• Additional covered services are different
depending on the plan you choose. Some
MLTC plans pay for hospital stays and
doctor visits.
or a full list of covered services, please
F
see http://www.health.ny.gov/health_care/
managed_care/mltc/coverservices.htm
334112/16
Department
of Health
Follow us on:
health.ny.gov
facebook.com/NYSDOH
twitter.com/HealthNYGov
youtube.com/NYSDOH
– Nursing home care and more.
– Social day care and adult day
health care
– Personal emergency response
system
– Home delivered meals
– Non-emergency transportation
to receive medically necessary
services
– Personal care
– Dental services
– Home care
– Care management
• All MLTC plans arrange and pay for the
following health and long-term care
services (as long as they are medically
necessary):
• Managed long-term care (MLTC) helps
people who are chronically ill or have
disabilities and who need health and longterm care services, such as home care or
adult day health care, stay in their homes
and communities as long as possible.
About Managed Long-Term Care
http://www.health.ny.gov/
health_care/managed_care/
mltc/consumer_guides/
Copies of this guide are
available at:
1-866-712-7197
New York State
Department of Health
MLTC Complaint Hotline
If you have a problem with your
health plan, call:
on
Long Island
Long-Term Care
Managed
A Consumer’s Guide to
Important Numbers
Long Island
Choosing a managed long-term care (MLTC) plan
that meets your health needs is an important decision. This brochure will
help you make that decision by providing information about the quality
of care offered by the different plans and people’s opinions about the
care and the services the plans provide.
Managed Long-Term Care Plans
on Long Island
Partial Capitation Plans
Aetna Better Health AgeWell New York
Centers Plan for Healthy Living
Elderplan dba Homefirst
ElderServe dba RiverSpring
Extended MLTC
Fidelis Care at Home
GuildNet
Integra MLTC
North Shore-LIJ Health Plan
Senior Health Partners
VNS CHOICE MLTC
WellCare Advocate Partial
Program of All-Inclusive Care for the Elderly (PACE)
CenterLight PACE
Medicaid Advantage Plus (MAP)
Elderplan GuildNet Medicaid Advantage Plus
MHI Healthfirst Complete Care
VNS CHOICE Total Fully Integrated Duals Advantage (FIDA)
Aetna Better Health FIDA
AgeWell New York FIDA
Elderplan FIDA Total Care
Fidelis Care FIDA
GuildNet Gold Plus FIDA
Healthfirst AbsoluteCare FIDA
North Shore-LIJ FIDA LiveWell
Partners Health Plan IDD
RiverSpring FIDA
VNSNY CHOICE FIDA Complete
There are four types of MLTC plans: Partial Capitation Plans, Program
of All-inclusive Care for the Elderly (PACE), Medicaid Advantage Plus (MAP),
and Fully Integrated Duals Advantage (FIDA). Each plan covers the same
base set of services, with certain plans covering additional services. To be
eligible for any plan, you must meet certain age, health-status, and living
arrangement requirements.
Member Services
Phone Numbers
Web Sites
Nassau
Suffolk
2016
1-855-494-9945
1-866-586-8044
1-855-462-3167
1-800-247-1447
1-800-815-0000
1-855-675-7630
1-855-776-7545
1-855-747-5483
1-800-950-9000
1-866-783-1444
www.aetnabetterhealth.com
www.agewellnewyork.com
www.elderplanfida.org
www.fideliscare.org
www.guildnetny.org
www.healthfirst.org
www.nslijhealthplans.com
www.phpcares.org
www.riverspringfida.org/riverspring
www.vnsnychoice.org
1-866-360-1934
1-800-932-4703
1-866-463-6743
1-855-282-4642
www.elderplan.org www.guildnetny.org
www.healthfirst.org
www.vnsnychoice.org ••
1-877-226-8500
www.centerlighthealthcare.org
••
••
••
••
••
••
••
••
••
••
•
••
••
www.aetnabetterhealth.com
1-855-456-9126
www.agewellnewyork.com
1-866-586-8044
www.centersplan.com
1-855-270-1600
www.homefirst.org
1-866-386-4177
www.elderservehealth.org
1-800-370-3600
www.extendedmltc.org
1-855-299-6492
www.fideliscare.org
1-888-343-3547
www.guildnetny.org1-800-932-4703
www.integraplan.org
1-855-800-4683
www.nslijhealthplans.com
1-855-421-3066
www.shpny.org
1-800-633-9717
www.vnsnychoice.org
1-855-282-4642
www.wellcare.com
1-800-288-5441
•
••
•
••
•
•
•
•
•
•
•
•
•
•
•
Not every plan may be accepting new enrollment. Please call the plan member services phone number listed above to confirm availability.
334112/16
Department
of Health
• Additional covered services are different
depending on the plan you choose. Some
MLTC plans pay for hospital stays and
doctor visits.
For a full list of covered services, please
see http://www.health.ny.gov/health_care/
managed_care/mltc/coverservices.htm
Follow us on:
health.ny.gov
facebook.com/NYSDOH
twitter.com/HealthNYGov
youtube.com/NYSDOH
– Nursing home care and more.
– Social day care and adult day
health care
– Personal emergency response
system
– Home delivered meals
– Non-emergency transportation
to receive medically necessary
services
– Personal care
– Dental services
http://www.health.ny.gov/
health_care/managed_care/
mltc/consumer_guides/
Copies of this guide are
available at:
– Home care
– Care management
• All MLTC plans arrange and pay for the
following health and long-term care
services (as long as they are medically
necessary):
• Managed long-term care (MLTC) helps
people who are chronically ill or have
disabilities and who need health and longterm care services, such as home care or
adult day health care, stay in their homes
and communities as long as possible.
About Managed Long-Term Care
on
1-866-712-7197
New York State
Department of Health
MLTC Complaint Hotline
If you have a problem with your
health plan, call:
Long Island
Long-Term Care
Managed
A Consumer’s Guide to
Important Numbers
Long Island
Managed Long-Term Care Plans
on Long Island
Partial Capitation Plans
Aetna Better Health AgeWell New York
Centers Plan for Healthy Living
Elderplan dba Homefirst
ElderServe dba RiverSpring
Extended MLTC
Fidelis Care at Home
GuildNet
Integra MLTC
North Shore-LIJ Health Plan
Senior Health Partners
VNS CHOICE MLTC
WellCare Advocate Partial
Program of All-Inclusive Care for the Elderly (PACE)
CenterLight PACE
Medicaid Advantage Plus (MAP)
Elderplan GuildNet Medicaid Advantage Plus
MHI Healthfirst Complete Care
VNS CHOICE Total Fully Integrated Duals Advantage (FIDA)
Aetna Better Health FIDA
AgeWell New York FIDA
Elderplan FIDA Total Care
Fidelis Care FIDA
GuildNet Gold Plus FIDA
Healthfirst AbsoluteCare FIDA
North Shore-LIJ FIDA LiveWell
Partners Health Plan IDD
RiverSpring FIDA
VNSNY CHOICE FIDA Complete
Web Sites
Member Services
Phone Numbers
Suffolk
that meets your health needs is an important decision. This brochure will
help you make that decision by providing information about the quality
of care offered by the different plans and people’s opinions about the
care and the services the plans provide.
There are four types of MLTC plans: Partial Capitation Plans, Program
of All-inclusive Care for the Elderly (PACE), Medicaid Advantage Plus (MAP),
and Fully Integrated Duals Advantage (FIDA). Each plan covers the same
base set of services, with certain plans covering additional services. To be
eligible for any plan, you must meet certain age, health-status, and living
arrangement requirements.
Nassau
2016
Choosing a managed long-term care (MLTC) plan
www.aetnabetterhealth.com
1-855-456-9126
www.agewellnewyork.com
1-866-586-8044
www.centersplan.com
1-855-270-1600
www.homefirst.org
1-866-386-4177
www.elderservehealth.org
1-800-370-3600
www.extendedmltc.org
1-855-299-6492
www.fideliscare.org
1-888-343-3547
www.guildnetny.org1-800-932-4703
www.integraplan.org
1-855-800-4683
www.nslijhealthplans.com
1-855-421-3066
www.shpny.org
1-800-633-9717
www.vnsnychoice.org
1-855-282-4642
www.wellcare.com
1-800-288-5441
••
••
••
••
••
••
••
••
••
••
•
••
••
www.centerlighthealthcare.org
1-877-226-8500
••
www.elderplan.org www.guildnetny.org
www.healthfirst.org
www.vnsnychoice.org 1-866-360-1934
1-800-932-4703
1-866-463-6743
1-855-282-4642
•
••
•
••
www.aetnabetterhealth.com
www.agewellnewyork.com
www.elderplanfida.org
www.fideliscare.org
www.guildnetny.org
www.healthfirst.org
www.nslijhealthplans.com
www.phpcares.org
www.riverspringfida.org/riverspring
www.vnsnychoice.org
1-855-494-9945
1-866-586-8044
1-855-462-3167
1-800-247-1447
1-800-815-0000
1-855-675-7630
1-855-776-7545
1-855-747-5483
1-800-950-9000
1-866-783-1444
•
•
•
•
•
•
•
•
•
•
Not every plan may be accepting new enrollment. Please call the plan member services phone number listed above to confirm availability.
•
2016
Long Island
A Consumer’s Guide to
Managed Long-Term Care on Long Island
More stars mean better health
plan performance with 5 stars
being the best.
Health Plan
Preventive Care
Satisfaction with Care
Rating of
Regular
Visiting
Nurse
Rating
of Care
Manager
Stability or Improvement
Timeliness
of Aide
ADL
Stable or
Improved
Pain
Intensity
Stable or
Improved
Shortness
of Breath
Stable or
Improved
Urinary
Continence
Stable or
Improved
Overall
Rating
Prevention
Patient
Safety
Advanced
Directives
Quality
of Life
Rating of
Health Plan
HHH
HHHH
HHH
H
HHH
HHHH
HHHHH
HHH
H
HHHH
HH
HHHHH
HHH
HH
HHHH
HHHHH
HHHH
HHHHH
HHHH
HHHHH
HHHH
H
H
HH
HHH
HHHH
HHH
HHHHH
HH
H
HH
HH
HHH
H
HHHH
H
HH
H
HHHH
HHHH
HHHH
HH
HHH
HH
HHHH
HHHH
HHHH
HHHHH
HHHH
HHH
HH
HH
HH
HHHH
HHHH
HHH
HHH
HH
H
HHH
HH
HHHH
H
HHH
HHHH
HHHH
HHHH
H
HHH
HHH
HHH
HHH
HH
HH
HH
HHHH
HHH
HHHH
HHHH
HHH
HHH
H
HHH
HHHH
HHH
HHH
H
HHH
HH
HHHH
H
HHH
HHH
HHH
HHHHH
HH
HHH
HHHH
HHH
HHH
HH
HH
HHH
HHH
HHH
HHH
HHHH
HHH
HHHH
HH
HHHH
HHH
HHH
HHHHH
HH
HH
HHHHH
H
HHHHH
H
HHHHH
HHH
HHHH
H
H
H
HHH
HHHHH
H
HH
HHH
HHHHH
HHHHH
HH
H
HHH
HH
HHH
H
H
HHH
HHHHH
H
HHH
HHHHH
HHHHH
HHHHH
HHH
HHHHH
HHH
HH
H
H
HH
HHH
HHHHH
HHH
H
HHHHH
HH
HH
HHHH
HHH
HHH
HHHH
HH
H
HHH
HHH
HHHHH
H
H
HHHH
HHHHH
HHHHH
HH
HHH
HH
HHHH
H
HH
HH
HHHHH
HH
HHH
HHH
HH
HHH
HHH
HHH
HHHHH
HHHHH
HHHHH
HHHHH
HHHHH
HH
HH
HHHHH
HHH
HHH
HHH
HHH
HHH
HHH
HHHH
HHHH
HHHH
HHH
HHH
HHHH
HHH
HHH
HHHH
HHHH
HHHH
HH
HHH
HHH
HHHHH
HHH
HHHH
HHH
HHHH
HHHH
HHHH
HHH
HHHHH
HHHH
HHH
H
HH
HHH
HHH
HHH
HHH
HHHH
HHH
H
HH
HHHHH
HHHH
HH
HH
HHHH
HHHH
HHH
HHHH
HHH
HHH
HHH
HH
HHH
HH
HHHH
HHH
HHH N/A
HHH N/A
HHHH N/A
HHHH N/A
HHH N/A
HHH N/A
HHH N/A
HHH N/A
HHH
HHH
HHH
HHH
HHH
HHH
HHH
HH
HHH
HHH
HHH
HHH
HHH
HHH
HHH
HHHH
HHH
HHH
HHH
HHHH
HHH
HHHH
HHH
HH
HHH
HHH
HHH
HHHH
HHH
HHH
HHH
H
HHH
HHH
HHH
HHHH
HHH
HHH
HHHH
HHH
Partial Capitation Plans
Aetna Better Health
AgeWell New York
CenterLight Select
Centers Plan for Healthy Living
Elderplan dba Homefirst
ElderServe dba RiverSpring
Extended MLTC
Fidelis Care at Home
GuildNet
Integra MLTC
North Shore-LIJ Health Plan
Senior Health Partners
VNS CHOICE MLTC
WellCare Advocate Partial
Program of All-Inclusive Care for the Elderly (PACE)
CenterLight PACE
Medicaid Advantage Plus (MAP)
Elderplan
GuildNet Medicaid Advantage Plus
MHI Healthfirst Complete Care
VNS CHOICE Total
Fully Integrated Duals Advantage (FIDA)
Aetna Better Health FIDA
AgeWell New York FIDA
CenterLight Healthcare FIDA
Elderplan FIDA Total Care
Fidelis Care FIDA
GuildNet Gold Plus FIDA
Healthfirst AbsoluteCare FIDA
VNSNY CHOICE FIDA Complete
HHHH N/A N/A N/A N/A
HHH N/A N/A N/A N/A
HHHH N/A N/A N/A N/A
HHHH N/A N/A N/A N/A
HHHH N/A N/A N/A N/A
HHHH N/A N/A N/A N/A
HHHHH N/A N/A N/A N/A
HHHHH N/A N/A N/A N/A
N/A Not able to report performance due to small numbers.
Plan performance data are not available for AlphaCare Signature FIDA, North Shore-LIJ FIDA LiveWell, RiverSpring FIDA, and WellCare Advocate Complete FIDA due to small numbers. Plan performance data are not available for Partners Health Plan IDD.
Ratings are based on a comparison of plan rates to statewide averages. Quality ratings are from information submitted by the Managed Long-Term Care Plans. Member Satisfaction ratings, Advanced Directives, and one component within the Quality of Life domain are from a Department of Health survey.
The quality of care measures used in this guide represent some, but not all, of the measures from Managed Long-Term Care plans. For additional information about the individual measures included in each category, as well as the other quality of care measures available such as nursing home utilization, please see the New York State Department of Health website: http://www.health.ny.gov/health_care/managed_care/mltc