Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

Healthfirst 65 Plus Plan, 2027

H3359Contract001Plan

HMO · 7 counties in New York

Run by Healthfirst Health Plan, Inc. (contract H3359), sold as Healthfirst Medicare Plan, owned by Healthfirst, Inc.

Renews for 2027

2026 star rating, contract H3359: 4.5 of 5

Healthfirst 65 Plus Plan (H3359-001) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026).

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it.
What you pay or get	2026	2027	Change
In-network out-of-pocket limit	$9,250	$9,850	up $600
Drug deductible	$615	$700	up $85
Specialist visit	$35 copay	$0 copay	down $35
Hospital stay, in network	$489 a day for days 1–5, then $0 a day for days 6–90	$612 a day for days 1–4, then $0 a day for days 5–90	up $3for a 5-day stay
Skilled nursing facility, in network	$0 a day for days 1–20, then $218 a day for days 21–100	$0 a day for days 1–20, then $221 a day for days 21–100	up $30for a 30-day stay
Ground ambulance, in network	$315 copay	$350 copay	up $35
Eyewear, yearly limit	$150 a year	$100 a year	down $50
Counties served	6	7	up 1
Drug tier 3, preferred brand	21% of the cost	20% of the cost	down 1 point
Drug tier 4, non-preferred drug	25% of the cost	45% of the cost	up 20 points
11 lines do not change
Monthly premium	$0	$0	no change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Emergency room	$115 copay	$115 copay	no change
Medical deductible, in network	none	none	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Hearing aids, yearly limit for both ears	not offered	not offered	no change
Over-the-counter items, yearly	not offered	not offered	no change
Drug tier 1, preferred generic	$0	$0	no change
Drug tier 2, generic	$3	$3	no change
Drug tier 5, specialty tier	25% of the cost	25% of the cost	no change

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.

What will prescriptions cost?

Your share for a 30-day supply at a retail pharmacy, as filed with CMS; tiers whose share changes are marked
Tier	What the tier holds	2026	2027
Tier 1	Preferred Generic	$0	$0
Tier 2	Generic	$3	$3
Tier 3	Preferred Brand	21% of the cost	20% of the cost
Tier 4	Non-Preferred Drug	25% of the cost	45% of the cost
Tier 5	Specialty Tier	25% of the cost	25% of the cost

Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.

How does it compare with plans sold where it is?

In the counties it serves, 64 plans open to everyone are sold for 2027, this one included. Against the others, 23 plans have a lower out-of-pocket limit, 40 the same. On the premium, 27 the same, 36 a higher one.

Out-of-pocket limits of the 64 plans open to everyone

$0 to under $2,0000 plans

$2,000 to under $4,0000 plans

$4,000 to under $6,0001 plan

$6,000 to under $8,0005 plans

$8,000 to $10,000 (this plan)58 plans

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where is it sold, and what does it cost there?

The premium and the out-of-pocket limit are the same in all 7 counties: $0 a month and $9,850.

New York

Bronx Kings Nassau New York Queens Richmond Westchester

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Who runs this plan?

Plan ID: H3359-001
Legal name of the contract: Healthfirst Health Plan, Inc.
Sold as: Healthfirst Medicare Plan
Parent company: Healthfirst, Inc.
Plan type: HMO
2026 star rating of the contract: 4.5 of 5 overall; health plan 4.5 of 5, drug plan 4 of 5
Members, September 2026: 58,421
Plan website, as filed with CMS: https://healthfirst.org/medicare-advantage-plans

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.

What else should you check?

Other 2027 plans in Queens, NYWhere most of its members live; premiums and limits side by side
Every Healthfirst Medicare Plan plan for 2027Its contracts, counties and plans that end
The other 4 plans of contract H3359Same company, same contract
Is your prescription covered?Coverage share and tier for 2,259 drugs

Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.