Long-Term Care Services
Get the Care You Need, at Home
Most health plans cover doctor visits, hospital stays, and prescriptions, but they stop at the front door of your home. Elderplan Plus Long-Term Care (HMO-POS D-SNP) goes further. Your plan includes a full set of long-term services and supports (LTSS) — the day-to-day help that keeps you safe and independent where you want to be: in your own home and community.
Whether you need a little help with bathing and meals, a trusted caregiver by your side, a program to attend during the day, or skilled nursing care at home, your plan is designed to wrap around your needs — and adjust as those needs change.
What’s Covered at a Glance
Your Long-Term Care benefit includes the services below as Medicaid-covered benefits, plus the added benefit of coordination through your Elderplan Care Management Team. Most services require prior authorization — your care manager will handle that with you and your doctor.
Long-Term Care benefits
| Service | What It Provides |
|---|---|
Care Management | Ongoing coordination of all your services, referrals, and benefits — included as part of your plan, at no cost to you. Learn More |
| Personal Care Services (PCS) | Hands-on help with Activities of Daily Living (ADLs) — like bathing, dressing, grooming, toileting, transferring, and feeding — and Instrumental Activities of Daily Living (IADLs) — like meal preparation, light housekeeping, laundry, shopping, and bill paying. Learn More |
| Consumer Directed Personal Assistance Services (CDPAS) | A self-directed option that lets you (or a designated representative) hire, train, schedule, and manage a caregiver of your choice — including a family member, friend, or neighbor. Learn More |
| Home Health Care Services | Skilled nursing, home health aide support, physical therapy, occupational therapy, and speech/language pathology services are provided in your home. |
| Private Duty Nursing | Medically necessary nursing care by a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in your home, following your provider’s written treatment plan. |
| Adult Day Health Care | A medically supervised day program at an approved facility with nursing, nutrition, social services, rehabilitation therapy, leisure activities, dental, pharmacy, and other services. Learn More |
| Social Day Care | A structured day program in a protective setting with socialization, supervision, personal care, and nutrition, for part of the day, less than 24 hours. |
| Home-Delivered & Congregate Meals | Meals are delivered to your home or served at a senior center for members who can’t prepare meals safely or have them prepared for them. |
| Nutrition Services | Assessment of your nutritional needs, a personalized nutrition plan, and nutrition education by a qualified professional — with cultural considerations built in. |
| Medical Social Services | Help from a qualified social worker with social concerns related to your illness, housing, finances, or home environment so you can stay safely at home. |
| Social & Environmental Supports | Supports that make your home safer and easier to manage — home maintenance, homemaker and chore services, and respite care for caregivers. |
| Personal Emergency Response Services (PERS) | A wearable device that lets you call for help instantly in a physical, emotional, or environmental emergency. |
| Durable Medical Equipment (DME) — Medicaid | Equipment not covered by Medicare, such as tub stools, grab bars, and hearing aid batteries, is covered when medically necessary. |
| Routine Physical Exam | One routine physical exam per year. |
| Nursing Home Care | If your needs change and you require short-term nursing home care, services are covered when you meet institutional Medicaid eligibility, and your provider writes a treatment plan. |