Senior Whole Health Members: Specialty Care Brought Home
Expert podiatry, eye, hearing, and diagnostic care for Senior Whole Health of New York members, delivered where you live.
Senior Whole Health of New York focuses on helping Medicare and Medicaid dual-eligible members get the right care at the right time, in the right place. For many members, the right place is home. Aspire Healthcare Solutions brings specialty care directly to Senior Whole Health members, so foot care, eye exams, hearing evaluations, and lab work no longer depend on arranging transportation and spending a day away from home. Since 2010, our team of experts has provided mobile podiatry, optometry, audiology, in-home lab collection, PAD testing, and diagnostic screenings for patients in private homes, senior apartments, assisted living communities, and long-term care facilities. For members who already receive daily support at home, specialty care that comes to the door simply makes sense.
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Need quality care at home or in a residential facility? Aspire Health Solutions brings personalized medical services—like vision, podiatry, dental, and audiology—right to your door. Reach out today to schedule a visit!
Senior Whole Health of New York, Part of Molina Healthcare
Senior Whole Health of New York is part of Molina Healthcare’s family of health plans and is built around members who need extra support to live safely and independently. Its New York plans include:
- Senior Whole Health of New York MLTC: A Medicaid Managed Long-Term Care plan that provides care, services, and help with daily activities for Medicaid-eligible adults 21 or older who are also eligible for long-term care.
- Senior Whole Health NHC (HMO D-SNP): A comprehensive Medicaid Advantage Plus plan for adults 18 or older who have both Medicare and Medicaid and are eligible for long-term care.
Both plans serve people whose health needs are ongoing and whose ability to travel is often limited, which is exactly where at-home specialty care helps most.
Senior Whole Health At-Home Care FAQs
What is Senior Whole Health?
Senior Whole Health of New York is a health plan within the Molina Healthcare family that focuses on helping Medicare and Medicaid dual-eligible members get the right care at the right time, in the right place, while respecting their cultural diversity. In New York, it offers Senior Whole Health of New York MLTC, a Medicaid Managed Long-Term Care plan, and Senior Whole Health NHC (HMO D-SNP), a Medicaid Advantage Plus plan for people with both Medicare and Medicaid who are eligible for long-term care. Members have access to care management, including a Personal Care Manager in the MLTC plan. Because many members find travel difficult, Aspire Healthcare Solutions complements this support by bringing podiatry, eye care, hearing care, and lab collection directly to the home.
Who is eligible for Senior Whole Health of New York MLTC?
According to Molina Healthcare, Senior Whole Health of New York MLTC provides care and services, along with assistance with daily activities, to Medicaid-eligible adults 21 or older who are also eligible for long-term care. Members must also live in the plan’s service area. In New York, people who are new to community-based long-term care services typically complete an assessment through the New York Independent Assessor to confirm that they qualify for managed long-term care. Senior Whole Health Member Services can explain the full eligibility requirements and the enrollment process. Aspire Healthcare Solutions does not determine eligibility or handle enrollment, but once coverage is in place, we can bring specialty care directly to members at home.
What is Senior Whole Health NHC?
Senior Whole Health NHC (HMO D-SNP) is a comprehensive Medicaid Advantage Plus plan for adults 18 or older who have both Medicaid and Medicare and are eligible for long-term care. Medicaid Advantage Plus plans bring Medicare Advantage coverage and Medicaid long-term care benefits together in one plan, so medical care and long-term support can be coordinated more easily. As a Medicare Advantage plan, it covers the medically necessary services Original Medicare covers, including a yearly diabetic retinopathy exam for people with diabetes, foot exams and treatment for people with diabetes-related nerve damage, and diagnostic hearing exams. The plan’s Evidence of Coverage explains all benefits in detail. Aspire Healthcare Solutions brings specialty care to Senior Whole Health NHC members at home.
Does Senior Whole Health cover hearing aids and eyeglasses?
Senior Whole Health of New York lists hearing exams and hearing aids among its MLTC benefits, provided through a network of local, independent audiologists, along with coverage for hearing aid batteries. Prior authorization is required, and the plan notes that members may be asked to see their doctor first to rule out other health problems affecting hearing. Senior Whole Health also covers eyeglasses provided by network optometrists when they are medically necessary. Senior Whole Health NHC members have vision and hearing benefits described in their plan documents. Because rules and network requirements apply, the member’s Personal Care Manager is the best resource for arranging these services. Aspire Healthcare Solutions provides at-home hearing evaluations, hearing aid fittings, eye exams, and glasses.
Do Senior Whole Health services require prior authorization?
Many Senior Whole Health services require prior authorization, including several of the benefits most relevant to specialty care. For example, the plan lists prior authorization as a requirement for audiology services and hearing aids, and long-term care services are generally arranged through the member’s plan of care. Authorization requirements help the plan confirm that a service is medically necessary and appropriate for the member’s needs. The member’s Personal Care Manager can explain which services need approval and help request it. Before scheduling an at-home eye exam, podiatry visit, hearing evaluation, or lab collection, families can check with the care manager so the visit goes smoothly. Once any required steps are complete, Aspire’s team can bring care directly to the member’s home.
Your Personal Care Manager and At-Home Specialty Care
Senior Whole Health describes its MLTC plan as giving each member a Personal Care Manager who works with them to ensure they receive personalized, comprehensive care so they can remain safe and healthy at home. That coordination is a real advantage when it comes to specialty care.
Care managers help determine which services a member needs, arrange authorizations, and update the plan of care as health changes. When the specialty services themselves can also happen at home, the entire care plan stays centered on the member’s living space. Families and care managers can contact Aspire to discuss the services a member needs and find a visit time that fits around home care schedules.
What Senior Whole Health Covers and What Aspire Brings Home
Senior Whole Health of New York lists several covered benefits for its MLTC members that align with the specialty services Aspire provides at home:
- Audiology and hearing aids: Senior Whole Health covers hearing exams and hearing aids through its network of audiologists, along with hearing aid batteries, with prior authorization required. Aspire offers at-home hearing evaluations, hearing aid fittings, and ear wax removal.
- Eyeglasses: Senior Whole Health covers medically necessary eyeglasses provided by network optometrists. Aspire offers mobile optometry, including comprehensive and dilated eye exams, retinal imaging, vision testing, diabetic eye care, and glasses.
- Durable medical equipment: Senior Whole Health’s DME benefit includes items such as orthotics, orthopedic footwear, canes, walkers, and wheelchairs. Aspire provides durable medical equipment and orthotics through our podiatry services.
- Podiatry: New York’s managed long-term care benefit package includes podiatry. Aspire’s mobile podiatry team provides diabetic foot care, treatment for foot pain, and care for foot and ankle conditions.
Aspire also offers PAD testing, in-home lab collection, dental photography screenings reviewed by a telemedicine dentist, vaccines, telehealth visits, medical alert systems, and medical alert key lock boxes.
Covered services generally must be medically necessary, are often subject to prior authorization, and are typically provided through the plan’s network. The member’s Personal Care Manager and Member Handbook are the best sources for how a service is covered. Aspire Healthcare Solutions is an independent healthcare provider. We do not sell, recommend, or enroll members in health plans.
When a Trip to the Specialist Becomes Too Much
Families often notice the signs before anyone says them out loud. An at-home specialty visit may be the right next step when:
- A loved one keeps canceling or rescheduling specialist appointments
- Getting ready, transferring to a vehicle, and waiting in an office leaves them exhausted for days
- Foot pain, thick nails, or calluses are making walking or standing difficult
- Glasses no longer seem to work well, or reading and recognizing faces has become harder
- Conversations require repeating, or the television volume keeps rising
- A diabetic eye exam or lab work is overdue
- Leaving home requires an aide, a family member, and special transportation
Who Benefits Most From At-Home Care With Senior Whole Health
At-home specialty care is a strong fit for Senior Whole Health members who receive long-term care services, including home care, personal care, or adult day health care, and who find travel physically or cognitively difficult. It helps dual-eligible members enrolled in Senior Whole Health NHC who manage several chronic conditions at once, members living with diabetes who need regular eye exams, foot care, and lab work, and residents of assisted living communities or long-term care facilities. It also supports the family caregivers and care managers who coordinate appointments and want care to happen without adding stress to the member’s day.
Why Senior Whole Health Members Choose Aspire
- Over 15 years of at-home and on-site care: Aspire has specialized in customized in-home and on-site healthcare since 2010.
- Recognized experts across specialties: Our team includes nurse practitioners, vascular specialists, cardiologists, podiatrists, audiologists, and other skilled professionals.
- Experienced with long-term care members: We specialize in serving patients who receive care at home and in facilities.
- Eye, foot, and hearing care in one place: One provider for several specialties means less coordination for families and care managers.
- Focused on early detection: We bring deep experience identifying cardiovascular risks, atherosclerosis, and diabetes-related complications.
- Flexible scheduling: We work around home care hours, facility routines, and family availability.
- Award-recognized, compassionate care: Every visit centers on the dignity, comfort, and individual needs of the patient.
Schedule At-Home Specialty Care for Senior Whole Health Members
Whether you are a member, a family caregiver, or a Personal Care Manager, Aspire Healthcare Solutions is here to help. Call
347-717-4117 Monday through Friday, 9 AM to 5 PM, or request an appointment online at any time. Let us know which Senior Whole Health plan the member has and which services are needed, and we will help find a convenient visit time.
