Rehab Centers That Accept Healthfirst Insurance in New York
Healthfirst is the largest not-for-profit health insurer in New York City, serving over 1.2 million members primarily in the NYC metropolitan area. Whether you have Healthfirst through Medicaid, the Essential Plan, Medicare Advantage, or the NY Marketplace, your plan includes coverage for substance abuse treatment. Healthfirst covers medical detox, residential rehab, partial hospitalization, intensive outpatient programs, and medication-assisted treatment.
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Rehab Centers That Accept Healthfirst Insurance in New York
Featured 30 Centers Accepting Healthfirst
From 548 facilities that accept Healthfirst, we've highlighted 30 starting points based on clear criteria.
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Showing 30 of 548 total facilities accepting Healthfirst
What Healthfirst Covers
Healthfirst behavioral health benefits cover the full continuum of addiction care. Medicaid members typically have $0 out-of-pocket costs for substance abuse services. Essential Plan members also have very low costs. Marketplace plan members have standard copays and deductibles. Under NY State law, insurers cannot require preauthorization for substance use treatment at OASAS-licensed in-network facilities, making access easier for Healthfirst members.
Deductible Status
Whether you've met your annual deductible
Example range: $0 (Medicaid) / $500-$2,500 (Marketplace) (varies by plan)
Network Status
In-network vs out-of-network rates
Per-Session Costs
Copays or coinsurance amount
Example range: $0-30 per session copay or 0-20% coinsurance
Level of Care
Inpatient vs outpatient rates differ
Get your exact costs: Call 1-866-463-6743
Common Plan Structures
- HMO:Requires in-network care, lower costs
- PPO:Can use out-of-network, higher flexibility
- EPO:In-network only, no referrals needed
- POS:Hybrid of HMO and PPO
Plan Source Matters
- Employer plan:Group benefits vary by company
- Marketplace:ACA plans with metal tiers
- Largest not-for-profit managed care in NYC (1.2M+ members)
- Strong NYC and downstate NY network
- Medicaid, Essential Plan, Medicare Advantage & Marketplace plans
- No copays on most Medicaid plans
- Personal Wellness Plan for behavioral health
- Covers PHP and IOP programs
- Network focused on downstate NY (NYC, Long Island)
- Limited coverage upstate
- Prior authorization required for residential
- Must use in-network providers for best coverage
What to Have Ready Before Calling
💡 Having this ready reduces call time and ensures you get accurate information
1Call Your Benefits Line
Call 1-866-463-6743 or the number on your card
1-866-463-67432Ask These Questions
- • What is my deductible and how much have I met?
- • What is my copay for outpatient therapy?
- • Does my plan cover inpatient treatment?
- • Do I need prior authorization?
- • General coverage information for the insurance plan
- • Whether a specific facility is in-network
- • Typical copays and deductibles for the plan
- • Prior authorization requirements
- • General admission process questions
- • Specific treatment history or records
- • Whether someone is currently in treatment
- • Details about their specific claims
- • Dates of service or diagnoses
- • Any personal health information
How to Talk to Insurance as a Family Member:
"Hi, I'm calling to understand what addiction treatment benefits are covered under [plan type]. I'm not asking about a specific person's claims, just what the policy covers in general." This approach gets you the information you need while respecting privacy laws.
Ask for a formal denial letter that includes:
- Specific reason for denial
- Policy section reference
- Appeal rights and deadlines
You have the right to appeal. Most insurers have 2-3 levels of appeals. The facility's billing team can often help you with this process.
- Different level of care (e.g., IOP instead of inpatient)
- In-network facility alternatives
- Single-case agreement for out-of-network
Federal law requires insurers to cover mental health and substance abuse treatment at the same level as medical/surgical care. If denied, ask if the same restriction would apply to medical treatment.
Frequently Asked Questions About Healthfirst
Ready to Use Your Healthfirst for Treatment?
Our team can help verify your Healthfirst benefits and find the best facility for your needs. Available 24/7.