The Essential Plan covers important health benefits for a $0 monthly premium, plus $0 copay for dental and vision. Sponsored by New York State, our Essential Plans are for qualified individuals ages 19 to 64.
Within New York City's five boroughs (the Bronx, Brooklyn, Manhattan, Queens, and Staten Island), on Long Island, and in Westchester, Orange, Rockland, and Sullivan counties
Other Eligibility Requirements Income between $30,120 and $37,650 †† Deductible (individual) Maximum Out-of-Pocket (individual) Your Annual Checkup Primary Care Provider (PCP) Visit Dental Cleanings Vision Exams Telemedicine (Teladoc) Specialist Visit Retail Health Clinic Urgent Care Emergency Room Outpatient Facility Inpatient Hospital Stay $150 copay per admissionTalk to a doctor any time—for a $0 copay. Connect with board-certified doctors through video chat or phone for prescriptions, help diagnosing and treating non-emergency conditions, and more. Access to dermatologists is also available.
Healthfirst makes working out affordable too! For just $28/month, you get a standard membership to a fitness center in your area. Premium fitness center options are available for an additional fee. Track your activity, monitor your progress, achieve your fitness goals, and so much more! Visit activeandfitdirect.com to learn more.
E8F603C3-4D94-4DCE-818B-75031FE268CE Created with sketchtool.Physical activity is one of the simplest ways to stay healthy, and Healthfirst makes it even more rewarding! With the Active&Fit ExerciseRewards ™ program, you can earn $200 every six months if you visit a qualifying fitness center at least 50 days during the same six-month reward period. Contact ExerciseRewards at 1-877-810-2746 to learn more about qualifying fitness centers.
This information is not a complete description of benefits. Contact the plan for more information.
Coverage is provided by Healthfirst PHSP, Inc.
Plans contain exclusions and limitations.
Healthfirst complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-305-0408 (TTY 1-888-867-4132). 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-866-305-0408 (TTY 1-888-542-3821)。
*Telemedicine (Teladoc) isn't a replacement for your primary care provider (PCP). Your PCP should always be your first choice for care (both in-person and virtual visits).
DentaQuest® is contracted with Healthfirst to provide dental benefits to its members.
EyeMed® is contracted with Healthfirst to provide vision benefits to its members.
**Up to $200 per reward period. There are two reward periods—January through June, and July through December.
††Based on 2023 earnings. The income range shown is for individuals only. The income range may increase based on the eligible members in your household. To learn more, talk to a Healthfirst representative.