New York eligibility and enrollment

Wellpoint helps qualified New York residents get access to affordable healthcare.

Are you eligible in NY?

 

Eligibility can be hard to understand, but we’re here to help you find the right plan. Use this list to review key plan benefits and find out if you’re eligible.

 

 

Managed Long-Term Care (MLTC)

 

Who’s eligible?

 

Adults age 18 or older who:

  • Live in Erie or Niagara County.
  • Are eligible for Medicaid.
  • Have a chronic illness or disability that makes you clinically eligible for enrollment, based on an assessment.
  • Are expected to need at least one of the following community based long-term care services for more than 120 continuous days from the effective date of enrollment:
    • Nursing services in the home
    • Therapies in the home
    • Home health aide services
    • Personal care services in the home
    • Adult day health care
    • Private duty nursing
    • Consumer Directed Personal Assistance Service (CDPAS)

 

What are the benefits?

 

All Medicaid benefits, plus:

  • Long-term services and support to help you stay in your home or community

 

Review all MLTC benefits 

How to enroll

 

Call Wellpoint Managed Long-Term Care (MLTC)

 

 877-388-5192 (TTY 711)