Am I Eligible?

You are eligible to join Senior Whole Health Medicaid Managed Long Term Care plan if:    

  • You are 21 or older
  • You are Medicaid eligible
  • You live in our New York City service area:
    • Bronx
    • Kings
    • New York
    • Queens
    • Westchester
  • Your health care needs can be safely met in your home and/or community
  • Assessed as requiring at least one (1) of the following long-term care services and care management for a continuous period of more than 120 days from the date of enrollment:
    • Nursing services in the home
    • Therapies in the home
    • Home health aide services
    • Adult day health care
    • Personal care services in the home
    • Private duty nursing
    • Consumer-Directed Personal Assistance Services
       

For more information about Medicaid eligibility and enrollment, please contact New York City Human Resources Administration (HRA) or Westchester County Department of Social Services (DSS).

You may have to pay for services that are not covered. You may also have to pay for services from providers not part of our network. If the services were an emergency, you don’t have to pay. If you need help, call Member Services.