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

Long-term Care may be right for you if you have trouble with some of these daily activities:

  • 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

Learn About Our Plans
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We'll help guide you every step of the way:

Call us at 1-844-858-1479

TTY English: 1-888-542-3821

TTY Español: 1-888-867-4132

How can Long-Term Care Help?

Home Assistance

A home health aide can help with any activities required for you to live at home:

  • Meal preparation
  • Bathing and dressing
  • Running errands
  • Doing housework
  • Taking vital signs
  • Medication management

Coordination of Care

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.

Peace of Mind

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.

Financial Assistance

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.

FAQs about Long-Term Care

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.

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.

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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