Elderplan is an HMO plan with Medicare and Medicaid contracts. Enrollment in Elderplan depends on contract renewal. Elderplan/HomeFirst complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
ATTENTION: If you speak a non-English language or require assistance in ASL, language assistance services, free of charge, are available to you. Call 1-800-353-3765 (TTY: 711)
Elderplan/HomeFirst cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-353-3765 (TTY: 711). Elderplan/HomeFirst 遵守適用的聯邦民權法 律規定,不因種族、膚色、民族血統、年齡、殘 障或性別而 歧視任何 人。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 1-800-353-3765 [TTY: 711] 。
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1. Members who are eligible to enroll in this plan must have full Medicaid and need community-based long-term care services for more than 120 days (e.g., in-home nursing, therapies, home aide, personal care, Consumer Directed Personal Assistance Services; private duty nursing; or Adult Day health care) but prefer and are able to live safely at home. If individuals are eligible for Medicaid only, they must also be assessed as nursing home eligible.
2. Members eligible to enroll in this plan must have Medicare and Medicaid, be 18 years of age or older, need community-based long-term care services for more than 120 days and be assessed as nursing home eligible.
3. 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 cancer. There are other eligible conditions not listed. Standards may vary for this benefit.
4. Members in this plan receive a quarterly maximum amount of $900 to purchase eligible OTC items at authorized retail stores. The OTC card balance cannot be carried over to the next quarter; it is not a debit or credit card and cannot be converted to cash.