AgeWell New York Advantage Plus Member Enrollment

STEP 1: Determine your eligibility

• You are entitled to Medicare Part A, enrolled in Medicare Part B and have full Medicaid benefits.
• Eligible for Managed Long term Care (MLTC) with conflict free assessment completed.
• You are 18 years of age or older.
• You live in our service area which includes Bronx, Kings (Brooklyn), Nassau, New York (Manhattan), Queens or Westchester counties.
• Are able to stay safely at home at the time you join the plan.
• Are eligible for nursing home level of care at the time of enrollment
• Do not have hospice at time of enrollment.
• Need one of the following Community Based Long Term Care Services (CBLTCS) for more than 120 days from the date you join our plan:
  • 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, or
  • Consumer Directed Personal Assistance Services (CDPAS)

STEP 2: Review all Plan Materials

• 2021 MAP Summary of Benefits Englishopens PDF file
• 2021 MAP Summary of Benefits Spanishopens PDF file
• 2021 Welcome Letteropens PDF file
• 2021 Scope of Appointmentopens PDF file
• 2021 Legal Authority Witness Formopens PDF file
• 2021 MAPD Appointment of Representativeopens PDF file

STEP 3: Join the AgeWell New York family

1. Contact AgeWell New York directly at 1- 866-237-3210 to obtain information about our Medicaid Advantage Plus (MAP) plan and/or speak to a Senior Benefits Advisor to learn more about MAP coverage and eligibility.
2. If you or a loved one are new to home care services, also known as Community Based Long Term Services (CBLTS), or have not received CBLTS for more than 45 days, then a Conflict-Fee Evaluation will be needed prior to enrollment. AgeWell New York can assist you in scheduling your evaluation.
3. If you currently receive home care services, also known as Community Based Long Term Services (CBLTS), from a Managed Long Term Care Plan (MLTC), a Conflict-Free Evaluation is not required. Please contact AgeWell New York directly at 1-866-237-3210 to speak with a Senior Benefits Advisor or visit our website at www.agewellnewyork.com. (Note: You must be entitled to Medicare Part A, enrolled in Medicare Part B, and have full Medicaid with Community Based Long Term Services).