Who is Healthfirst? Healthfirst Facts Healthfirst was established in 1993 as a provider-sponsored health – $9.5 billion in annual revenue insurance company by a consortium of health systems in the – 1.3 million members New York area. We have since grown into one of the area’s largest – 1 in 8 New York City residents is health insurance companies, with more than 1.3 million members a Healthfirst member† in downstate New York. These members are served by 4,000- – A provider network of nearly plus employees working in our headquarters in lower Manhattan, 30,000 physicians and hospitals in operations centers in Florida, and in our community offices. – The only Medicaid plan in NYC and LI rated 5 stars four years in a row. Healthfirst’s commitment to quality and member satisfaction has – Ranked the 4th largest health helped us earn the top rating for HMO health plans in New York City. insurance company in NYC by Crain’s New York Business‡ – We offer six spoken languages other than English through live member services staff in our offices, and many * 5-Star Medicaid Plan in New York State more through telephone language- line services. * 2018 Quality Rating by NY State of Health, the official health plan marketplace. Rating is based on a 5-star system. † Data from the US Census Bureau, July 2016 annual estimate. Member data as reported by NYSDOH, QHP/EP 2017 Enrollment, and CMS. ‡ 2017 Crain’s New York Business healthcare industry list of the largest health insurers in New York City, November 20, 2017, and ranked by the number of enrolled members in NYC. Plans are offered by affiliates of Healthfirst, Inc. Plans contain exclusions and limitations. INA17_32 A Vision of Health: Member Support In a rapidly changing healthcare environment, consumers want more than figures and plan benefit summaries. They want a company that will help them navigate the complexities of the healthcare system, making complicated information clearer and simpler. At Healthfirst, we support our members by providing access to primary care and preventive services. We also offer care management programs that work with members’ physicians to help monitor chronic conditions. In addition, for members who qualify, we coordinate access to vital healthcare and social services. Healthfirst is truly a local health insurance company. We have thirteen community offices and three kiosk locations in the New York metropolitan area, and stationed at high-traffic locations and community events we have RVs that serve as mobile member enrollment and information outlets. Members can meet with a Healthfirst representative in person to get help with questions they might have, including finding a provider, paying a plan premium, and more. As our portfolio of health insurance plans continues to grow, we remain committed to quality, to member satisfaction, and to serving more of our New York neighbors. To learn more about Healthfirst, visit www.healthfirst.org. Plans are offered by affiliates of Healthfirst, Inc. Plans contain exclusions and limitations. The information included here is proprietary to Healthfirst. Current Health Plan Offerings Healthfirst’s mission is to help ensure that our members have access to high-quality healthcare and superior satisfaction by offering them a variety of health insurance plans in the New York metropolitan area. We have a variety of options for individuals and small groups that fit a broad range of lifestyles, incomes, and family sizes through the many stages of life—from infancy to the senior years. – Individual & Family Qualified – Medicare Advantage Plans – Pro and Pro Plus EPO Plans Health Plans – Medicare Advantage Plus Plan – Managed Long Term Care Plan – Medicaid Managed Care – Child Health Plus – Essential Plans – Personal Wellness Plan – Total EPO Plans Healthfirst offers comprehensive health insurance coverage with our new, exclusive suite of commercial products for individuals and We have a variety small-business owners off-exchange. We offer Healthfirst Total, Pro, of plans to fit a broad and Pro Plus group plans in New York City’s five boroughs and in Long Island. range of lifestyles, We also provide a Personal Wellness Plan (HARP) for members with incomes, and family both substance abuse and chronic illness diagnoses, and Essential sizes through the Plans that offer health insurance options at an even lower cost for many stages of life— qualifying individuals. from infancy to the Members can be confident that Healthfirst is working for them, senior years. no matter which of our health plans they choose. Plans are offered by affiliates of Healthfirst, Inc. Plans contain exclusions and limitations. The information included here is proprietary to Healthfirst. Provider Network We are proud to offer our members access to an extensive network of top-rated hospitals and medical centers.* Bellevue Hospital John T. Mather • Mount Sinai West • Huntington Hospital St. John’s Episcopal Center (H+H) Memorial Hospital • Mount Sinai • Lenox Hill Hospital Hospital Brookhaven Kings County St. Luke’s • Long Island Jewish St. John’s Riverside Memorial Hospital Hospital Center (H+H) • New York Eye Medical Center Hospital Medical Center Kingsbrook Jewish and Ear Infirmary • Forest Hills Hospital St. Vincent’s Hospital Catholic Health Services Medical Center of Mount Sinai Westchester of Long Island • Northern Lawrence Hospital Nassau University Westchester Hospital Stony Brook • Good Samaritan Lincoln Medical Medical Center University Hospital Hospital • North Shore and Mental Health (NuHealth) University Hospital Southampton Hospital • Mercy Medical Center (H+H) New York Community at Manhasset SUNY Downstate Center Lutheran Medical Hospital of Brooklyn • Peconic Bay Medical The Bronx-Lebanon • St. Catherine of Center New York Methodist Center Hospital Center Sienna Medical Hospital Maimonides Medical HealthCare System Center • Phelps Memorial Center New York-Presbyterian Hospital Center The Brookdale • St. Charles Hospital Hospital/Columbia Metropolitan University Hospital and University Medical • Southside Hospital • St. Francis Hospital Hospital Center (H+H) Medical Center Center • Plainview Hospital • St. Joseph Hospital Montefiore Health The Brooklyn New York-Presbyterian • Staten Island Coler-Goldwater System Hospital Center Hospital/Weill Cornell University Hospital Specialty Hospital • Burke Rehabilitation Medical Center St. John’s Riverside at and Nursing Hospital • Syosset Hospital Dobbs Ferry Facility (H+H) New York-Presbyterian • Children’s Hospital at Lower Manhattan • Zucker Hillside The New York Coney Island Montefiore Hospital Hospital Hospital Medical Hospital (H+H) Center of Queens • Jack D. Weiler NYU Langone Northern Westchester Eastern Long Island Hospital (Einstein) Hospital Brooklyn Hospital Westchester Medical Hospital Center • Montefiore Hospital NYU Langone Peconic Bay Medical Elmhurst Hospital Center • Montefiore Mount Hospitals Tisch White Plains Hospital Center Vernon Hospital NYU Langone Phelps Memorial Winthrop Hospital Flushing Hospital Hospital • Montefiore New Orthopedic Hospital Woodhull Medical and Medical Center Rochelle Hospital North Central Bronx Queens Hospital Mental Health Center Harlem Hospital Center (H+H) • Montefiore Wakefield Hospital (H+H) Wyckoff Heights Center (H+H) Hospital Northwell Health Richmond University Medical Center Hudson Valley Medical Center Mount Sinai • Long Island Jewish Hospital Center South Nassau • Mount Sinai Beth Valley Stream Interfaith Medical Communities Hospital Israel Medical Center • Cohen’s Children Center Medical Center Southside Hospital Jacobi Medical • Mount Sinai St. Barnabas Hospital Center (H+H) • Long Island Jewish Hospital Forest Hills St. Charles Hospital and Jamaica Hospital • Mount Sinai Queens Rehabilitation Center Medical Center • Glen Cove Hospital * Healthfirst sponsoring hospitals in bold; NYC Health + Hospitals (H+H); some hospitals are not in-network for every plan. Providers may not participate in all Healthfirst plans. Please refer to the provider directory at www.HFDocFinder.org. Plans are offered by affiliates of Healthfirst, Inc. Plans contain exclusions and limitations. The information included here is proprietary to Healthfirst. Strong Community Partnerships Healthfirst strives to meet the needs of our members by leveraging longstanding relationships with doctors, hospitals, community leaders, and organizations. It’s all part of our mission to create and promote healthier, active communities. Here are a few of our corporate partners: American Diabetes Association (ADA) Reach Out and Read of Greater NY Healthfirst is the presenting sponsor for Healthfirst supports early childhood literacy with the the annual ADA Expo. Through the ADA, Reach Out and Read of Greater New York program. Healthfirst initiated a nutrition-focused Healthfirst’s sponsorship helps to share the gift of diabetes self-management support program reading and enables the distribution of thousands of to educate caregivers and adults living with children’s books at pediatric clinics, hospitals, and type 2 diabetes. physician’s hospitals. American Heart Association (AHA) Brooklyn Cyclones Launched Healthy for Good, a movement Healthfirst and the Brooklyn Cyclones host free driving health transformation in multicultural youth baseball clinics for children ages 7–14 communities for improved health outcomes. from the five boroughs. Through this partnership, The platform will allow Healthfirst and the youth participants meet and interact with Brooklyn AHA to host a series of workshops