Medicare Advantage
Medicare Advantage Member Resources
Search providers online.
Search for in-network doctors, specialists, and facilities available under Individual and Family health plans.
Click here to order a copy of your provider directory, formulary, Evidence of Coverage, or Summary of Benefits.
2026 Printable English Medicare Provider/Pharmacy Directories:
Updated June 1, 2026 (includes medical and supplemental providers)
- Space Coast Area - Brevard and Indian River Counties. English | Spanish
- Greater Daytona Area - Flagler and Volusia Counties. English | Spanish
- Central Florida Region - Lake, Orange, Osceola, and Seminole Counties. English | Spanish
- Tampa Region - Hardee, Hernando, Highlands, Pasco, and Polk Counties. English | Spanish
Note: The Secure (HMO) plan does not include coverage for Part D prescription drugs.
*Data as of 02/2026. Other providers are available in our network.
Supplemental benefit information
2026 Member materials
Pharmacy benefits
Medical Policies
How to contact Medicare
Benefit Information
Need extra help? Visit our UNO resource page. For specific plan information click here to find your county and plans available.
2026 Member Materials
Classic (HMO-POS) H1099-001, Value (HMO) H1099-006, and Rewards (HMO) H1099-014 plans
- Guidebook Classic (HMO-POS) H1099-001
- Guidebook Value (HMO) H1099-006
- Guidebook Rewards (HMO) H1099-014
- Benefits at Glance, English I Spanish
- Summary of Benefits, English | Spanish
- Evidence of Coverage: Classic
- Evidence of Coverage: Value
- Evidence of Coverage: Rewards
- Annual Notice of Change: Classic English I Spanish
- Annual Notice of Change: Value English I Spanish
Annual Notice of Change: Rewards English I Spanish
Secure (HMO) H1099-009 plan
- Guidebook Secure (HMO) H1099-009
- Summary of Benefits, English| Spanish
- Evidence of Coverage
Annual Notice of Change English I Spanish
Indian River County residents only:
- Emerald Plus (HMO) H1099-026 plan
- Guidebook Emerald Plus (HMO) H1099-026
- Benefits at a Glance, English I Spanish
- Summary of Benefits, English I Spanish
- Evidence of Coverage
- Annual Notice of Change English I Spanish
SunSaver (HMO) H1099-016, Emerald Plus (HMO) H1099-028, and Premier Access (HMO-POS) H1099-027 plans
- Guidebook SunSaver (HMO) H1099-016
- Guidebook Premier Access (HMO-POS) H1099-027
- Guidebook Emerald Plus (HMO) H1099-028
- Benefits at a Glance,English | Spanish
- Summary of Benefits, English | Spanish
- Evidence of Coverage SunSaver (HMO) H1099-016
- Evidence of Coverage Premier Access (HMO-POS) H1099-027
- Evidence of Coverage Emerald Plus (HMO) H1099-028
- Annual Notice of Change Premier Access (formerly Easy Access) (HMO-POS) H1099-027 English I Spanish
Annual Notice of Change SunSaver(HMO) H1099-016 English I Spanish
Complete Care (HMO) H1099-023, Premier Access (HMO-POS) H1099-025, and Emerald Plus (HMO) H1099-024 plans
- Guidebook Complete Care (HMO) H1099-023
- Guidebook Premier Access (HMO-POS) H1099-025
- Guidebook Emerald Plus (HMO) H1099-024
- Benefits at a Glance, English I Spanish
- Summary of Benefits, English I Spanish
Evidence of Coverage Complete Care (HMO) H1099-023 English I Spanish
- Evidence of Coverage Premier Access (HMO-POS) H1099-025 EnglishI Spanish
- Evidence of Coverage Emerald Plus (HMO) H1099-024 English I Spanish
- Annual Notice of Change Complete Care (HMO) H1099-023 English I Spanish
- Annual Notice of Change Premier Access (formerly Easy Access (HMO-POS) H1099-025 English I Spanish
- Annual Notice of Change Emerald Plus (HMO) H1099-024 English I Spanish
- Continuity and Transition of Care request form
- Understanding Transition of Care
- Understanding Continuity of Care
- Medical Prior Authorization List (updated April 1, 2026)
- Medical Prior Authorization List Changes (updated April 1, 2026)
- Medical Drug Prior Authorization List (updated April 1, 2026)
- Preferred Diabetic Testing Supplies
Click here to order a printed copy of your provider directory, formulary, and Evidence of Coverage.
Pharmacy Benefits
Click a plan to download the Pharmacy Benefits Booklet.
Premier Access (HMO) H1099-025
Medical Policies
- Orthognathic (Jaw) Surgery (MP 0135)
- LINX™Reflux Management System (MP 0191)
- Surgical Treatment of Gastroesophageal Reflux Disease (GERD) (MP 0211)
- DaT Scan (MP 0222)
- Erectile Dysfunction (MP 0112)
- Home Births (MP 0171)
- Bronchial Thermoplasty (MP 0187)
- Autologous Chondrocyte Implants (MP 0189)
- Baroflex Activation Therapy (BAT) Barostim® (MP 0225)
- Prophylactic Surgery (MP 0228)
- Thermal Destruction of the Intraosseous Basivertebral Nerve (Intracept® Procedure) (MP 0235)
- Bioengineered Skin and Soft Tissue Substitute (MP 0196)
- Genetic Testing: Minimal Residual Disease (MRD) Testing for Cancer Policy (MP 0237)
- Radiological Treatment of Non Melanoma PAC (MP 0239)
- Appropriate Professionals Procedure
- Appropriate Professionals Policy
- Clinical Criteria for Utilization Management (UM) Decision Making Procedure
- Clinical Criteria for Utilization Management (UM) Decision Making Policy
- Medical Policy Administration Policy
- Medical Policy Administration Procedure
- Bevacizumab - Oncology Only
- Epoetin alfa - End Stage Renal Disease
- Epoetin alfa - Not End Stage Renal Disease
- Filgrastim
- Hyaluronic Acid
- Infliximab
- Lanreotide-Somatuline Depot
- Pegfilgrastim
- Rituximab Intravenous
- Rituximab Subcutaneous
- Rolvedon
- Sandostatin
- Signifor
- Trastuzumab
- Drugs without a Medical Policy
- Diabetic Testing Supplies
- Step Therapy
Check the guidelines here.
Health First Health Plans follows all applicable CMS coverage rules and requirements for Medicare Advantage plans. This means we cover all services and items covered by Original Medicare when they are medically necessary and meet Medicare coverage criteria. To review Medicare coverage policies, including National Coverage Determinations and Local Coverage Determinations, visit the CMS Medicare Coverage Database MCD Search.
Access world-class research and unbiased analyses on the clinical, financial, and risk impacts of emerging healthcare technologies. Utilize this robust database to develop defensible, transparent coverage policies and make decisions that enhance the quality of care. Symplr Evidence Analysis.
How to Contact Medicare
Visit www.medicare.gov, or call 1.800.MEDICARE (1.800.633.4227), 24 hours a day, seven days a week (TTY/TDD: 1.877.486.2048 for the hearing impaired).
Our Customer Service Representatives are dedicated to personally solving any problems you may have with us and our providers to your full satisfaction. If you prefer to contact the Centers for Medicare and Medicaid Services (CMS) directly, please visit Medicare's web site:
Medicare online complaint form
Medicare Beneficiary Ombudsman
Health benefit plans offered by Health First Health Plans, Inc. (HFHP) may be subject to limitations and exclusions. For costs and complete details, contact your employer, insurance agent or Health First Health Plans.
Y0089_EL110251_M | Accepted date: 10/01/2025
Last updated: 06/01/2026