Medicare Advantage Plans are health plan options that are approved by Medicare and run by private companies. They are part of the Medicare Program and sometimes called "Part C". Medicare Advantage Plans provide all of your Part A (hospital) and Part B (medical) coverage must cover medically necessary services. Medicare C Plans generally offer extra benefits, and may include Part D drug coverage. These plans often have networks, which mean that you may have to see doctors who belong to the plan or go to certain hospitals to get covered services. In many cases, the premiums or the cost of the services (co-pay) can be lower in a Medicare Advantage Plan than they are in the Original Medicare Plan or the Original Medicare Plan with a Medigap policy. Medicare pays an amount of money for your care every month to these private health plans, whether or not you use services. Medicare Advantage Plans also include options that provide specialized care for people who need a lot of health care services. Even if you are out of the service area of the plans, you are still covered for emergency or urgently needed care. Medicare Advantage Plans include:

Medicare Preferred Provider Organization (PPO), Medicare Health Maintenance Organization (HMO), Medicare Private Fee-for-Service (PFFS), Medicare Special Needs Plans, and Medicare Savings Account (MSA) Plans. You can generally join Medicare Advantage Plan if:

You live in the service area of the plan you want to join. In Medicare HMO Plans, the service are is usually where you get your services from the plan. You have Medicare Part A and Part B. However, if you are already in a Medicare Advantage Plan and you have only Part B, you may stay in the plan. You don't have End Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant). Special exceptions do apply. You have to chance to switch plans each year between November 15 and December 31. In certain situations, you may be able to switch plans at other times. You can visit the Medicare Web at www.medicaare.gov, or you can call 1-800-MEDICARE (1800-486-2048).

Provides health and long-term care services to Managed Care Medicaid clients with chronic illness or disabilities, to better address their needs and to prevent or delay nursing home placement. Services include but are not limited to nursing, physical therapy, occupational therapy, speech pathology, medical equipment and supplies, podiatry, dentistry, optometry, respiratory therapy, transportation and social day care.

Who is Eligible?

This program is available to:

1. Medicaid recipients who are eligible for admission to nursing homes.

2. Those who are eligible for Medicare & Medicaid.

3. Those individuals are enrolled with Fidelis Care, VNSNY Choice & Home First.

Contact information:

Fidelis Care – 1-877-533-2404

VNSNY - 1-855-282-4642

HOME first - 1-866-390-1562

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HIICAP is federally-funded by the Administration for Community Living (ACL) and also receives funding from New York State through the New York State Office for the Aging. HIICAP provides you and your loved ones with information and counseling about Medicare and other health insurances. Trained staff and volunteers will answer your questions. The services provided by HIICAP are free and unbiased. The answers to your questions are just a free phone call away.

HIICAP can help you:

Understand the Medicare prescription drug benefit (Medicare Part D) and how to select the best plan

Understand low-income subsidy programs, including “Extra Help” and Medicare Savings Programs (MSPs)

Find ways to pay for your medications or medical equipment

Understand and apply for the Elderly Pharmaceutical Insurance Coverage (EPIC) program

Choose between original Medicare and Medicare Advantage plans including Health Maintenance

Organizations (HMOs), Preferred Provider Organizations (PPOs), Private Fee for Service (PFFS), and Special Needs Plans

Understand Medicare rules and your medical bills

Report possible Medicare fraud or abuse

Provide information on how to appeal a decision by Medicare, your managed care provider or other health insurance company

Discover ways to fill in Medicare’s gaps

Learn how to file a Medicare or Medigap complaint

Learn about prevention and screening visits that keep you healthy or helps to find health problems

Explore Long Term Care services like paying for nursing home care or understanding long term care insurance

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Community Link is a not-for-profit diagnostic and treatment center with sites throughout Clinton, Essex and Franklin Counties. Center is staffed by a Nurse Practitioner who can provide full medical care and also offers health screening for individuals, organizations and industries.
Prescription assistance is available for adults with no insurance to get free or low cost non-narcotic medications.
The Executive Director schedules special procedures in advance.

States offer a range of Medicaid home care service programs, each oriented toward slightly different needs and sometimes to different populations. Often, benefits may only be accessed through Medicaid Managed Care Plans and Medicaid Long Term Care Plans. All Metro works closely with almost all Managed Care Plans in our markets.

Thompson Health is proud of its not-for-profit mission to provide quality care to all who need it.

If you do not have health insurance or worry that you may not be ale to pay in full for your care, we may be able to help. Thompson Health provides financial aid to patients based on their income and needs. In addition, we may be able to help you get free or low-cost health insurance or work with you to arrange a manageable payment plan.

It is important that you let us know if you will have trouble paying your bill; Federal and State laws require all hospitals to seek payment of what they bill patients. This means we may turn unpaid bills over to a collection agency, which could affect your credit status.

For more information, please contact our Financial Counseling office at (585) 396-6512 or (585) 396-6029. We will treat your questions with confidentiality and courtesy.

The Open Door Transition Center helps people in nursing homes and Intermediate Care Facilities who want to return to the community. Transition Specialists provide residents with information about home and community based services needed to return to the community. Working with the discharge planner, they assist in finding services in the community, including locating housing and provide community preparedness education to make sure that individuals have the information/skills they will need when they return to the community. Open Doors also offers peer support through the Peer Outreach and Referral program.

The program works closely with the Nursing Home Transition and Diversion (NHTD) , the Traumatic Brain Injury (TBI) Medicaid Waivers and Medicaid Managed Long Term Care Plans to provide services that will support people in the community.

Health insurance information, counseling and assistance for Medicare and supplemental; Medicare D information; claims, insurance questions.

CCIA is proud to support Supply a Smile (SAS), a free dental program which began January 2011.

Our goal is to provide dental services to individuals who are not covered by dental insurance or Medicaid. Dental services provided are: fillings, cleanings, and extractions.

The process for care begins with a visit to SAS's monthly screening at the Canandaigua Elementary School cafeteria. Each patient begins with a brief health screening, including a blood pressure reading. Then they receive a dental exam to determine the route of care needed. The patient will then be responsible to call and schedule their appointment with the dentist they were referred to.

We are truly thankful to the local dentists, hygienist’s, and volunteers for their kindness, generosity and donation of their time staffing Supply a Smile's Dental Program.

For more information about Supply a Smile, please call Zion Fellowship (585) 394-7450 x304.

Dental Screening Schedule for 2015-2016. Screenings begin at 9 a.m.

The Medicare Rights Center is a national, not-for-profit consumer service organization that works to ensue access to affordable health care for older adults and people with disabilities through counseling and advocacy, educational programs and public policy initiatives.