If you or a loved one needs an extra level of care in the home, Healthfirst can help.
Walking or going up stairs
Getting up from the bed, toilet, or chair
Getting in and out of the shower
Eating and drinking
Controlling your bladder or bowels
Other activities, like taking medicine, cooking, or cleaning your home
A home health aide can help with any activities required for you to live at home:
Your Care Management Team, led by a Registered Nurse or a Licensed Social Worker, will help coordinate a care program so you or your loved one, doctors, and family/caregivers are all involved and on the same page.
If you’re a caregiver, you probably feel pulled in many different directions right now. Long-Term Care can help ease your mind that your loved one is getting the care they need with a Care Team that is just a phone call away. It can also help keep your loved one from feeling socially isolated.
You/your loved one could pay nothing for covered services with Healthfirst Long Term Care Plans. We’ll help you find out if you/your loved one qualify for Medicaid, which can pay for medical expenses that are not covered by your Long-Term Care Plan.
The primary difference is the level of training. Both jobs involve personal care, but the HHA receives specialized training and can attend to more complex diet regimes, handle simple dressing changes, and take basic vital signs. The PCA would be used more for tasks such as bathing, shopping, light housekeeping, and running errands. The choice of using one over the other will depend on the level of medical care needed.
Personal Assistants/Aides provide help with tasks such as bathing, dressing, grooming, going to the bathroom, ambulating (moving from one place to another), meal planning and preparation, light housekeeping and laundry, grocery shopping and errands, transportation, medication reminders (but not medication set-up or administration), exercise, planning events, social engagement, spiritual support, and companionship.
These are healthcare and supportive services provided to individuals of all ages who require help with routine daily activities (such as bathing, dressing, preparing meals, and taking medications). These services can be provided in the home or in the community, such as at an adult day care center. CBLTCS eligibility is a requirement for Long-Term Care Plans.
Through the Consumer Directed Personal Assistant Services (CDPAS) program, you can choose your own aide, and they could be a friend, family member, or assistant you’ve had a positive experience with. It gives you more control over your care plan. If you are interested in learning more about this option, give us a call.
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.
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.
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.
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