As a member, you have the benefits available from regular Medicaid, plus you get the special care and support you need to stay healthy. Benefits include outpatient or inpatient care, hospital care, lab and radiology services, prescription drugs (co-pays may apply), dental and vision care, and more.

For concise information about plan benefits, see our Guide to Benefits.

For complete information about benefits, see our Member Handbook .

To ensure that our members receive high-quality care, personalized assistance, and timely services, each member is assigned to an “Integrated Care Team” (ICT), which works with you to monitor the progress of your “Integrated Care Plan.” Individualized Care” and health goals.
Your ICT includes:

• Care Coordinator –  Your team leader coordinates with your primary care provider, specialists, hospitals, nursing homes, and other resources to ensure you receive appropriate care and services.
• Case Management Coordinator –  Conducts phone assessments with you at least twice a year and helps connect you to community resources such as case management, mental health and substance abuse treatment, housing and legal services, education and transportation assistance, and general health support.
• Health Navigator –  They make sure you have the resources you need to stay on your plan of care, helping you choose a doctor that fits your specific needs and connecting you to community agencies for additional support and services.

Amida Care wants to help our members living with HIV Live Your Life…Undetectable ( LYLU). For most people living with HIV, taking antiretroviral (ARV) medications exactly as prescribed by their Primary Care Provider (PCP) will reduce the amount of HIV in the blood to a very low level. This is sometimes referred to as «undetectable» viral load or «viral load suppression.» People living with HIV who achieve undetectable viral loads live longer, are healthier, and cannot transmit HIV sexually to others.

The LYLU Program helps you take your antiretroviral medications regularly and stay undetectable. If you enroll in the program and your viral load is no longer detectable, or becomes undetectable, you will receive $100 for each quarter (three-month period) that you remain undetectable . Amida Care will connect you with support services handpicked by you and your PCP to help you achieve this goal.

Find out if you are eligible to enroll in the LYLU program: talk to your PCP, contact an Amida Care Member Services Representative at 1-800-556-0689 / TTY 711, or email member-services@amidacareny .org .

Staying healthy is more than seeing the doctor and taking medicine. Our «Live Your Life» wellness program   helps our members learn new ways to improve their health…and have fun in the process! Our free monthly events in New York include healthy cooking, art therapy, meditation, yoga, African and Latin dance, and more.

The Amida Care Member Advisory Council (MAC)  is a group of representatives of our members, drawn from our primary care centers. These representatives attend quarterly meetings where they discuss their perceptions and evaluations of the Amida Care member experience. Information and feedback from the MAC helps Amida Care improve its member services. The MAC also elects two of its members to serve on the Amida Care Board of Directors.

We encourage our members to regularly attend   Town Hall Meetings  throughout the five boroughs to ask questions about our plan benefits and services and provide feedback about their experience with Amida Care.

Members can visit our Member Services Center located at 234 West 35th Street in Manhattan for in-person assistance – no appointment necessary.

 

As an Amida Care member, you can earn Healthy Rewards dollars  just for receiving a variety of health care services that help you take good care of your health, including diagnostic tests, vaccinations, immunizations and preventive care visits. Funds will be added to your Healthy Rewards Visa card as you earn them.

The Amida Care Workforce Initiative Network (WIN) (also called the Peer Training Initiative ) is a free vocational training program for Amida Care members that helps them develop marketable employment skills, to enter or return to the workforce. WIN program participants are trained to use their life experience in jobs related to “navigating” the health system and services, and outreach. The program is offered four times a year in collaboration with Housing Works (six-week training) and ASCNYC (12-14 weeks).

Starting in November 2017, Amida Care’s Medicaid Live Life Plus Plan is open to all eligible transgender people , regardless of HIV status. Seven percent of Amida Care’s members, more than 400 in total, are people of transgender background. Transgender members have access to a full range of free or low-cost health benefits and services, including:

• Experienced doctors, clinics, hospitals and pharmacies throughout New York City
• Specialized transgender health care including hormonal therapies, PrEP and PEP, and gender-affirming surgeries
• Help with housing referrals, job training and other assistance programs
• Treatment for mental health conditions, HIV, sexually transmitted infections, and substance use

Amida Care’s Homeless Management, Outreach and Empowerment (HOME) Program helps our members who are homeless or at risk of becoming homeless, connecting them to vital social and including connections and referrals to housing, education, legal and employment services. For more information, call 844-704-HOME (4663) or email HOME@amidacareny.org .

Our “Better Days” Program helps formerly incarcerated HIV-positive men and women returning to the community from jail or prison. We can help members find a doctor immediately after release, and help them with other services and referrals they need to get their lives back on track. For more information about these programs and services, contact the Member Services Line at 1-800-556-0689 (TTY 711).