What Are Some Benefits of Healthfirst Insurance?


Quick Answer

Some of the included benefits of Healthfirst insurance are coverage for Medicare-approved prescription drugs, medical care, no copay for primary care visits and little copay for specialist visits, according to Healthfirst. The insurance offers coverage for better vision, hearing and dental care. Additionally, there is no copay for x-rays, dental cleanings and exams, and 20 or fewer trips per year to a Healthfirst doctor, as of 2015.

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Full Answer

Specifics such as coinsurance, premiums and copays, as well as deductibles, differ depending on how much help the beneficiaries receive, according to Healthfirst. To qualify for this insurance, individuals have to live in Bronx, Kings, New York, Queens, Nassau or Richmond. Not only this, but they also have to qualify for Part A of Medicare and continue paying or enroll in Part B of Medicare. Those individuals with end-stage renal disease cannot qualify for this insurance, except in limited circumstances.

In terms of plans, the company offers eight options from which to choose, ranging from plans for individuals under 19 to plans that work for small businesses. For those in need of prescription drugs, Healthfirst Medicare has a preferred list of medication for which it pays. However, if a health care provider talks with the provider of the health plan and gets prior approval, then the insurance pays for those specific drugs as well.

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