Group 3

More for you,
less from you

A combination of Medicare Advantage Special Needs Plan and Medicaid Advantage Plus (MAP), Hamaspik Medicare Choice (HMO D-SNP), gets you the care you need, without the cost. Over-the-counter health items, acupuncture, telehealth—it’s all covered.

Plan premiums $0
Doctor copays $0
Preventive health $0
Outpatient services $0
Emergency care $0
Prescription copays $0
Home care $0
Home and community-based long term care services $0
Group 379
OTC Health Item Coverage
Group 364
Eye Exams & Eyewear
Group 365
Dental & Hearing Care
Group 366
Consumer Directed Personal Assistance Services (CDPAS)
Group 363
Healthy Food and Produce

Taking care to the next level

Through our vast network of highly skilled providers, members of Hamaspik Medicare Choice (HMO D-SNP) are entitled to everything Medicare offers and more:
√ Visits to your primary care physician
√ Visits to specialists
√ Inpatient & outpatient hospital care
√ Emergency & urgent care
√ Ambulance services
√ Home health services
√ Durable medical equipment
√ Mental health services (inpatient & outpatient)
√ 24-hour nurse hotline
√ Outpatient diagnostic tests & therapeutic services/supplies
√ Physical therapy, occupational therapy, and speech/language pathology
√ Over-the-counter health items
√ Vision benefits including eye exams & eyeglasses
√ Dental care & hearing health services
√ Personal care services
√ Consumer Directed Personal Assistance Services (CDPAS)
√ Adult day care services
√ Home Delivered Meals
√ Acupuncture
√ Healthy food and produce
√ Assistance with household utilities

 

This information is not a complete description of benefits. For more detailed information, please see the Summary of Benefits.

Do I qualify?

To be eligible for Hamaspik Medicare Choice (HMO D-SNP), individuals must meet the following criteria:

1

You are 18 years
of age or older

2

You are entitled to
Medicare Part A and B.

3

You are eligible for Full Medicaid benefits in the State of New York

4

You are capable of living safely at home according to New York State Department of Health (NYSDOH) criteria

5

You need one of the following services, for more than 120 days:

  • In-home nursing services
  • In-home therapies
  • Home health aide services
  • In-home personal care services
  • Consumer directed personal assistance services (CDPAS)
  • Adult day health care
  • Private duty nursing
6

You currently reside in
one of our participating service areas

Group 277

Take care where you need it

Hamaspik Medicare Choice is now welcoming members from the following New York counties:

Bronx
Queens
Dutchess
Richmond (Staten Island)
Kings (Brooklyn)
Rockland
Nassau
Sullivan
New York (Manhattan)
Ulster
Orange
Westchester
Putnam

Ready to Enroll?

Choose your method:

Group 266-1

Call us

Call us toll free. One of our licensed sales representatives can help you complete the application form and answer any questions you might have.
1.888.Hamaspik
1.888.426.2774
TTY/TTD Users Call: 711

Customer Service Hours:
Oct 1 - Mar 31, Mon - Sun, 8AM - 8PM
Apr 1 - Sept 31, Mon - Fri, 8AM - 8PM

New to Long-Term Care?

If you or a loved on are new to Medicaid Community Based Long Term Care Services (CBLTCS) or have not received CBLTCS for more than 45 days, you must contact the New York Independent Assessor Program (NYIA).  The NYIA will complete your initial assessment, in order to confirm that you are eligible to enroll. The initial assessment process includes two steps:

  • Community Health Assessment (CHA), which is an assessment that is completed by a registered nurse, to see if you need personal care and/or consumer directed personal assistance services (PCS/CDPAS) and are eligible for enrollment in a Managed Long Term Care plan or MAP plan.
  • Clinical appointment and Practitioner Order (PO): which is conducted by a medical practitioner, to confirm that you have a need for help with daily activities, and that your medical condition is stable, so you can receive care in your home. 

 If you have questions about the New York Independent Assessor Program (NYIA), please call 1-888-401-6582.  TTY:  1-888-329-1541.  Or call our Member Services staff for assistance at 1-888-426-2774 and we will be happy to help you.  (TTY users, call 711.)   

What’s next?

We will contact the individual to talk about the program and its benefits in detail, schedule an assessment, and create a plan of care for the individual. Then if the person agrees to enroll, we would submit it to the state and CMS, and then if it is approved, the enrollment would take effect on the first day of the next month.

Have a question about enrollment?
Speak with Us

Don’t forget your PCP!

Your PCP (Primary Care Physician) is your main healthcare provider for preventive care and other routine medical services. He or she also coordinates your benefits, helps you manage your ongoing health concerns, and teaches you to make healthy lifestyle choices. If you need a specialist, your PCP can connect you to a local in-network doctor.

Want to learn more about member benefits?
Click Here

 

Hamaspik Medicare Choice is a Medicare Advantage and Prescription Drug Plan (HMO D-SNP) with a Medicare contract, and a Medicaid Advantage Plus (MAP) plan with a New York State contract. Enrollment in Hamaspik Medicare Choice depends on contract renewal. This information is not a complete description of benefits. For a complete list of covered services and other important information, please review the Evidence of Coverage.

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