Healthfirst Silver Leaf Premier, Silver, NS, INN, Dep29, Family Dental, Family Vision, No Deductible PCP Visits, Free Telemedicine, Fitness & Wellness Rewards
Starting at
$977
/month before subsidy
Healthfirst Silver Leaf Premier, Silver, NS, INN, Dep29, Family Dental, Family Vision, No Deductible PCP Visits, Free Telemedicine, Fitness & Wellness Rewards is a 2026 Silver HMO health insurance plan from Issuer 91237, sold on the ACA Marketplace in New York under plan ID 91237NY0020055. The monthly premium starts at $977 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $3,500 ($3,500 for a family), and the individual out-of-pocket maximum is $9,200 ($9,200 for a family). After the deductible, coinsurance is 0% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 91237NY0020055
- Plan year
- 2026
- State
- New York
- Metal level
- Silver
- Plan type
- HMO
- HSA-eligible
- No
Individual Deductible
$3,500
Family: $3,500
Out-of-Pocket Max
$9,200
Family: $9,200
Coinsurance
0%
You pay after deductible
Network Type
HMO
NYN001
Medical Services
Prescription Drugs
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This Silver HMO plan offers a balanced approach between monthly premiums and out-of-pocket costs, making it a popular choice for many families.
Consider this plan if you:
- Visit the doctor a few times per year
- Take regular prescription medications
- Want moderate protection against high medical bills
- May qualify for Cost-Sharing Reductions (CSR) to lower deductibles
This summary is generated based on plan attributes for educational purposes only.
If you max out this year
$1,744/month
Annual Premium
$11,724
OOP Maximum
$9,200
💡 What this means:
With a $3,500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 0% (coinsurance) until you hit $9,200 total. Then insurance covers everything else for the year.
More plans from Issuer 91237 in New York
- Healthfirst Green Leaf, Catastrophic, ST, INN, Pediatric Dental, Fitness & Wellness Rewards, PCP 3from $428/mo
- Healthfirst Bronze Leaf Premier, Bronze, NS, INN, Dep25, Family Dental, Family Vision, Telemedicine, Fitness & Wellness Rewardsfrom $719/mo
- Healthfirst Bronze Leaf Premier, Bronze, NS, INN, Dep29, Family Dental, Family Vision, Telemedicine, Fitness & Wellness Rewardsfrom $726/mo
- Healthfirst Bronze Leaf, Bronze, ST, INN, Child-Only, Pediatric Dental, Fitness & Wellness Rewards, PCP 3from $9999/mo
- Healthfirst Bronze Leaf, Bronze, ST, INN, Dep25, Pediatric Dental, Fitness & Wellness Rewards, PCP 3from $695/mo
- Healthfirst Bronze Leaf, Bronze, ST, INN, Dep29, Pediatric Dental, Fitness & Wellness Rewards, PCP 3 from $701/mo
- Healthfirst Silver Leaf Premier Plus, Silver, NS, INN, Dep25, Family Dental, Family Vision, Free Telemedicine, Fitness & Wellness Rewards, PCP 1from $966/mo
- Healthfirst Silver Leaf Premier Plus, Silver, NS, INN, Dep29, Family Dental, Family Vision, Free Telemedicine, Fitness & Wellness Rewards, PCP 1from $976/mo
Frequently asked questions about Healthfirst Silver Leaf Premier, Silver, NS, INN, Dep29, Family Dental, Family Vision, No Deductible PCP Visits, Free Telemedicine, Fitness & Wellness Rewards
How much does Healthfirst Silver Leaf Premier, Silver, NS, INN, Dep29, Family Dental, Family Vision, No Deductible PCP Visits, Free Telemedicine, Fitness & Wellness Rewards cost per month?
Healthfirst Silver Leaf Premier, Silver, NS, INN, Dep29, Family Dental, Family Vision, No Deductible PCP Visits, Free Telemedicine, Fitness & Wellness Rewards from Issuer 91237 starts at $977 per month before any subsidy in New York. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.
What is the deductible for Healthfirst Silver Leaf Premier, Silver, NS, INN, Dep29, Family Dental, Family Vision, No Deductible PCP Visits, Free Telemedicine, Fitness & Wellness Rewards?
The individual medical deductible is $3,500, and the family deductible is $3,500. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.
What is the out-of-pocket maximum for Healthfirst Silver Leaf Premier, Silver, NS, INN, Dep29, Family Dental, Family Vision, No Deductible PCP Visits, Free Telemedicine, Fitness & Wellness Rewards?
The most you would pay in a year for covered in-network care is $9,200 for an individual and $9,200 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Healthfirst Silver Leaf Premier, Silver, NS, INN, Dep29, Family Dental, Family Vision, No Deductible PCP Visits, Free Telemedicine, Fitness & Wellness Rewards HSA-eligible?
No. Healthfirst Silver Leaf Premier, Silver, NS, INN, Dep29, Family Dental, Family Vision, No Deductible PCP Visits, Free Telemedicine, Fitness & Wellness Rewards is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.
What type of network does Healthfirst Silver Leaf Premier, Silver, NS, INN, Dep29, Family Dental, Family Vision, No Deductible PCP Visits, Free Telemedicine, Fitness & Wellness Rewards use?
Healthfirst Silver Leaf Premier, Silver, NS, INN, Dep29, Family Dental, Family Vision, No Deductible PCP Visits, Free Telemedicine, Fitness & Wellness Rewards is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.
Understand what you'd actually pay
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
Important Notice
Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.