We Love Who
You Are

Health coverage for people who want expert HIV and gender-affirming care

  • $0 monthly premium
  • Benefits include dental, vision, and mental health
  • New York City’s largest Special Needs Plan

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Personalized Care

As an Amida Care member, you get a whole team of people working to help you get and stay healthy, so you can live your best life.

Are you Eligible to join?

To qualify you must be one of the following:

  • Medicaid beneficiary living with HIV or AIDS
  • Medicaid beneficiaries who need transgender services and support regardless of HIV status
  • Children of member parents
  • Homeless individuals and families regardless of HIV status

3 ways to get information

1

Call
1-800-556-0689

(TTY 711)

2

Contact Us
Online

Get Started

3

Visit our member
walk-in center:

234 W 35th St
New York, NY 10123
Located between 7th and 8th Avenues in Manhattan

9am to 5pm Monday & Wednesday
Appointment needed – call 800-556-8937

These benefits can be yours

As an Amida Care member, your benefits and services include:

Doctors and Hospitals

  • Large network of providers
  • Hospital care and emergency room services
  • Preventive care including doctor visits, annual check-ups, and referrals for specialist visits

Testing and Labs

  • Lab tests and x-rays
  • Tests for STDs such as HIV, herpes, hepatitis, etc.

Pharmacy

  • Prescription drug coverage
  • Certain over-the-counter medications (copays may apply)

Dental and Vision

  • Eye exams and eyeglasses
  • Preventive dental check-ups, cleaning, x-rays, and fillings

Personal Support

  • Integrated Care Team assigned to each member
    • Care Coordinator to help with appointments, coordinate with doctors, etc.
    • Case Manager to connect you with community resources such as:
      • mental health and substance abuse treatment
      • housing and legal services
      • transportation assistance
      • health education
      • domestic violence services
      • homeless services
    • Health Navigator to help you choose a doctor for your needs and link you to community agencies
  • Monthly member events to include healthy cooking, art therapy, mediation, African and Latin dance, and more
  • Free work training program (Workforce Initiative Network)

HIV Care

  • Focus on reaching undetectable (viral load) status so HIV is not transmitted to other people
  • PrEP and PEP for negative HIV members

Therapy

  • Physical therapy
  • Speech therapy
  • Occupational therapy

Medical Equipment

  • Durable medical equipment (such as a wheelchair, oxygen, nebulizer, etc.)

Gender-Affirming Care

  • Gender-affirming primary care and surgeries
  • Hormone therapy
  • PrEP and PEP
  • Free work training program (Workforce Initiative Network)

Mental Health and Substance Use Services

  • Inpatient and outpatient treatment
  • Individual and group counseling
  • Crisis intervention
  • Free work training program (Workforce Initiative Network

Home Care and Day Care

  • Personal care/home attendant
  • Home health care
  • Meal delivery
  • AIDS adult day health care
  • Hospice care

Member Advocacy and Plan Improvement

  • Champion of health and social justice initiatives
  • Member Advisory Council to help us improve
  • Town Hall Meetings
  • Two members on our Board of Directors

FAQs

People who are thinking about enrolling in Amida Care’s health plan often ask these questions. We hope these answers will help you. If you have other questions or concerns, please call Member Services at 1-800-556-0689 (TTY 711). We’re here to help!

Will I lose my Medicaid if I join Amida Care?

You will still have Medicaid—and all the services you need. Amida Care becomes your insurance company under Medicaid Managed Care. We pay for most of your medical and mental health care, including doctors’ visits, hospital care, and medications. Regular Medicaid pays for other services, such as dental care and outpatient substance abuse treatment.

Will my Primary Care doctor understand my special needs?

Amida Care has a large network of Primary Care doctors who are HIV specialists and understand the specific health care needs of people living with HIV or who need gender-affirming care.

Can I still see the Primary Care doctor I’m seeing now?

You can, if your doctor is a participating Primary Care Provider (PCP) with the Amida Care Live Life Plus plan. It’s easy to find out if your doctor is part of the Amida Care provider network:

Can Amida Care help me with housing issues?

Amida Care is a health plan with special care coordination services. While we are not a housing program like HASA, we can help members by referring them to housing and supportive services organizations. Our Homeless Outreach, Management and Empowerment (HOME) program assists our members who are homeless or at risk of homelessness and connects them to vital health and social services.

Do I have to make co-payments when I see doctors?

There are no co-payments for you to make. As an Amida Care Live Life Plus member, you’ll make no co-payments for covered services. We’ll pay doctors and hospitals directly. You pay nothing to them.

What if I decide to dis-enroll from the Live Life Plus plan?

We make every effort to ensure your complete satisfaction at all times. If the Live Life Plus plan is not meeting your needs, please call our Member Services department at 1-800-556-0689 (TTY 711) so that we can work with you to resolve any issues. If you still want to leave the plan, you may call New York Medicaid Choice at 1-800-505-5678 to choose a different plan. You will likely be disenrolled from Amida Care on the first day of the next month.

Can my spouse or partner enroll with me? What about my children?

Only adults with HIV/AIDS, people who are homeless regardless of HIV status, and people of transgender experience regardless of HIV status can enroll in Amida Care’s Medicaid Live Life Plus plan. However, members who are parents or guardians can also enroll their children, whether the children have HIV/AIDS or not.