Need help? Give us a call: (718) 627-1122

Plans and Insurers - Home Care Benefit Coverage

Medicare and Medicaid programs offer a wide variety of options for community-based care, which allows people to be looked after within the comfort of their own homes. Figuring out which plan is best suited for you can be a confusing process, however.

These are the primary types of programs available, with some details on how they function:


Medicaid Managed Care (MMC):
If you’re a resident of New York State and qualify for Medicaid, you may be eligible for Medicaid Managed Care (MMC). This is a healthcare delivery system in which Medicaid contracts with Managed Care Organizations (MCOs) to deliver and manage your health care services. The key objectives of Medicaid Managed Care are to improve health plan performance and quality—and achieve better outcomes.

The following MMC plans operate in Special Touch’s geographic coverage area:

  • Affinity Health Plan, Inc.
  • Amida Care Inc.
  • Empire BC/BS (Healthplus, an Amerigroup Company)
  • Fidelis/NYS Catholic Health Plan
  • HealthFirst PHSP, Inc.
  • Metroplus Health Plan, Inc.
  • United Healthcare of NY, Inc.
  • VNSNY Choice Select
  • Wellcare of NY, Inc.


Managed Long Term Care (MLTC):
People who have long-term health problems or disabilities may be eligible to enroll with a Managed Long Term Care (MLTC). MLTC is for people who are chronically ill or disabled, and wish to continue living within the comfort of their own home. It may include health services at your home, such as nursing, home health aide, occupational, physical and speech therapies. You can also receive personal care, such as help with bathing, getting dressed, running errands, and additional services such as home delivered meals, emergency services, and CDPAP.  More information about the services covered by MLTC can be found on the New York State Department of Health website here.

The following MLTC plans operate in Special Touch’s geographic coverage area:

  • Aetna Better Health
  • AgeWell New York, LLC
  • Alphacare of New York, Inc.
  • Archcare Community Life
  • Centers Plan for Healthy Living
  • Elderplan, Inc. (d/b/a Homefirst)
  • Elderserve/River Spring at Home
  • Empire BC/BS (Healthplus, an Amerigroup Company)
  • Extended
  • Fidelis Care at Home
  • Guildnet
  • Independence Care Systems
  • Integra
  • MetroPlus
  • Senior Health Partners, Inc.
  • Senior Whole Health
  • United Healthcare
  • VillageCareMax (Village Senior Services)
  • VNS Choice
  • Wellcare


Medicaid Advantage Plus (MAP):
Medicaid Advantage Plus plans were designed to merge Medicaid and Medicare services together, to better and more efficiently manage both programs. They include all the home care services mentioned in MLTC above, in addition to medical services. To see the spectrum of services covered, you can read this booklet (PDF) prepared by New York Medicaid Choice.

The following MAP plans operate in Special Touch’s geographic coverage area:

  • Elderplan
  • Empire BC/BS (Healthplus, an Amerigroup Company)
  • Fidelis Care of NY
  • GuildNet Gold
  • HealthFirst Complete Care
  • Senior Whole Health
  • VNS Choice Total


Program for All-Inclusive Care for the Elderly (PACE):
The Program for All-Inclusive Care for the Elderly (PACE) is for those who are 55 years of age or older. It involves Medicaid long-term care services—such as home care and personal care services which Special Touch Home Care provides—as well as social day care, nursing home care, speciality health needs like dental and physical therapy, and Medicare services.

The following PACE plans operate in Special Touch’s geographic coverage area:

  • Archcare Senior Life
  • CenterLight HealthCare


Fully Integrated Duals Advantage (FIDA):
In 2015, the New York State Department of Health (NYSDOH) partnered with the Centers for Medicare and Medicaid Services (CMS) to offer the Fully Integrated Duals Advantage (FIDA) program. It was designed to simplify processes for individuals who qualify for both Medicare and Medicaid. FIDA brings together your MLTC plan with an original Medicare or Medicare Advantage plan, and your Part D plan. Learn more about how the program works on the NYSDOH website here.

The following FIDA plans operate in Special Touch’s geographic coverage area:

  • Aetna Better Health
  • AgeWell New York
  • Elderplan
  • Fidelis Care
  • Elderserve/RiverSpring
  • Guildnet Gold Plus
  • Healthfirst AbsoluteCare
  • ICS Community Care Plus
  • Metroplus
  • SWH Whole Health
  • VillageCareMAX Full Advantage
  • VNSNY Choice


Disclaimer: The list above represents a starting point for exploring services in New York City. Each reader should independently research the various plans, and speak with their doctor or the individual who is charge of managing their healthcare.  **Although we do our best to keep this list up to date, plans change frequently, for the most current list visit the New York DOH website.