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HealthFirst

Find In-Network Specialists

Healthfirst is a not-for-profit managed care organization that has been providing health insurance to individuals and families since its founding in 1993. Initially established by a consortium of major hospitals, Healthfirst was created with the mission to provide access to high-quality health services and care to underserved communities. Over the years, it has expanded its reach and now serves over 1.6 million members across New York City and Long Island, making it one of the largest health insurers in the region.

Healthfirst offers a diverse range of health plans, including Medicaid, Medicare Advantage, Child Health Plus, Essential Plan, and Qualified Health Plans (QHP), to meet the specific needs of its members. Each plan is designed to provide comprehensive coverage while allowing members to access a robust network of healthcare providers and facilities. Healthfirst is committed to delivering services that enhance the well-being of its members through affordable and community-based care solutions.

Frequently Asked Questions

What is the difference between an HMO and a PPO plan?

An HMO (Health Maintenance Organization) plan typically requires you to use doctors and hospitals within its network and get a referral from your primary care physician (PCP) to see a specialist. A PPO (Preferred Provider Organization) plan offers more flexibility to see both in-network and out-of-network providers without a referral, usually at a higher cost.

How can I find a doctor that accepts Healthfirst?

The best way to find an in-network provider is to use the 'Find a Doctor' or 'Provider Directory' tool on the official Healthfirst website. You can also call the member services number on the back of your insurance card for assistance.

What is a 'deductible'?

A deductible is the amount you must pay out-of-pocket for covered health care services before your insurance plan starts to pay. For example, if you have a $1,000 deductible, you pay the first $1,000 of covered services yourself.

Specialists Accepting HealthFirst