EmblemHealth to Offer Managed Long-Term Care Benefit to Help Members Maintain Independent Living in Their Community

Aug 03, 2010, 08:00 ET from EmblemHealth

NEW YORK, Aug. 3 /PRNewswire/ -- The New York State Department of Health has approved HIP Health Plan of New York (HIP), an EmblemHealth company, to operate a Medicaid Advantage Plus Long-Term Care plan for dual eligible Medicare and Medicaid individuals.  The HIP VIP Dual Eligible (HMO) Medicaid Advantage Plus-Managed Long-Term Care (MLTC) plan is designed to allow members to maintain their independence in the community for as long as possible at no additional cost.

"We want to help our members maintain their quality of life," says Anthony L. Watson, Chairman and CEO of EmblemHealth, Inc., which provides health insurance through its companies Group Health Incorporated (GHI) and HIP.  "The goal of the MLTC program is to assist frail, elderly and disabled individuals so that they can remain in their homes for as long as possible."

The MLTC program will be offered in all five boroughs of New York City, as well as Westchester, Nassau and Suffolk Counties.  Every participant will be assigned a Nurse Care Manager who will work with network physicians, nurses, social workers and other health care providers to develop a personalized plan of care.

In addition to their existing benefits, members of the MLTC program will receive personal care; help with chores, housekeeping and cooking; home and adult-day health care; social day care; delivered meals; and personal emergency response systems.

Enrollment begins in August, and benefits will go into effect on September 1, 2010.

To be eligible, applicants must enroll in the HIP Medicare Advantage Product, be eligible for both Medicare and Medicaid, be 18 years of age or older, reside in the service area and require care services to assist with daily living that meet Department of Health criteria.

For more information or to enroll, call 1-888-447-9161.

About EmblemHealth

EmblemHealth, Inc., through its companies Group Health Incorporated (GHI) and HIP Health Plan of New York (HIP), provides affordable, quality health care coverage and administrative services to nearly 3.3 million people.  Groups and individuals can choose from a variety of PPO, EPO and HMO programs, as well as prescription drug, dental and vision plans.  Plans offer a choice of networks, including access to over 106,000 quality doctors and other health care professionals and most of the leading hospitals across the tristate region.  For more information, visit www.emblemhealth.com.

SOURCE EmblemHealth