I have mixed reviews about this plan! First of all I'm not sure if I'm on medicaid or not. I'm not supposed to be on medicaid because I work so I'm told I'm not on medicaid but the neighborhood says I am. Second off, either my phone is glitchy, the internet, or the electronics because my primary care health physician keeps changing. Additionally, someone keeps changing around my medical record and faking hospital visits over and over for the insurance money and not letting me get access to the healthfirst physician booklet so that I can pick a physician! It's so bogus!!!! Such corruption. No idea what is going on. I think I'm going back on the "Black Lives Matter" bandwagon because I'm not sure who can stand this abuse anymore. Like seriously, I've never been in the military? My primary care physician is a Veteran's Doctor? SO WACKO! And I don't even LIVE IN WESTHAMPTON BEACH?!?!? I am changing my insurance company but it's so strange because the NY State of Market Health Place is always under construction now!!! WHAT EVEN?!?! It's so weird. read more

Healthfirst - NY STATE OF HEALTH ALWAYS UNDER MAINTENANCE NOW? HOW STRANGE. How do you change insurances then? Patience is a virtue I guess. - Health Insurance Offices Near Me - New York, New York

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The worst billing department ever plus untrained customer service. The Explanations of Benefit don't match the amounts billed by the providers, they don't follow their own billing code rules, when they call to let your know that you are right then the they never fix the bills. To top it all, if you call with a grievance, the customer service writes what ever comes to mind on the complain and then of course you get rejected because that was not the reason for the complain. You will be at the mercy of a billing department that makes mistakes and you will be paying $$ for those, plus feel uneasy not knowing if you are paying the right amounts to the providers. They will only call you once to clarify and if by any chance you could not answer instantly, you will miss the opportunity of a lifetime to speak with the right person. read more

The worst of the worst. Always being denied coverage and pushed back. There's always a problem approving medical care. Stay far away from this disaster they call health insurance. Patient frustration is at an all time high across the board. Terrible company. read more

The biggest scam company. They won't let you file complaints and go AFTER you for doing so. They call you abusive, etc. Absolutely horrible, outsourced, garbage. read more

WOW thought I'd leave a review, mainly because I had to call customer support and was relieved at how easily the representative (Suraya) was to speak with and how quickly she got me the information I was looking for. I really like the healthfirst member portal, I'm moving out of state and the new insurance company has one too...but it's very clunky, you need to speak to a rep to do anything, I'm not even sure the portal serves a purpose aside from beating the customer service phone number into your head until you want to scream. I was able to update my primary care provider info through the app while AT THE DOCTOR'S OFFICE. took affect in just minutes. I can easily access my member ID card through the app (wonderful because i lose everything), easily see my claims history for my own record keeping. Kinda bummed I have to change insurance providers. read more

Health first has THE WORST customer service. For months ive had issues with their customer service just not comprehending what im calling about. You have to call over and over again just to undo what the last customer service person messed up. read more

I am absolutely furious! Today, I received a phone call from one of my specialists informing me that Optum and Healthfirst will no longer be participating. This means that someone like me, who heavily relies on my medical history due to my diagnosis that led to my disability at a young age, will be greatly affected. I am now faced with losing my primary doctor, whom I have been seeing since I was 18 years old (I am now 42). I will have to start from scratch with a new doctor, and how is that remotely fair to me or any other individuals in a similar situation? As a corporation, you should be far more responsible and considerate towards the people who are insured with you, given that you also depend on us.hould be more responsible and conciderate of the people who are insured with you being that youneed us as well read more

VERY DISAPOINTED with Health First after many years enrolled. All I asked is to transfer from Complete Care to Life improvement and I got denied, not once twice, I know I was degrading the quality of insurance but I had reasons to it and explained it clear. HF was very fast in disenroling me of the plan, leaving me the month of June with no Dental vision nor medications cover and no OTC that will help me pay for my light bill and over the counter medication. My anxiety is very hight right now I am crying because I try to prevent all this with anticipation made calls and supposedly I qualify for transfer really. I did a transfer like this years ago and there was no problem at all but was different because I was upgrading. Meantime I had to wait for a month to get my benefits by enrolling like new client.... Not happy at all. I will definitely don't recommend anyone to transfer or switch quality of plan with this company, and definitely will find another plan coverage ASAP read more

It's a scam. Paired $700/mo and it only covers 4 routine doctor visit. No bloodwork, imaging, nothing. Stay away!

waaay too long on phone nobody speaks clearly or to the point gave me another number to call....4 X each number just reads long BS script asks same 4 personal questions then transfer or call this number , call that number wtf with a lot of words dumped on you until your head spins and you don't even want to continue conversation really nothing good to say about experience on phone read more

The dumbest nurse in the world, who could barely speak English, determined that my father, who suffered from Alzheimer's and could not walk, feed himself, bathe himself or do anything else, did not need 24-7 care. There is a special place in Hell for these people. read more

They actually put your health last not first and should change their name ! Healthfirst is truly the worst insurance company I've ever had my entire life . If you are looking to choose your insurance from marketplace and have the option choose Fidelis over Healthfirst. Healthfirst denies every single procedure gives you ridiculous reasons as to why or tells you to reach out to your dr or dentist to get more clarity which makes no sense as the insurance is the one that denies it . Since I've had Healthfirst /Dentaquest I have not been able to get any procedures or services approved . They are disappointing and disorganized . Stay away from Healthfirst I'm going to try again to change them ! 0 stars if I could give ! read more

We just started accepting Healthfirst As an insurance company for our patients and this is the most awful customer service where they give us different fax numbers and or they did not receive the faxes so patients consequently cannot get any treatment till this approval is done. read more

Healthfirst is the worst . I can't get some one on the phone who speaks English. If I call to speak to my case manager. I am asked so many questions before I can speak to the person. I get a migraine headache. They also change case managers with out letting you know. The customer service is the worst. read more

Horrible customer service and they will do anything to not pay a bill. Sick of contacting them and they request for you to fax information only to say they didn't receive it! Get an email at this point I'm tired of going back and forth and no one knows anything. I will never sign up with health first or recommend anyone to I thought metro plus was bad but health first truly is the worst read more

OTC card from healthfirst does not cover water, vita coco water. it is very healthy water and other OTC cards are covering. I'm getting rid of that card as soon as I can. This water have to be covered read more

Completely incompetent. I switched to other insurance over five years ago and STILL get weekly letters and phone calls asking me why I haven't filled out my enrollment. I have gone on their website, filed information with the state, talked to dozens of people, sent registered letters . . . and I'm still getting calls and letters. Even though I no longer live in their jurisdiction or qualify. Can only assume that they are incentivized to keep me on the rolls somehow as some way to bilk the state. read more

This is the absolute worst insurance ever. I have copays for providers I've gone to for 5+ years and haven't had copays for with other Essential Plan insurance, my prescriptions are double/triple the usual cost, and my PT pre-auths were later denied after being approved. My doctor submitted multiple appeals for me that HF won't even read. The only physical therapist they will approve for me is in Ft Washington... 10 miles from where I live. This is currently the "top rated" insurance on the NYSOH marketplace which is crazy because I was on Anthem BCBS for 4 years, which is rated second from the bottom, and never had a single problem with them. I've been on Healthfirst for 3 months and have already switched for the upcoming month. I also requested an insurance card 4 times from them and never received it??? lol... I hate this insurance company so much read more

The worst insurance I've ever been enrolled in. They will deny you for everything even if you are already approved for it by a third party. They are very unprofessional and third rate I will never deal with HF ever again. They did not allow me to choose my Primary care doctor among other things. Avoid these folks at all costs not worth the headache or the time. read more

Try to translate in English. Yo sufro de mis rodillas ruptura del ligamentos y esto duele cuando vajo escaleras, y cuando el Doctor le manda para que me pongan una injection buena no soy calificada para la inyeccion de acido hialuronico y la injection de plasma rico en plaquetas estos son los mejores, no me ha gustado esto. Estoy descontenta. read more

Their customer service is getting better, but it's so HARD TO FIND A DECENT DOCTOR. THEIR SITE LISTS DOCTORS WHO DO NOT ACCEPT HF. Which is a problem because you spend hours in vain looking for a doctor. I just called (Nov 2019) and Mount Sinai downtown told me NO DOCTOR IS ACCEPTING NEW PATIENTS WITH HEALTHFIRST. Neither is Gouverneurs Medical on Madison Street (which is a clinic and not fancy at all). If you're into waiting for hours at Bellevue even though YOU'RE PAYING OVER $500/MO and NEVER GETTING TO SEE THE SAME DOCTOR, then this insurance is for you. As I said, they are have improved their customer service, but if they DON'T HAVE DOCTORS, then what good is it? read more

Healthfirst OTC systens are down.There's no one to call about this problem.They need a 24hr number to call.I need my items from the pharmacy and food.I plan to cancel my health plan with Healthfirst. read more

worst insurance, most of the pharmacies take this insurance, I had to suffer as my son was not well and my doc sent the prescription to nearby Walgreens which doesn't accept their insuranc???? I mean really, they are the worst, never go for this one, had to transfer my prescription to CVS which took 2 hours and was 2 miles away. if I can give zero star, I would have. if you care about your family and loved ones never spend your hard earned money on this bullshit insurance!! read more

OMG, getting assistance while shopping for health insurance was a nightmare with Healthfirst. I spent 30 minutes with reps who could hardly understand the English language and after making me fill out the applications, they then could not explain to me the different plan benefits and costs. So obviously, i was transferred 15X and spent 2 hours on phone with them after being disconnected and not called back. A true nightmare! Feel free to contact me for more information. agerson1120@gmail.com read more

This is the worst insurance I've ever had. Going through the market place, I chose this insurance because on the site it said that my current doctors took this plan. Then I tried to make appointments and NONE of them take this insurance. So I starting searching for new doctors. I have called so many and none of them take this insurance!!! You search on the Healthfirst website for doctors, find ones that looks promising, saying they are accepting new patients, I call and nope, don't take it. I honestly don't know what to do at this point. I'm paying over $300 a month for absolutely nothing. Based on other people's reviews, I don't even want to call customer service. I swear I think it's a massive scam, just stealing everyone's money because we can't even get appointments. read more

I was on the phone with HealthFirst Customer Service on Thursday. Supposedly my online account for the insurance portal and OTC was set and ready to go. This weekend it will not work. Of course I can only contact the office Mon-Fri. All weekend I cannot get information. This is really poor customer service. Not reliable at all. read more

I must tell you this organization does not care about us the customer, They are not customer centric. Their reprersentatives are not trained and there supervisors do not respond or handle medical issues with any sense of urgency or provide resolution. I suffer from kidney disease and in need of sensors to assist me in monitoring my vitals. I am writing this revoew while I;m on hold for 36 mintues. Cant talk to supervisor none avaiable , cant talk to anyome in a managment level . Tried reaching executive office to speak with someone ...its impossible. I have a problem for 4 months and still not resolved. This is on the borderline of patient neglect and abuse, They really dont care and the state of health coverage and care is certainly diminshied. The sensor i need is avaiable in any drug store but they have a contract with Intrgra health to supply all medical devices . Intrgra has not shipped my devices on time for the last 4 months . I have over 30 phone hours with all parties ansd still cant get resolved. This is a joke!! Can someone please help me. Jen cohn smith or some VP help resolve an issue that any 10 yr old could, Help Help Help read more

The worst insurance I have ever encountered in my entire life. I enrolled my son for 7/1 and received a letter to activate his online account...if your child is under 18 it won't let you set up an online account for them...you need to set up an online account to make the first payment for the insurance to become active. So I called member services, made the payment over the phone and was told my new enrollment date had to be moved to 8/1. Fine...annoying, because it delayed my ability to take him to his 9 month appointment on time, but fine. The representative gave me a default DOB to be used to log in and create an account for children under 18. I tried logging in with this default DOB, it did not work. I called member services again to get this issue sorted so that I could create an online account for him and select his PCP online before his upcoming appointment...I called and was told they couldn't find his account and there was an issue in their system and his account was not active because while they could see the date and time that I had made the payment over the phone on their end...it wasn't updated in their system to make his account become active. At this point I had already changed my work schedule around to take my son to his doctors appointment which was already scheduled for that evening and I'm being told on 8/17 that insurance that should have become active on 8/1 (that I already paid for for the month of August) is still not active due to a glitch in their system. Absolutely unreal, my son's doctors appointment was delayed almost 2 months due to their ineffectiveness. It's actually criminal, they should be sued. You have members paying for health insurance who are unable to access care. read more

if you have heart problems do not call the costumer service of this company . top 3 worse costumer services I've ever called . and i just wanted a bit of information , imagine someone that actually has a problem . i would suggest you avoid if you want to live . absolute garbage after taking in so much money do better this is pathetic . read more

They absolutely have the worst coverage and deny you necessary medication and treatments. Sure want to go 20 miles to obtain treatment in the Bronx or way out on log island, you might get treatment if you can. Their facilities are totally inadequate for issuing a policy for the south shore of Long Island. They mislead you and then when you need the coverage they just deny it, without a rational or reasonable reason. Amazingly on their blatantly lacking website, not surprisingly when you type in Appeal Decision, you get nothing on their website. Not very surprising. By the time you are able to get urgent care, the concept being care that is close to your home, is nowhere to be found. The agony and constant fight to find care is just not worth it. They take your money each Month and they kiss your butt goodbye. Are they kidding me? Where is all the promised readily available care locations, great Doctors? The website is just useless. Another government sponsored and assisted ripoff. Can't believe I fell for this. I will be looking for real coverage so, When I get sick I can get medical Treatment. Stay far away from this insurance and get real coverage. I have the Gold League Plan which was more expensive and allegedly better according to them. This is nothing short of a scam. read more

The coverage is fine, I've never been screwed by them at all. If you have to call them, you have to budget at least two hours. I almost want to give them 5 stars for how consistently bad their phone support is. It's completely laughable. On an administrative level, they are a complete mess. BUT...the price isn't bad and I've never had a claim denied. So I guess in the context of the shitshow of insurance in this country, I'm way ahead? PS- The hold music makes you want to die. read more

Customer service is HORRIBLE. The reps are completely oblivious as to what their job title is. 9 times out of 10 you can't get someone who speaks or understands clear English. The other time I was actually able to get an English speaking rep I was hung up on without getting their names. The reps are extremely rude and unprofessional and need another lesson in customer service, compassion and professionalism. People aren't calling to make a complaint because a hamburger order was undercooked, these are members with real life health issues and sometimes life threatening illnesses! I wouldn't treat an enemy the way I was treated! read more

They are so not legit. I can't believe I was taken by this fraudulent company. They owe me $3,000 for 3 months the end of 2022 and I Have something information to the FBI. BE AWARE OF THE HEALTH MARKET I cannot believe a company did this to me and lied about what was covered. They thought it was a joke. It hurt us financially. I will get this money back. read more

Extremely rude to not only my 91 year old grandfather, but also my mother. Their representative raised her voice, refused to call my mother by her title of Dr., cut off my mother in between sentences, and said that she would continue to call my grandfather to offer us a service we already stated we do not want. read more

Over the past few years, I've had Healthfirst insurance. As most people know, it is health insurance for low-income New Yorkers. I'm not a guy who mooches off the system. I don't spend all day playing Fortnite and watching Maury. I'm a law school graduate who passed two bar exams (NY, NJ). Despite my best efforts, I haven't been able to find employment that's commensurate to my credentials. I have two part time jobs, neither of which pays enough to survive in the Big Apple. I've relied on Healthfirst so I can have quality healthcare despite my precarious financial situation. Last year, my annual income increased slightly. A month ago, I received a letter stating that my insurance was being terminated. I was devastated. The next day, I went to the HRA office on Atlantic Avenue and explained my situation. Quite frankly, they didn't give a shit. I did some research and discovered that Fidelis insurance has many of the benefits of Healthfirst. The monthly premiums is commensurate to someone's salary. Today, I asked a representative at Fidelis if I could switch from Healthfirst to Fidelis. He said that I could only do so after my Healthfirst insurance expires. Just one problem: I have an important doctor's appointment on June 14. My Healthfirst insurance expires on June 13. There was no way that I could afford to pay out of pocket and obviously, my Fidelis insurance coverage wouldn't magically begin on June 14. I called someone at Healthfirst and tried to explain my situation. The glorified McDonalds employee whom I talked to had a nasty attitude. She didn't even want to give me a one week extension. That dingbat didn't care less that I would be walking around without health insurance. Heaven forbid if something happened to me and I needed to go to the hospital. After I used a 4 letter word, she hung up. Healthfirst seems to think that since most of the people who use their services are low income and/or minorities, it's ok to treat them like shit. I wish the United States had universal healthcare like every other industrialized country. read more

I applied for home care , I have severe back and leg problems and provide I provide all info to Medicaid for CPAS, I got approved for homecare from my assessment. So Healthfirst is my health insurance, to give me hours for homecare services, after calling them for over a week they said I am qualified for " 7" hours a week. After I heard that I said no I need more hours, so after 1 week customer service took my request for more hours. I told them I need at least seven hours per day I go to the doctor 3 to 4 times a week and I need someone to help me up and down the steps in my home because I cannot stand Long on my legs. This is over 2 1/2 weeks and I'm still waiting to see if they approve me for more hours, I'm missing my doctors appointment for over 2 1/2 weeks. I never spoke to the case manager from Healthfirst. I basically sleep in my living room because I cannot go upstairs to my bedroom. There's no one here to help me and help is everything and not taking into consideration what I'm going through I was in the emergency room a couple of days ago because of my health problems, I cannot stand long. I cannot sit too long. I lay too long my daily activities I can't do and they don't care. I need help and they don't care every day. I'm calling them and I don't get the answers. I need to hear my complaint. They're not doing their job customer service. read more

They should rename this company HealthWorst. THEY screwed up the auto-pay on my premium and assured me that all was fine when I called, until it wasn't and they kicked me off after having been a loyal customer for almost 10 years in spite of their crappy service and having no major health issues or hospitalization. They did me a favor and do the same for yourself in avoiding this health insurance ripoff. HF exemplifies why we must do away with the for-profit health care system in this country. I could have owned a home with all the money I've given to these crooks. Being with this company is undoubtedly the biggest regret of my life, and I'm no spring chicken. I had to post a least one star but believe me, they don't deserve even that. EFF this company. read more

Out of all the NY Medicaid Plans I have been on including UHC and Fidelis, Healthfirst seems to be the best so far. I have been on HF for only a month and a half and so far I am very impressed. All the meds that I was on before are covered. Even the meds that needed prior authorization (PA) were approved very quickly. There were even meds that did not appear on the Formulary covered by their prescription benefit manager, CVS/Caremark. To check if the med is covered you must create an account with Caremark and hit the option for 'Check Drug Cost". I like that I only have to deal with Caremark for Rx PAs. I was also able to get an MRI and an Epidural Steroid Injection approved pretty fast. Their regular customer service is ok. It depends on who you speak with. HF uses different contractors for administering certain service authorizations, incl. eviCore for radiology and OrthoNet for pain management and physical therapy. You can work with these contractors directly if you'd like, which is more convenient imo. read more

Website is completely inaccurate and out of date. There is not one single primary care doctor affiliated with Mt Sinai Hospital who takes Healthfirst Medicaid. This insurance company no longer works with Mt Sinai hospital for primary care. Deceptive advertising should be investigated by the state. read more

Demoralizing. Absolutely the worst insurance company. Stay far, far away. Paying premiums for 5 months with no benefit. Spending $1,200+ per month for "coverage". "Escalating" a claim results in endless run arounds. Every call results in different, contradictory bit of information. Feeling degraded and disgraced. Do yourself a favor and do not use this insurance company. read more