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 $252 a month over-the-counter (OTC) Plus card allowance to spend on health-related items, exercise equipment, activity trackers, healthy foods, 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
The chart below shows a quick snapshot of our Long-Term Care Plans and benefits.
| CompleteCare (HMO D-SNP) offers benefits such as: | Senior Health Partners MLTC Medicaid plan offers 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 | ||
| Support for caregivers | ||
| Over-the-counter (OTC) Plus card allowance of $252 per month for health-related items, exercise equipment, activity trackers, healthy foods, 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 and Adult Day Care Centers | ||
| Audiology, hearing aids, and batteries | ||
| Personal emergency response systems (PERS) | ||
| In-home nursing visits | ||
| Podiatry and routine foot care | ||
| 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 Medicaid 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. Our SNPs also have contracts with the NY State Medicaid program. Enrollment in Healthfirst Medicare Plan depends on contract renewal. Plans contain exclusions and limitations.
ATENCIÓN: Dispone de servicios de asistencia lingüística y otras ayudas, gratis. Llame al 1-866-305-0408 (TTY: 1-888-867-4132).
请注意：您可以免费获得语言协助服务和其他辅助服务。请致电 1-866-305-0408 (TTY: 1‑888‑542‑3821)。
*Healthy foods and home utilities are special supplemental benefits for members enrolled in a Healthfirst dual-eligible special needs plan. To be eligible, you must have a chronic condition such as cardiovascular disorder, disabling mental health condition, diabetes, lung disorders, obesity, or another eligible condition not listed. Benefit eligibility is not based on your chronic condition alone.
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.
OTC items are subject to the plan’s list of eligible items and the plan’s participating network of retail, online, and utility providers.
SilverSneakers is a registered trademark of Tivity Health, Inc. © 2025 Tivity Health, Inc. All rights reserved.
(25-5381. H3359_MKT26_160 5381-25_ ; SHP26_18 5381-25 *pending CMS or DOH approval.)
