Long-Term Care Plan Options

Now more than ever, people want the ability to receive the care they need in the safety and comfort of their own home.

If you or someone you love is living with a chronic condition and requires long-term care (LTC) services at home, Elderplan can help. We offer health plans designed for people who require assistance with activities 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.

Perhaps one of the biggest perks of being enrolled in our long-term care plans is that you are assigned a dedicated Care Manager who leads a team of caring clinical professionals, all committed to helping you stay healthy. Your Care Manager will stay in touch with your doctors, helping arrange your medical visits as well as transportation to get you there. They will be your go-to person and will work to help ensure you get the care you need to remain safely at home.

Elderplan offers 2 options of long-term care plans for you to choose from:

HomeFirst earned a 5-star rating on overall health plan performance for 3 years in a row. Results published in the DOH Consumer Guide September 2020

HomeFirst Managed Long-Term Care (MLTC) Plan

A plan designed for those who receive Medicaid and prefer a separate long-term care plan in addition to their existing medical and prescription drug coverage. While enrolled in HomeFirst, you can keep your own doctor. There is no cost to obtain care from this plan.

  • $0 plan premium
  • Personal Care Workers to help you with bathing, dressing and preparing meals
  • Home Health Care including physical therapy, occupational therapy and speech therapy
  • Transportation to medically necessary services
  • Home-delivered meals
  • Social Day Care
  • Life alert coverage
  • Durable medical equipment, medical/surgical supplies, prosthetics, orthotics and oxygen
  • Assistance securing community entitlements, including food stamps, phone and utility subsidies, and Medicaid recertification
  • $0 plan premium
  • Personal Care Workers to help you with bathing, dressing and preparing meals
  • Home Health Care including physical therapy, occupational therapy and speech therapy
  • Transportation to medically necessary services
  • Home-delivered meals
  • Social Day Care
  • Life alert coverage
  • Durable medical equipment, medical/surgical supplies, prosthetics, orthotics and oxygen
  • Assistance securing community entitlements, including food stamps, phone and utility subsidies, and Medicaid recertification

HomeFirst focuses on providing long-term care services. It does not cover hospital, physician or prescription drugs. For this coverage, HomeFirst members can also enroll in Elderplan Medicare Advantage plans, Original Medicare or another plan.

Available in the 5 boroughs of NYC, Dutchess, Nassau, Orange, Putnam, Rockland, Sullivan, Ulster and Westchester counties.

To get started with this plan call 1-866-386-4177 [TTY: 711], for the hearing impaired, 8:30 a.m. to 5 p.m., Monday to Friday.

Long-Term Care
Elderplan offers the only 5-Star MAP plan in New York State (covers: Medicare, Medicaid, Long-Term Care & Prescription Drugs) as published in the DOH Consumer Guide September 2020

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

A plan for individuals receiving both Medicare and Medicaid who want their health care and long-term care coverage all in one plan. There is no plan premium, no co-payments for doctor and hospital visits, and low co-payments for prescription drugs. You also receive an over-the-counter (OTC) benefit.

  • $0 plan premium
  • Personal Care Workers to help you with bathing, dressing and preparing meals
  • Home Health Care including physical therapy, occupational therapy and speech therapy
  • Transportation to medically necessary services
  • Home-delivered meals
  • Social Day Care
  • Life alert coverage
  • Durable medical equipment, medical/surgical supplies, prosthetics, orthotics and oxygen
  • Assistance securing community entitlements, including food stamps, phone and utility subsidies, and Medicaid recertification
  • $0 co-pay for in-person or telehealth primary care and specialist doctor visits
  • $0 for inpatient, in-network hospitalization
  • $160 every month for over-the-counter (OTC), health-related and grocery items12
  • $0 plan premium
  • Personal Care Workers to help you with bathing, dressing and preparing meals
  • Home Health Care including physical therapy, occupational therapy and speech therapy
  • Transportation to medically necessary services
  • Home-delivered meals
  • Social Day Care
  • Life alert coverage
  • Durable medical equipment, medical/surgical supplies, prosthetics, orthotics and oxygen
  • Assistance securing community entitlements, including food stamps, phone and utility subsidies, and Medicaid recertification
  • $0 co-pay for in-person or telehealth primary care and specialist doctor visits
  • $125 every month for over-the-counter (OTC), health-related items2

Available in Bronx, New York, Queens, Kings, Richmond, Nassau, Westchester, Putnam, Rockland, Dutchess and Orange counties.

To get started with this plan call 866-360-1934 [TTY: 711] for the hearing impaired, 8 a.m. to 8 p.m., 7 days a week.

  1. For eligible members (with certain chronic conditions), the Special Supplemental Benefits for the Chronically Ill (grocery benefit) combines with the OTC benefit to cover certain grocery items as a part of the monthly OTC allowance. []
  2. Members in this plan receive a monthly maximum amount to purchase eligible over-the- counter (OTC) items at authorized retail stores. The OTC card balance cannot be carried over to the next month. The OTC card is not a debit or credit card and cannot be converted to cash. [] []