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NYS DFS Announces CareConnect Exit

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We have been informed that the NY DFS has recently approved the following measures in the process of CareConnect exiting the market:
  • For individuals the market exit date is 12/31/2017.
  • For Small Group the market exit date is 11/30/2017.

All groups renewing starting 12/1/17 will no longer be accepted.  Currently active group business will end on the last day of their policy year (For example, a 9/1/17 effective will remain in force until 8/31/18).

With recent announcement “CareConnect Withdraws from NYS Market” a Healthfirst addition to the NY Small Business market is especially important.  In many instances the Healthfirst plans have a more robust network than CareConnect for NYC and LI.  Namely, they have the same hospitals North Shore LIJ(Northwell), Maimonides, but additionally key hospitals such as Mt. Sinai, NYU, Lenox Hill + urgent cares such as CityMD and GO-Health.  Rates are approximately $100/month higher for singles for example than CareConnect and would not be an automatic decision to move to Healthfirst.






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NEW 2018 Healthfirst for NY Small Business

Healthfirst has released affordable new 2018 plans for NY small businesses and not a moment too soon.  With the recent exit of popular CareConnect of NY the market is starving for an affordable option.

About HealthFirst

Healthfirst had entered the small business market Jan 1, 2017. Healthfirst is a provider-sponsored health insurance company that serves more than 1.2 million members in downstate New York and Nassau county. Healthfirst offers top-quality Medicaid, Medicare Advantage, Child Health Plus, and Managed Long Term Care plans. Healthfirst Leaf Qualified Health Plans and the Healthfirst Essential Plan are offered on NY State of Health, The Official Health Plan Marketplace. Healthfirst offers Healthfirst Pro and Pro Plus, Exclusive Provider Organization (EPO) plans for small-business owners and their employees, and Healthfirst Total, an EPO for individuals.

The Healthfirst options include four Pro EPO plans with comprehensive benefits and pediatric dental and vision coverage that span all the metal tiers (Bronze, Silver, Gold, and Platinum). With Healthfirst plans, employees will have access to key features, including preventive and wellness visits (including annual checkups, vaccinations, and mammograms); a multilin

gual member services team; access to telemedicine via Teladoc; a robust choice of in-network doctors, specialists, hospitals, and urgent care centers; behavioral health and substance abuse services; coverage for acupuncture visits; and a user-friendly member portal that enables members to proactively manage their care.


Healthifrst’s new January 2018 rates are in fact virtually the same as 4thQ 2017. Example, a single rate is approximately $2-$3 higher. Today’s largest networks with popular in-network only GOLD  are priced at  $857/single monthly. By comparison the Healthfirst Gold plan is $717 annualy or 15% less expensive.  For platinum the price gap jumps are even higher – $1050/single vs $850/single.

  •  Members have access to a broad network of providers and dozens of industry-leading hospitals.
  • Community locations throughout New York City, Long Island and parts of Westchester.
  •  Dental and vision coverage, 24/7 telemedicine access, acupuncture, exercise reward programs.

All Metal Levels will be included for all size groups including 1-99 market.  Referral’s are not needed to vsisit a Specialist MD but one must select a Primary Care Physician on the enrollment form.

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