Healthfirst Health Plans | Great Plans at Great Rates
If you’re shopping for a HealthFirst health plan, you need not go far. At Vista Health Solutions, we quote all major health insurance carriers in New York as well as nationally. Our quoting engine doesn’t require any personal information and we provide instant results that make it easy to compare plans side by side. You can then take it a step further by using our chat messenger or call in and speak to one of our friendly non-sales based staff to provide you with expert advice and help you get the plan that meets all of your health insurance needs.
About HealthFirst Health Plan
Established in 1993, HealthFirst Health Plan serves more than 1.5 million members in downstate New York. It’s a non-profit organization that provides plans through low-cost or free government-sponsored organizations, like Medicaid, Medicare Advantage, ChildHealth Plus, and Managed Long Term Care Plans. HealthFirst also offers plans for small-business owners and their employees (Exclusive Provider Organization), HealthFirst Pro and Pro Plus, and EPO for individuals (HealthFirst Total).
General Contact Information
If you would like to contact Healthfirst directly, we have provided the most common department numbers, or visit them online
- Group HMO & POS: 855-443-4735
- Individual Members: 855-443-4735
- Medicaid: 888-250-2220
- Essential: 844-553-9055
- Child Health Plus: 866-463-6743
- Medicare: 866-305-0408
Types of Health Insurance Plans Sold by HealthFirst
As a company, HealthFirst provides more flexible health insurance plan designs than other new york health insurance companies. HealthFirst offers the following plan types allowing their members to balance cost and flexibility based on the plan of their choice. Be sure and visit our health insurance FAQ for additional plan design information
- HMO
- POS
- PPO
- EPO
HealthFirst Health Insurance markets
HealthFirst provides the following types of New York health insurance plans
- Individual Health Insurance
- Group Health Insurance
- Catastrophic health insurance
- Medicare
- Medicaid
- Child Health Plus
- Essential Plan
- Small Bussiness
- Long Term
County listing of where HealthFirst Health plans are sold vs other New York State Health Insurance Carriers
County
Aetna
Affinity
Anthem
CDPHP
Crystal Run
Emblem
Empire
Excellus
Fidelis
HealthFirst
HealthNow ENY
HealthNow WNY
Humana
Independent
Metroplus
Molina
MVP
Oscar
Oxford
Univera
United
WellCare
YourCare
Albany
Allegany
Bronx
Broome
Cattaraugus
Cayuga
Chautauqua
Chemung
Chenango
Clinton
Columbia
Cortland
Delaware
Dutchess
Erie
Essex
Franklin
Fulton
Genesee
Greene
Hamilton
Herkimer
Jefferson
Kings
Lewis
Livingston
Madison
Monroe
Montgomery
Nassau
New York
Niagara
Oneida
Onondaga
Ontario
Orange
Orleans
Oswego
Otsego
Putnam
Queens
Rensselaer
Richmond
Rockland
Saratoga
Schenectady
Schoharie
Schuyler
Seneca
St. Lawrence
Steuben
Suffolk
Sullivan
Tioga
Tompkins
Ulster
Warren
Washington
Wayne
Westchester
Wyoming
Yates
Special Programs offered by HealthFirst Health
HealthFirst takes pride in offering discount programs, designed to both save their members money and at the same time, keep them healthy. Some of their most common discount programs offered are.
- 24/7 Access to TelemedicineUrgent
- Care Center Network
- Physical, occupational, and speech therapy
- Maternity and newborn coverage
- Optional dental and vision coverage
- Care Management programs
- Annual gym membership reimbursement
Complaints against Healthfirst and Other Health Insurance Carriers by consumers
Almost every insurance carrier in New York State receives complaints. NYS Department of Financial Services (DFS) tabulates those complaints and shares them with the public annually, This information is ideal for those shopping for a health insurance plan and want to better understand how well a company is doing. Complaints mostly involve the following issues: Claims payment, reimbursement for both medical and hospital services, coverage related issues, network-related issues, benefits, premium payments. The table below is their most recent release which is from 2018 and filed in 2019. This table was information distilled from the New York Consumer Guide to Health Insurers
Carrier | Ranking 1=Best 13=Worst | Total Complaints | Upheld Complaints | Premium Collected | Complaint Ratio |
---|---|---|---|---|---|
Capital District Physicians Health Plan | 2 | 9 | 1 | 541.47 | 0.0018 |
Community Blue (HealthNow) | 1 | 0 | 0 | 183.02 | 0 |
Empire HealthChoice HMO, Inc. | 8 | 338 | 193 | 124.76 | 1.547 |
Excellus Health Plan | 4 | 14 | 6 | 397.21 | 0.0151 |
HIP Health Maintenance Organization | 7 | 668 | 400 | 2,501.09 | 0.1599 |
Independent Health Association, Inc. | 3 | 18 | 2 | 228.96 | 0.0087 |
MVP Health Plan, Inc. | 5 | 38 | 17 | 584.97 | 0.0291 |
UnitedHealthcare of New York, Inc. | 6 | 79 | 35 | 792.96 | 0.0441 |
Aetna Life Insurance Company | 12 | 1,300 | 455 | 1,975.90 | 0.2303 |
CDPHP Universal Benefits, Inc. | 3 | 9 | 4 | 508.5 | 0.0079 |
CIGNA Health and Life Insurance Company | 9 | 180 | 102 | 1,157 | 0.0881 |
Empire HealthChoice Assurance, Inc. | 10 | 423 | 227 | 2,549.34 | 0.089 |
Excellus Health Plan, Inc. | 5 | 88 | 27 | 2,866.75 | 0.0094 |
Group Health Incorporated | 13 | 1,515 | 1,111 | 806.75 | 1.3771 |
HealthNow New York Inc. | 4 | 42 | 14 | 1,502.44 | 0.0093 |
Independent Health Benefits Corporation | 1 | 11 | 1 | 565.62 | 0.00`8 |
MVP Health Services Corporation | 2 | 10 | 3 | 734.03 | 0.0041 |
Nippon Life Insurance Company of America | 6 | 11 | 3 | 62.67 | 0.0479 |
Oscar Insurance Corporation | 11 | 132 | 39 | 298.8 | 0.1305 |
Oxford Health Insurance, Inc. | 7 | 1,054 | 319 | 6,590.88 | 0.0484 |
UnitedHealthcare Insurance Company of New York | 8 | 289 | 106 | 1,966.61 | 0.0539 |
Healthfirst Health Individual Insurance plans offered for Sale
Compiled is the most recent listing of Healthfirst plans sold on the New York State of Health Exchange. Please give us a call for any additional information, or if you’re interested in purchasing a plan (888)215-4045
- Green Leaf (Catastrophic)
- Bronze Leaf
- Bronze Leaf Premier
- Silver Leaf CSR 100-150
- Silver Leaf CSR 150-200
- Silver Leaf CSR 200-250
- Silver Leaf
- Silver Leaf CSR Premier 200-250
- Silver Leaf Premier
- Gold Leaf
- Golf Leaf Premier
- Platinum Leaf
- Platinum Leaf Premier
- Essential Plan 1
- Essential Plan 1 Plus
- Essential Plan 2
- Essential Plan 2 Plus
- Essential Plan 3
- Essential Plan 4
List Of Hospitals and network size per county
The following listing contains all of the current (as of 2020) hospitals in New York that are contracted with Healthfirst. This listing only applies to the plans above that are sold on the New York State of Health Exchange. If you have an existing Healthfirst plan or are thinking of becoming a member and you currently have an upcoming in-hospital procedure. Before choosing a hospital contact Healthfirst just to confirm that the hospital is in-network and associated with the health plan above that you have or are considering
County | Hospital Listing | Primary Care Physician Count | Specialist Count |
---|---|---|---|