Gives
BackGroup POS Plans
Benefits
SBCs
In compliance with new requirements of the Affordable Care Act, Health First Health Plans has made available a Summary of Benefits and Coverage (SBC) for our group plans. View all SBCs here.
Commercial Formularies
2020
- 5 Tier Commerical Metal Formulary:
Annual Notice of Change
PDF | Online Search - 5 Tier Commerical Formulary:
Annual Notice of Change
PDF | Online Search - 3 Tier Commerical Formulary:
Annual Notice of Change
PDF | Online Search
2019
- 5 Tier Commerical Metal Formulary:
Annual Notice of Change
PDF | Online Search - 5 Tier Commerical Formulary:
Annual Notice of Change
PDF | Online Search - 3 Tier Commerical Formulary:
Annual Notice of Change
PDF | Online Search
Authorizations
2020
- Authorization List—Non-emergency medical procedures that require prior authorization
- AIM Authorization List—Non-emergency radiology procedures that require prior authorization
- Medical Drug Authorization List—Reference list of codes for medications
- 5 Tier Commerical Metal : Prior Authorization and Step Therapy Criteria
- 5 Tier Commerical: Prior Authorization and Step Therapy Criteria
- 3 Tier Commerical : Prior Authorization and Step Therapy Criteria
2019
- Authorization List—Non-emergency medical procedures that require prior authorization
- AIM Authorization List—Non-emergency radiology procedures that require prior authorization
- 5 Tier Commercial Metal Prior Authorization & Step Therapy
- 5 Tier Commercial Prior Authorization & Step Therapy
- 3 Tier Commercial Prior Authorization & Step Therapy