What Healthfirst Offers

As a hardworking small business owner, you need a healthcare company that understands your employees the way you do. With over 23 years in New York and more than one million members and growing, Healthfirst is here for you and your employees with top-rated health plans1 that fit New Yorkers of all ages, backgrounds, and income levels.

  • Comprehensive benefits that include dental and vision coverage, 24/7 telemedicine access, acupuncture, exercise rewards, and even more to help members get active and stay healthy
  • Health Savings Account (HSA) available with select health plans
  • Members have access to a broad network of providers and dozens of industry-leading hospitals
  • Member service offered in the many languages our members speak
  • Community locations throughout New York City and Long Island, where members can ask questions about their coverage and learn about community events

 
If you’re a small business owner with 1-100 employees and need healthcare coverage for your business, find out how Healthfirst can help.

 

1Ratings are based on indicators chosen by the New York State Department of Health and published in its 2014, 2015, 2016, and 2017 publication A Consumer’s Guide to Medicaid Managed Care in NYC and on Long Island.

Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. Please visit www.medicare.gov for more information on CMS’ Star Ratings.

2016 QHP quality rating, as published by NY State of Health, The Official Health Plan Marketplace. This rating is calculated by CMS’ Quality Rating System.

Plan Information

Our Healthfirst Pro EPO and Healthfirst Pro Plus EPO plans give small business owners, employees, and their families a new health insurance option in an evolving market. Review our plan overviews below.

2017 Healthfirst Pro EPO Plan Overview 2017 Healthfirst Pro EPO Plan Overview
2017 Healthfirst Pro Plus EPO Plan Overview and Rates 2017 Healthfirst Pro Plus EPO Plan Overview

2018 Healthfirst Pro EPO Plan Overview 2018 Healthfirst Pro EPO Plan Overview
2018 Healthfirst Pro Plus EPO Plan Overview and Rates 2018 Healthfirst Pro Plus EPO Plan Overview

To access the Employee Application, Waiver of Coverage Form, Add/Change/Delete Form, and more, please log in to the Healthfirst Employer Portal.

Materials and Resources

With the Healthfirst Pro EPO and Healthfirst Pro Plus EPO plans, you and your employees can have peace of mind knowing that you’re covered. Learn more now about the benefits and services we offer.

Network and Urgent Care Centers Lists Network and Urgent Care Centers Lists
Provider Look-Up Tool Provider Look-Up Tool
Member Benefits and Resources Member Benefits and Resources
2017 Comprehensive Formulary 2017 Comprehensive Formulary

 
Gym Benefits Gym Benefits
Flu Shot Flu Vaccine
Healthy Living Healthy Living
2018 Comprehensive Formulary 2018 Comprehensive Formulary

FAQs

What size businesses are eligible for Healthfirst Pro EPO and Healthfirst Pro Plus EPO Plans?

Our plans cover small businesses with 1-100 eligible employees.

How do I make changes to my group's plan?

Plan changes are usually permitted only upon renewal of your contract. If you have questions regarding plan changes, please contact your broker or call us at 1-855-949-3668, Monday to Friday, 9am to 5pm.

How do I get enrollment changes processed?

To manage or update your employee roster, please contact your broker or visit your secure Healthfirst Employer Account.

What is Healthfirst's payment policy?

Premium payments are due on the 1st of each month. All billing statements are itemized. If you have questions regarding your bill, please call us at 1-855-949-3668, Monday to Friday, 9am to 5pm.

How can I pay my bill?

You can make payments online through your secure Healthfirst Employer Account.
Payments can also be sent to:

Healthfirst Insurance Company
PO Box 13831
Philadelphia, PA 19101-3831

Employers can also pay over the phone with Employer Services at 1-855-949-3668
Monday-Friday 9am-5pm

An employee has a question about a Healthfirst decision. What should he/she do?

Members should call Member Services at 1-855-789-3668, Monday to Friday, 8am–6pm.

I don’t see my question listed here. How can I get additional help?

Contact your broker or call us at 1-855-949-3668, Monday to Friday, 9am to 5pm.

Request a Quote

Let us help you find the plan that’s right for your business needs.
Just fill out the form below and we will be in touch with additional information.

Questions? We’re happy to help. Call Employer Services at 1-844-785-1656, Monday to Friday, 9am–5pm.

Log in to the Healthfirst Employer Portal now

©2016 HF Management Services, LLC. HFIC2215: HFIC16_73
Plans are offered by affiliates of Healthfirst, Inc. Plans contain exclusions and limitations.