Most people want the ability to receive the care they need in the safety and comfort of their own homes.
If you or someone you love is living with a chronic condition and require long-term care (LTC) services at home, Elderplan can help. Our plans provide support for people who need assistance with activities of daily living (ADLs), such as bathing, dressing, and preparing meals. We provide the care you need to remain safely in the comfortable surroundings of your home… without any cost to you.
Choosing the right plan is confusing and we’re here to help guide and support you every step of the way.
HomeFirst Managed Long‑Term Care Plan
| Elderplan Plus Long‑Term Care
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 | Personal Care Workers to help you with bathing, dressing, and preparing meals | ✓ | ✓ |
 | CDPAS: If you prefer and are eligible, you can choose your own caregiver | ✓ | ✓ |
 | Home Health Care including physical therapy, occupational therapy, and speech therapy | ✓ | ✓ |
 | Zero-cost transportation to and from medical appointments1 | ✓ | ✓ |
 | Social Day Care | ✓ | ✓ |
 | Durable medical equipment, medical/surgical supplies, prosthetics, orthotics, and oxygen | ✓ | ✓ |
 | Zero monthly plan premium | ✓ | ✓ |
 | Dedicated Care Manager who will stay in touch with your doctors and help arrange your medical visits and transportation to get you there. | ✓ | ✓ |
 | Zero co-pay for dentist visits, in- or out-of-network2 | ➖ | ✓ |
 | Life alert coverage | ✓ | ✓ |
 | Membership in our award-winning Member-to-Member program Learn more about Member-to-Member | ✓ | ✓ |
 | Zero co-pay for in-person primary care doctor visits | ➖ | ✓ |
 | Zero co-pay for specialist visits, in- or out-of-network2 | ➖ | ✓ |
 | Low co-payments for prescription drugs | ➖ | ✓ |
 | $500 per year toward out-of-pocket expenses for dental, vision, hearing, and fitness | ➖ | ✓ |
 | Over-the-Counter (OTC) allowance: $950 Per Quarter for rent/mortgage, utilities, internet, groceries, meals, community rides and traditional OTC3 4 5 Learn about our OTC benefits | ➖ | ✓ |
 | BrainHQ: a memory fitness program to improve brain function through games, puzzles, and other fun exercises Sign up for BrainHQ | ➖ | ✓ |
 | Gym Membership: Zero cost gym membership to help keep you fit and active, plus over 15,000 online videos6 | ➖ | ✓ |
Explore our network |
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Additional Information |
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| Service area | Bronx, New York, Queens, Kings, Richmond, Dutchess, Nassau, Orange, Putnam, Rockland, Sullivan, Ulster, and Westchester | Bronx, New York, Queens, Kings, Richmond, Dutchess, Nassau, Orange, Putman, Rockland, and Westchester |
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| Enrollment | To get started with this plan call 1-866-386-4177 [TTY: 711], 8:30 a.m. to 5 p.m., Monday to Friday. | To get started with this plan call 866-360-1934 [TTY: 711], 8 a.m. to 8 p.m., 7 days a week. |
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- Please note, non-emergency medical transportation is now provided directly by Medicaid through Medical Answering Services (MAS). You will need to call MAS directly at 844-666-6270 if you reside in the 5 boroughs of NYC, Nassau, Westchester or Putnam or 866-932-7740 for Dutchess, Orange, Rockland, Sullivan and Ulster counties.
- Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call Member Services or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
- Eligibility is determined by whether you have a chronic condition associated with SSBCI benefit (expanded OTC). Examples of SSBCI conditions include, but are not limited to, Cardiovascular Disorders, Diabetes, Arthritis, Chronic Lung Disorders, and Chronic Kidney Disease. There are other eligible conditions not listed. Standards may vary for this benefit.
- The OTC card is not a debit or credit card and cannot be converted to cash.
- The OTC card balance will be carried over to the next quarter but will expire at the end of the year.
- No-cost gym membership is available at all fitness centers and select YMCAs in the Silver&Fit® network.
