Understanding Long-Term Care | Healthfirst Health Insurance

For those who need at-home Long-Term Care

If you or a loved one needs an extra level of care in the home, Healthfirst can help.

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Understanding Long-Term CareLearn About Our Plans

Here's how we can help

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.

Step 1 - Give us a call

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.

Step 2 - Medical assessment

We’ll provide a free nurse assessment to help us understand the level of medical care that’s needed. Learn more.

Step 3 - Enrollment

We’ll guide you through the enrollment process. We are experts at helping people get access to the care they need, and we’ll walk you through the process step by step. So you’re in good hands!

Speak with a Long-Term Care specialist who can answer your questions:

Call us at 1-844-858-1479

TTY English: 1-888-542-3821

TTY Español: 1-888-867-4132

Our Long-Term Care Plans

Want to compare our plans benefits? Click here

Looking for an all-in-one plan that includes Long-Term Care services?

CompleteCare (HMO D-SNP)

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 $170 a month over-the counter (OTC) allowance to spend on health-related items, healthy foods, fitness equipment and trackers, or even home Internet service.

Included Benefits
  • Long-Term Care benefits, such as home health aide 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) allowance of $170/month to pay for health-related items, healthy foods, fitness equipment and trackers, or even home Internet service

  • Comprehensive dental including dentures, crowns, root canals for $0

  • $0 copay for all other covered services, including free hearing aids and eyeglasses

Premium / Deductible

$0

OTC Benefits

Get $170/month

Call us: 1-844-858-1479

TTY English: 1-888-542-3821

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Need to add Long-Term Care services to existing coverage?

Senior Health Partners MLTC Medicaid Plan

This plan adds access to in-home Long-Term Care services to existing health coverage. You would use your Medicare health coverage to access medical, hospital, and prescription drug coverage.

Included Benefits
  • Home health aide 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 & supplies

  • Transportation to medical appointments*

  • Care and service team

Premium/Deductible

$0 **

Call us: 1-844-858-1479

TTY English: 1-888-542-3821

Expand for more details

Compare Plans

The chart below shows a quick snapshot of our Long-Term Care Plans and benefits.

Criteria CompleteCare (HMO D-SNP) Senior Health Partners MLTC Medicaid Plan
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) allowance of $170 per month for health-related items, healthy foods, fitness equipment and trackers, or even home Internet service
Over-the-counter (OTC) allowance of $170 per month for health-related items, healthy foods, fitness equipment and trackers, or even home 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
Home health aide services
Home health aide 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

Let us help you find a plan that's right for you or a loved one:

Learn About Enrollment:

1-844-858-1479

7 days a week, 8am - 8pm,

TTY English: 1-888-542-3821

TTY Español: 1-888-867-4132

Can't talk right now?

Request a callback and we'll get back to you within one business day.

*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 qualify for Medicaid, your monthly premium will be $0.

If you receive Medicaid and want to know whether you are eligible for a Managed Long-Term Care Plan, you can call the Conflict-Free Evaluation and Enrollment Center (CFEEC) 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. Plans contain exclusions and limitations.

Coverage for Senior Health Partners, Managed Long-Term Care Plan, is provided by Healthfirst PHSP, Inc.

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