Find the services and the support you/your loved one needs with a Healthfirst Long-Term Care plan.
Healthfirst Long-Term Care Plans offer health benefits that help you (or your loved one) remain at home and as independent as possible. They can provide help with day-to-day needs and coordinate care with you/your loved one, doctor, and family. But the process of getting a plan can be complicated. We can help make it easier with these three steps.
Start by reviewing our plans below. Then give us a call. We'll explain how our plans work and help you choose the best plan for your situation. To make it easier, have these items handy.
We’ll help you get a free nurse assessment to help us understand the level of medical care that’s needed. Learn more.
We are experts at helping people get access to the care they need, and we’ll walk you through the enrollment process step by step. So you’re in good hands!
This all-in-one plan combines Medicare Advantage and Medicaid Long Term Care services AND medical health coverage. So members are covered for in-home care PLUS doctor visits, prescription drug coverage, and a $280 a month over-the counter (OTC) Plus card allowance to spend on health-related items, healthy foods, fitness equipment and trackers, and even home utilities (e.g. gas, oil, electric, heat, and internet service).*
This plan adds access to in-home Long-Term Care services to existing health coverage. You would use your Medicare and/or Medicaid health coverage to access medical, hospital, and prescription drug coverage.
Adult day health center or social day center
Home-delivered meals
Physical, occupational, and speech therapies
In-home nursing visits
Medical equipment and supplies
A Dedicated Care Management Team
The chart below shows a quick snapshot of our Long-Term Care Plans and benefits.
| CompleteCare (HMO D-SNP) plan offer benefits such as: | Senior Health Partners MLTC Medicaid plan offer benefits such as: | |
|---|---|---|
| Primary doctor and specialist office visits | ||
| Inpatient and outpatient care | ||
| Medicare Part D prescription drugs | ||
| 24/7 access to doctors by phone and video chat | ||
| Over-the-counter (OTC) Plus card allowance of $280 per month for health-related items, healthy foods, fitness equipment and trackers, and even home utilities (e.g., gas, oil, electric, and internet service)* | ||
| Acupuncture | ||
| SilverSneakers® fitness program | ||
| Care Management Team | ||
| Vision care | ||
| Dental care | ||
| Home-delivered meals | ||
| Personal care services | ||
| Physical, occupational, and speech therapies | ||
| Medical equipment and supplies | ||
| Home health aide services | ||
| Respiratory therapy | ||
| Social day center or adult day health center | ||
| Audiology, hearing aids, and batteries | ||
| Personal Emergency Response System (PERS) | ||
| In-home nursing visits | ||
| Podiatry and routine foot care | ||
| Nutritional supplements | ||
| Social services | ||
| Nursing home care |
If you receive Medicaid and want to know whether you are eligible for a Managed Long-Term Care Plan, you can call the New York Independent Assessor Program (NYIAP) at 1-855-222-8350, Monday to Friday, 8:30am–8pm, or Saturday, 10am–6pm, to schedule a free evaluation.
Coverage for Senior Health Partners, Managed Long-Term Care Plan, is provided by Healthfirst PHSP, Inc. Plans above reflect amounts after Extra Help or Medicaid secondary coverage has been applied.
Coverage is provided by Healthfirst Health Plan, Inc., which offers HMO plans with a Medicare contract and a contract with the NY State Medicaid program. Enrollment in Healthfirst Medicare Plan depends on contract renewal. Plans contain exclusions and limitations.
*For Healthfirst CompleteCare: Healthy foods/groceries and home utilities are special supplemental benefits. To be eligible for these benefits, you must have one of the following chronic conditions: cardiovascular disorder, disabling mental health condition, diabetes, lung disorders, or obesity. There are other eligible conditions not listed. Your chronic condition alone cannot guarantee eligibility for these benefits
You must continue to pay your Medicare Part B premium, if applicable. This information is not a complete description of benefits. Contact the plan for more information. Benefits, premiums, and/or copayments/coinsurance may change each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
SilverSneakers is a registered trademark of Tivity Health, Inc. © 2023 Tivity Health, Inc. All rights reserved.
Healthfirst complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
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