BackFor those who need at-home Long-Term Care
Find the services and the support you/your loved one needs with a Healthfirst Long-Term Care plan.
Find the services and the support you/your loved one needs with a Healthfirst Long-Term Care plan.
Healthfirst Long-Term Care Plans offer health benefits that help you (or your loved one) remain at home and as independent as possible. They can provide help with day-to-day needs and coordinate care with you/your loved one, doctor, and family. But the process of getting a plan can be complicated. We can help make it easier with these three steps.
Start by reviewing our plans below. Then give us a call. We'll explain how our plans work and help you choose the best plan for your situation. To make it easier, have these items handy.
We’ll help set up a free nurse assessment, along with an appointment with a clinician, to make sure you're eligible and to help us understand the level of medical care that’s needed. Learn more.
We are experts at helping people get access to the care they need, and we’ll walk you through the enrollment process step by step. So you’re in good hands!
Want to compare our plans benefits? Click here
This all-in-one Medicaid Advantage Plus plan includes both Long-Term Care services AND medical health coverage. So members are covered for in-home care PLUS doctor visits, prescription drug coverage, and a $180 a month over-the counter (OTC) Plus card allowance to spend on health-related items, healthy foods, fitness equipment and trackers, and even home utilities (e.g., gas, electric, water, and internet service).
Long-Term Care benefits, such as personal care services, adult day health center or social day center and more
Dedicated Care Team to help you meet your care goals and live independently at home
$0 copay for primary care doctor visits
$0 copay for specialist visits
Over-the-counter (OTC) Plus card allowance of $180/month to pay for health-related items, healthy foods, fitness equipment and trackers, and even home utilities (e.g., gas, electric, water, and internet service)
Comprehensive dental including dentures, crowns, root canals for $0
$0 copay for all other covered services, including free hearing aids and eyeglasses
$0
Get $180/month
This plan adds access to in-home Long-Term Care services to existing health coverage. You would use your Medicaid card to access medical, hospital, and prescription drug coverage.
Personal care services
Adult day health center or social day center
Assistance in the home for daily activities
Home-delivered meals
Physical, occupational, and speech therapies
In-home nursing visits
Medical equipment and supplies
Transportation to medical appointments*
Care and service team
$0
The chart below shows a quick snapshot of our Long-Term Care Plans and benefits.
| CompleteCare (HMO D-SNP) plan offer benefits such as: | Senior Health Partners MLTC Medicaid plan offer benefits such as: | |
|---|---|---|
| Primary doctor and specialist office visits | ||
| Primary doctor and specialist office visits | ||
| Inpatient and outpatient care | ||
| Inpatient and outpatient care | ||
| Medicare Part D prescription drugs | ||
| Medicare Part D prescription drugs | ||
| 24/7 access to doctors by phone and video chat | ||
| 24/7 access to doctors by phone and video chat | ||
| Over-the-counter (OTC) Plus card allowance of $180 per month for health-related items, healthy foods, fitness equipment and activity trackers, and even home utilities (e.g., gas, electric, water, and internet service) | ||
| Over-the-counter (OTC) Plus card allowance of $180 per month for health-related items, healthy foods, fitness equipment and activity trackers, and even home utilities (e.g., gas, electric, water, and internet service) | ||
| Acupuncture | ||
| Acupuncture | ||
| SilverSneakers® fitness program | ||
| SilverSneakers® fitness program | ||
| Care and service team | ||
| Care and service team | ||
| Vision care | ||
| Vision care | ||
| Dental care | ||
| Dental care | ||
| Home-delivered meals | ||
| Home-delivered meals | ||
| Personal care | ||
| Personal care | ||
| Physical, occupational, and speech therapies | ||
| Physical, occupational, and speech therapies | ||
| Medical equipment and supplies | ||
| Medical equipment and supplies | ||
| Personal care services | ||
| Personal care services | ||
| Respiratory therapy | ||
| Respiratory therapy | ||
| Social day center or adult day health center | ||
| Social day center or adult day health center | ||
| Transportation to medical appointments or day centers* | ||
| Transportation to medical appointments or day centers* | ||
| Audiology, hearing aids, and batteries | ||
| Audiology, hearing aids, and batteries | ||
| Personal Emergency Response System (PERS) | ||
| Personal Emergency Response System (PERS) | ||
| In-home nursing visits | ||
| In-home nursing visits | ||
| Podiatry and routine foot care | ||
| Podiatry and routine foot care | ||
| Nutritional supplements | ||
| Nutritional supplements | ||
| Social services | ||
| Social services | ||
| Nursing home care | ||
| Nursing home care | ||
Give us a call!
Give us a call!
*Healthfirst will cover non-emergency Medicaid-covered transportation provided that it is included as a Managed Long-Term Care benefit by the New York State Department of Health.
If you receive Medicaid and want to know whether you are eligible for a Managed Long-Term Care Plan, you can call the New York Independent Assessor (NYIA) at 1-855-222-8350, Monday to Friday, 8:30am-8pm, and Saturday, 10am-6pm, to schedule a free evaluation.
Coverage is provided by Healthfirst Health Plan, Inc. or Healthfirst Insurance Company, Inc. Plans contain exclusions and limitations. Coverage for Senior Health Partners, Managed Long-Term Care Plan, is provided by Healthfirst PHSP, Inc. Plans above reflect amounts after Extra Help or Medicaid secondary coverage has been applied.
Coverage is provided by Healthfirst Health Plan, Inc. or Healthfirst Insurance Company, Inc. (“Healthfirst”). Healthfirst Medicare Plan has HMO and PPO plans with a Medicare contract. Our SNPs also have contracts with the NY State Medicaid program. Enrollment in Healthfirst Medicare Plan depends on contract renewal.
You must continue to pay your Medicare Part B premium, if applicable. This information is not a complete description of benefits. Contact the plan for more information. Benefits, premiums, and/or copayments/coinsurance may change each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
SilverSneakers is a registered trademark of Tivity Health, Inc. © 2022 Tivity Health, Inc. All rights reserved.
Healthfirst complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
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