Frequently Asked
Questions

• What is a PPO health plan?

  A Preferred Provider Organization (PPO) plan offers access to both in-network and out-of-network providers. With our Healthfirst Signature (PPO) Medicare Advantage Prescription Drug plan, you can access our large network of doctors and hospitals for low cost-sharing, or choose to visit any doctor and hospital in the U.S. that accepts Medicare for medical care.

• What can I purchase with the Healthfirst Signature (PPO) Flex card?

  The Healthfirst Signature (PPO) Medicare Advantage Prescription Drug plan includes a $700/year Flex card that can be used to pay for out-of-pocket dental, vision, and hearing costs. Plan members can use it toward an extra pair of glasses, premium hearing aids, or out-of-network dental care. Original Medicare does not offer the Flex card.

• What dental benefits are available with Healthfirst Signature (PPO)?

  The Healthfirst Signature (PPO) Medicare Advantage Prescription Drug plan covers preventive dental care such as twice-yearly checkups, cleanings, fluoride treatment, and more complex care such as extractions, dentures, crowns, and more—all for $0 copay with participating network providers; $0–$100 copay per service for out-of-network dental care, and with up to $1,500 in dental services per year.

• How can I save money on my healthcare costs?

  Taking advantage of your plan benefits can help you save money on healthcare costs. To help you lower your overall health insurance costs, you should always:

  • Use your no-cost benefits, such as annual physical and dental checkups, to help keep you healthy and identify potential health risks early.
  • Make sure you see an in-network doctor or facility first for treatment to avoid out-of-pocket costs.
  • Visit an urgent care center for non-emergency issues such as colds or flu, sprains, and wounds.
  • Ask your in-network doctor or pharmacist for 90-day prescription fills and Tier 1 $0 copay Preferred Generic Drugs whenever possible.
  • Use your convenient telemedicine benefit whenever you cannot see a healthcare provider in person.
• How do I access my pharmacy benefits?

  Pharmacy benefits are different for each Healthfirst health insurance plan. Please check your plan’s formulary for more information on which pharmacy medicines and other items are covered.

  Healthfirst has partnered with CVS Caremark to bring you a personal prescription drug account that will give you 24/7 access to important drug benefit information and tools that will make getting your prescription drugs easier. Click here to create your account or log in.