HEALTHFIRST GOLD PLANS

HEALTHFIRST GOLD PLANS

Healthfirst was founded more than 25 years ago by the most prestigious hospitals in the metro area. The Healthfirst network includes more than 30,000 providers and dozens of hospitals.

HEALTHFIRST GOLD PRO EPO

Rates are for new and renewing groups effective 4/1/2022 — 6/1/2022

PLAN RATES (MONTHLY)

Employee
$838.00
Employee/Spouse (DP)
$1,671.05
Employee/Child(ren)
$1,421.13
Family (DP)
$2,379.13

PLAN HIGHLIGHTS

  • PCP/Specialist: $25/$40
  • Deductible, Coinsurance: $0, 0% (15% DME)
  • Max OOP: $5,275/$10,550
  • Rx: $10/$50/$85

HEALTHFIRST GOLD 25/50/0 PRO EPO

Rates are for new and renewing groups effective 4/1/2022 — 6/1/2022

PLAN RATES (MONTHLY)

Employee
$804.67
Employee/Spouse (DP)
$1,604.39
Employee/Child(ren)
$1,364.48
Family (DP)
$2,284.14

PLAN HIGHLIGHTS

  • PCP/Specialist: $25/$50
  • Deductible, Coinsurance: $0, 0% (15% DME)
  • Max OOP: $7,000/$14,000
  • Rx: $10/$50/$85

HEALTHFIRST GOLD 1350 PRO EPO

Rates are for new and renewing groups effective 4/1/2022 — 6/1/2022

PLAN RATES (MONTHLY)

Employee
$786.18
Employee/Spouse (DP)
$1,567.40
Employee/Child(ren)
$1,333.04
Family (DP)
$2,231.45

PLAN HIGHLIGHTS

  • PCP/Specialist: $25/$70
  • Deductible, Coinsurance: $1,350/$2,700, 20% 
  • Max OOP: $8,150/$16,300
  • Rx: $20/$60/$110

Carrier rates are subject to NYS Department of Financial Services approval and final verification at enrollment.
All medical plans include $4.95 for HealthPass Program Benefits (non-carrier/agent services) and a 2.9% billing administrative fee.

 


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