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.

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.

Here's how we can help

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.

Here's how we can help

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.

Here's how we can help

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

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

Expand for more details

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.

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

Learn About Enrollment:

1-844-858-1479

Monday to Friday, 8am - 8pm
Saturday, 10am - 6pm

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 New York Independent Assessor (NYIA) formerly Conflict-Free Evaluation Enrollment Center (CFEEC) at 1-855-222-8350, TTY at 1-888-329-1541, Monday to Friday, 8:30am-8pm, and Saturday, 10am-6pm, to schedule your initial assessment.

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.

Plans above reflect amounts after Extra Help or Medicaid secondary coverage has been applied.

Healthfirst Health Plan, Inc. offers HMO plans that contract with the Federal Government and has a contract with New York State Medicaid for its Dual-Eligible Special Needs Plans. 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 on January 1 of 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. © 2021 Tivity Health, Inc. All rights reserved.

The State of New York has created a Participant Ombudsman Program called the Independent Consumer Advocacy Network (ICAN) to provide Participants free, confidential assistance on any services offered by Healthfirst Health Plan, Inc. ICAN may be reached toll-free at 1-844-614-8800 or online at icannys.org. (TTY users call 711, then follow the prompts to dial 844-614-8800).

Healthfirst complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-305-0408 (TTY 1-888-867-4132).

注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電1-866-305-0408 (TTY 1-888-542-3821)

© 2021 HF Management Services, LLC

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