Are you ready for a Medicaid Managed Long Term Care Plan with more?
The Senior Whole Health of New York Medicaid Managed Long Term Care Plan provides benefits and services to adults age 21 or older who are eligible for Medicaid and need long-term support and assistance with day-to-day activities to continue living at home.
As a member, you will have no copays, no premiums and no deductibles for any of the services or benefits we provide.*
Benefits and services include:
In home care
- Home delivered meals
- Help with housekeeping
- Dedicated Care Manager
- Home assessments and home safety modifications
- Professional nursing and in-home health care
- Care coordination
- 24/7 phone access to a Senior Whole Health Nurse Care Manager
Medical supplies and equipment
- Personal Emergency Response Services (PERS)
- Medical and surgical supplies
- Prosthetics and orthotics
- Dental care
- Eye exams
- Foot care
- Hearing exams
- Physical therapy
- Occupational therapy
- Speech therapy
- Respiratory therapy
Other care & services
- Adult day health program
- Transportation to and from medical appointments
- Help with medication management
- Nutritional counselling and dietary supplements
*All benefits provided are based on medical necessity.
MLTC Member Handbook
Your member handbook has important information about your plan and your covered benefits and services. It tells you how to get those benefits and where to go when you need help. Please use your handbook to find information on filing appeals or grievances, your rights and responsibilities, and more.
Download the 2019 SWH MLTC Program Member Handbook (PDF), English.
Download the 2019 SWH MLTC Program Member Handbook (PDF), Spanish.
Download the 2019 SWH MLTC Program Member Handbook (PDF), Chinese.
Fraud and abuse is everyone's problem. Please report fraud or suspected fraud by calling the SWH Fraud Hotline at 1-800-341-4915, our anonymous compliance hotline at 1-800-915-2108 or the Main SIU Hotline at 1-800-755-0850.
Multi-Language Interpreter Services Insert & Notice of Non-Discrimination
We have free interpreter services to answer any questions you may have about our health or drug plan. To get an interpreter, just call us at 1-877-353-0185 (TTY/TDD 711). Someone who speaks your language can help you. This is a free service.
Download the 2019 Multi-Language Interpreter Services Insert (PDF).
Download the 2019 Notice of Non-Discrimination (PDF) in ENGLISH.
Download the 2019 Notice of Non-Discrimination (PDF) in SPANISH.
Last Updated 07/09/2019
NYS DOH Pending Approval