Continue Enjoying the Comfort of Home with One of Our Long-Term Care Plans

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 dedicated care management team. Your dedicated 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 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 Dedicated Care Management Team, all at no cost to you.

Some additional benefits include:

INCREASED FOR 2026! $950³ per quarter for traditional OTC. Eligible members⁴ can also use their OTC allowance toward rent/mortgage, utilities, internet, groceries, home-delivered meals and community rides. Unused funds roll over to the next quarter.
Community Rides. Eligible members⁴ can 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. It can also be applied to gas, tolls, and parking
$500 Flex card per year for out-of-pocket dental, hearing, vision, and fitness expenses
$2,500 toward hearing aids every year for both ears combined
Freedom to choose any specialist in or out-of-network, giving you greater access to care⁵
Vision: $600 toward eyewear
NEW for 2026! Gym Membership: Zero cost gym membership to help keep you fit and active, plus over 15,000 online videos⁶
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, Westchester and Nassau counties.

How to Get Started with 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).

Elderplan is an HMO plan with Medicare and Medicaid contracts. Enrollment in Elderplan depends on contract renewal. Elderplan, Inc. 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 interpretation assistance, language assistance services and appropriate auxiliary aids are available to you free of charge. If you need these services or have questions about our plan, call 1-800-353-3765 (TTY: 711). Elderplan, Inc. cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATENCIÓN: Si usted habla en un idioma que no es inglés o requiere asistencia de interpretación, tiene a su disposición servicios de asistencia lingüística y las ayudas auxiliares adecuadas de forma gratuita. Si necesita estos servicios o tiene preguntas sobre nuestro plan, llame al 1-800-353-3765 (TTY: 711). Elderplan, Inc. 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、殘障情況或性別而歧視任何人。請注意：如果您說英語以外的語言或需要口譯協助，我們將免費為您提供語言協助服務和適當的輔助工具。如果您需要這些服務或對我們的計劃有疑問，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. Members in this plan receive a quarterly maximum amount of $950 to purchase eligible OTC items at authorized retail stores. The OTC card balance will be carried over to the next quarter but will expire at the end of the year.

4. 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.

5. Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our Member Services number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

6. No-cost gym membership is available at all fitness centers and select YMCAs in the Silver&Fit® network.

Elderplan es un plan HMO que tiene contratos con Medicare y Medicaid. La inscripción en Elderplan depende de la renovación del contrato.

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. Los miembros que son elegibles para inscribirse en este plan deben tener Medicaid completo y necesitar servicios de atención a largo plazo basados en la comunidad durante más de 120 días (por ejemplo, enfermería a domicilio, terapias, asistente domiciliario, cuidado personal, servicios de asistencia personal dirigidos por el consumidor; enfermería privada; o atención médica diurna para adultos) pero prefieren y pueden vivir de manera segura en casa. Si las personas son elegibles únicamente para Medicaid, también deben ser evaluadas como elegibles para un hogar de ancianos.

2. Los miembros elegibles para inscribirse en este plan deben tener Medicare y Medicaid, tener 18 años de edad o más, necesitar servicios de atención a largo plazo en la comunidad durante más de 120 días y ser evaluados como elegibles para un hogar de ancianos.

3. Los miembros de este plan reciben un monto máximo trimestral de $950 para comprar productos de venta libre (OTC) elegibles en tiendas minoristas autorizadas. El saldo de la tarjeta para OTC no se puede transferir al siguiente trimestre; no es una tarjeta de débito ni de crédito y no se puede canjear por efectivo.

4. La elegibilidad se determina en función de si usted tiene una afección crónica asociada con el beneficio suplementario especial para personas con enfermedades crónicas (SSBCI) (OTC ampliado). Los ejemplos de afecciones SSBCI incluyen, entre otros, trastornos cardiovasculares, diabetes, artritis, trastornos pulmonares crónicos y cáncer. Existen otras condiciones elegibles que no se enumeran. Los estándares pueden variar para este beneficio.

6. No-cost gym membership is available at all fitness centers and select YMCAs in the Silver&Fit® network.

Elderplan（長老計劃）是一項與 Medicare 聯邦醫療保險和 Medicaid 醫療補助簽有合約的 HMO 計劃。能否在 Elderplan（長老計劃）註冊參保視合約續簽情況而定。

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1. 有資格參加此計劃的會員必須擁有全額醫療補助，並且需要超過 120 天的社區為基礎的長期照護服務（例如，家庭護理、治療、家庭助理、個人護理、消費者導向的個人協助服務；私人值班護理；或成人日間醫療保健），但更喜歡並且能夠安全地生活在家中。如果個人僅符合醫療補助資格，他們還必須經評估是否具有療養院護理資格

2. 有資格加入該計劃的會員必須擁有 Medicare 和 Medicaid，年滿 18 歲，需要超過 120 天的社區長期護理服務，並被評估為符合療養院資格。

4. 資格取決於您是否患有與 SSBCI 福利（擴大的 OTC）相關的慢性病。 SSBCI 病症包括但不限於心血管疾病、糖尿病、關節炎、慢性肺部疾病和癌症。還有其他符合條件的疾病未列出。該福利的標準可能有所不同。

6. No-cost gym membership is available at all fitness centers and select YMCAs in the Silver&Fit® network.

Continue Enjoying the Comfort of Home with One of Our Long-Term Care Plans

Two Long Term-Care Plan Options

HomeFirst Managed Long-Term Care Plan1

Elderplan Plus Long-Term Care (HMO-POS D-SNP)2

How to Get Started with One of Our Long-term Care Plans

HomeFirst Managed Long-Term Care Plan¹

Elderplan Plus Long-Term Care (HMO-POS D-SNP)²