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

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

2018

• 5 Tier Commerical Metal Formulary:
  Annual Notice of Change
  Monthly Notice of Change
  PDF | Online Search
• 5 Tier Commerical Formulary:
  Annual Notice of Change
  Monthly Notice of Change
  PDF | Online Search
• 3 Tier Commerical Formulary:
  Annual Notice of Change
  Monthly Notice of Change
  PDF | Online Search

Authorizations

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

2018

• 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

Provider Directory

Pediatric dental coverage

Last update: 10/24/2018