Two Long Term-Care Plan Options
Whether you have Medicare and Medicaid or just Medicaid, Elderplan offers two Long-Term Care plan options that provide the services and support you want and need to remain safely in the comfort of your home.
HomeFirst Managed Long-Term Care Plan1
It is an ideal plan for eligible Medicaid beneficiaries who need assistance with activities of daily living but wish to keep their current prescription drug plan. This plan provides a personal care worker to help with bathing, dressing, and meals, plus attention from a Care Management Team. Your Care Management Team will contact your doctors to help develop a personalized plan of care and will also help arrange your medical visits.
Some additional benefits include:
- Home health care
- Personal Care Worker (PCW)
- Consumer-directed personal assistance services (CDPAS)
- Health Coaching
- Home-delivered meals
- Medical services such as dental, vision, hearing and podiatry
This plan is available in the five boroughs of NYC, Dutchess, Nassau, Orange, Putnam, Rockland, Sullivan, Ulster or Westchester counties
Elderplan Plus Long-Term Care (HMO-POS D-SNP)2
An excellent choice for Medicare beneficiaries who qualify for Medicaid, require long-term care (LTC) services at home and prefer the ease and convenience of having their medical, hospital, prescription drug and LTC coverage in one simple plan. This plan provides a personal care worker (PCW) to help you with bathing, dressing and meals, plus support, care coordination and attention from a Care Management Team, all at no cost to you.
Some additional benefits include:
- NEW! Community Rides. Eligible members3 can now use their OTC allowance toward transportation, including Uber and Lyft, to visit friends and family, pharmacies, grocery stores, houses of worship, senior centers and more.
- NEW! $9004 per quarter for traditional OTC. Eligible3 members can also use their OTC allowance toward rent/mortgage, utilities, internet, groceries, home-delivered meals and community rides.
- NEW! $750 Flex card per year for out-of-pocket dental, hearing, vision, and fitness expenses
- NEW! Zero copay for unlimited routine hearing exams + $3,000 on hearing aids every year.
- Freedom to choose any specialist or dentist in or out-of-network, giving you greater access to care
- NEW! Zero copay for routine eye exams + $600 on eyewear.
- NEW! Worldwide emergency travel assistance services + up to $50,000 worldwide emergency coverage
This plan is available in the Bronx, Manhattan, Queens, and Brooklyn, Dutchess, Richmond, Orange, Putnam, Rockland, Sullivan, Ulster, Westchester and Nassau counties.
How to Get Started One of Our Long-term Care Plans
Because the Department of Health (DOH) requires that you receive a health care assessment from one of our nurses to qualify for these plans, your first step is to establish eligibility by calling 1-866-384-3515 [TTY: 711], 8:30 a.m. to 5 p.m., Monday to Friday. An enrollment representative will confirm that you meet the eligibility requirements and help you determine if you require an assessment completed by the New York Independent Assessor (NYIA).
