with disabilities, the income limit is 160% of the FPL.
Age and Disability Requirements
- Children under 19 years old are eligible for Medicaid regardless of their family’s income.
- Adults aged 19 to 64 may be eligible for Medicaid if they meet the income requirements and have a qualifying disability.
- Pregnant women are eligible for Medicaid regardless of their income or disability status.
Citizenship and Residency Requirements
- To be eligible for Medicaid, individuals must be U.S. citizens or qualified immigrants.
- Individuals must also reside in the state where they are applying for Medicaid.
Income and Asset Limits
| Family Size | Income Limit (138% FPL) | Asset Limit |
|---|---|---|
| 1 | $1,790 | $2,500 |
| 2 | $2,406 | $3,000 |
| 3 | $3,023 | $3,500 |
| 4 | $3,640 | $4,000 |
| Each additional person | $617 | $500 |
Healthfirst Medicaid Plans
Healthfirst is a not-for-profit health insurance company that offers a variety of Medicaid plans to New York residents. These plans provide comprehensive coverage for a wide range of health care services, including doctor visits, hospital stays, prescription drugs, and mental health treatment.
Eligibility
To be eligible for Healthfirst Medicaid, you must meet certain income and residency requirements. You can apply for Medicaid through the New York State Department of Social Services or through the Healthfirst website.
Types of Healthfirst Medicaid Plans
Healthfirst offers a variety of Medicaid plans to meet the needs of different individuals and families. These plans include:
- Healthfirst Medicaid Managed Care: This is the most common type of Healthfirst Medicaid plan. It provides comprehensive coverage for a wide range of health care services through a network of providers.
- Healthfirst Medicaid Fee-for-Service: This plan allows you to choose any provider you want, but you will be responsible for paying for your care upfront. You will then be reimbursed by Medicaid for the cost of your care.
- Healthfirst Medicaid Child Health Plus: This plan is for children and young adults under the age of 19 who do not qualify for Medicaid. It provides coverage for a wide range of health care services, including doctor visits, hospital stays, and prescription drugs.
- Healthfirst Medicaid Managed Long-Term Care: This plan is for people who need long-term care services, such as nursing home care or home health care. It provides coverage for a wide range of services, including personal care, skilled nursing care, and therapy.
Benefits of Healthfirst Medicaid
There are many benefits to having Healthfirst Medicaid, including:
- Comprehensive coverage for a wide range of health care services
- Low or no cost for covered services
- Access to a network of providers
- Peace of mind knowing that you have health insurance
How to Apply for Healthfirst Medicaid
To apply for Healthfirst Medicaid, you can either apply online or by mail. You will need to provide information about your income, assets, and household size. You can also apply for Medicaid through the New York State Department of Social Services.
Contact Information
If you have questions about Healthfirst Medicaid, you can contact the Healthfirst customer service department at 1-800-644-4419.
| Phone Number | Website |
|---|---|
| 1-800-644-4419 | www.healthfirst.org |
Healthfirst Medicaid
Healthfirst is a Medicaid managed care plan that provides health coverage to eligible individuals and families in New York City and Long Island. It offers a wide range of benefits and services, including medical, dental, vision, mental health, and substance abuse treatment.
Healthfirst Benefits and Services
- Medical
Healthfirst covers a wide range of medical services, including:
- Doctor’s visits
- Hospital care
- Emergency room care
- Specialist care
- Laboratory and X-ray services
- Prescription drugs
- Dental
Healthfirst covers a wide range of dental services, including:
- Regular checkups
- Cleanings
- Fillings
- Extractions
- Root canals
- Dentures
- Vision
Healthfirst covers a wide range of vision services, including:
- Eye exams
- Glasses or contact lenses
- Surgery for cataracts or glaucoma
- Mental health and Substance Abuse Treatment
Healthfirst covers a wide range of mental health and substance abuse treatment services, including:
- Therapy
- Medication
- Inpatient treatment
- Outpatient treatment
Healthfirst also offers a variety of preventive care services, such as:
- Well-child visits
- Immunizations
- Cancer screenings
- Nutrition counseling
- Exercise programs
Healthfirst members can access care from a network of providers, including doctors, hospitals, clinics, and specialists. Members can also choose to receive care from out-of-network providers, but they may have to pay higher costs.
| Benefit | Services |
|---|---|
| Medical | Doctor’s visits, hospital care, emergency room care, specialist care, laboratory and X-ray services, prescription drugs |
| Dental | Regular checkups, cleanings, fillings, extractions, root canals, dentures |
| Vision | Eye exams, glasses or contact lenses, surgery for cataracts or glaucoma |
| Mental health and Substance Abuse Treatment | Therapy, medication, inpatient treatment, outpatient treatment |
| Preventive Care | Well-child visits, immunizations, cancer screenings, nutrition counseling, exercise programs |
For more information on Healthfirst Medicaid, please visit the Healthfirst website or call customer service at 1-800-600-4441.
Hey folks, that’s a wrap for our deep dive into Healthfirst Medicaid. Thanks for sticking with me through all that info. I know it can be a lot to take in, but we tried to break it down into manageable chunks. If you still have questions, don’t be shy! The Healthfirst website has even more details, or you can always reach out to their customer service team. And hey, why not swing by again later? We’ve got more healthcare topics in the pipeline, and you won’t want to miss ’em. Take care, stay well, and see you soon!