Centers Plan for Healthy Living: A Complete Guide to Coverage, Benefits & Eligibility in 2025
Centers Plan for Healthy Living
Introduction: What Is Centers Plan for Healthy Living?
Centers Plan for Healthy Living (CPHL) is a managed care organization offering a variety of health plans tailored to meet the unique needs of older adults, individuals with disabilities, and those with chronic health conditions. With a strong focus on community-based care and wellness, CPHL has become a trusted name in Medicaid and Medicare Advantage services, especially in the New York region.
Whether you’re a caregiver, a senior looking for better coverage, or someone with a long-term health condition, understanding what Centers Plan offers can help you make an informed decision for your healthcare journey.
Types of Health Plans Offered by CPHL
CPHL offers several plan types designed to cater to different populations. Here are the most common:
1. Medicaid Managed Long Term Care (MLTC) Plan
This plan is designed for individuals who are eligible for Medicaid and require long-term care services at home or in the community. It includes services like:
Personal care assistance
Home health services
Transportation
Durable medical equipment
Care management
2. Medicare Advantage Dual Special Needs Plan (D-SNP)
For individuals who qualify for both Medicare and Medicaid, the D-SNP plan offers:
Integrated benefits
Prescription drug coverage
Vision and dental services
Telehealth services
Care coordination
3. FIDA and PACE Programs (availability may vary)
These are fully integrated programs for individuals who need comprehensive, all-inclusive care, often including both health and social services under one plan.
Key Benefits of Centers Plan for Healthy Living
What sets CPHL apart is its person-centered care model and emphasis on keeping members healthy and independent for as long as possible. Here’s a breakdown of the most attractive benefits:
✔️ Care Coordination
Members are assigned a care manager who works with them to develop a personalized care plan. This includes regular health assessments, coordination with doctors, and assistance with medications and appointments.
✔️ In-Home and Community Services
CPHL focuses on keeping members in the comfort of their homes rather than institutionalized settings whenever possible.
✔️ Transportation Services
Free non-emergency transportation is provided for medical appointments, which is especially helpful for elderly and mobility-impaired members.
✔️ Dental, Vision, and Hearing Benefits
Depending on the plan, many members receive coverage for dental cleanings, vision exams, eyeglasses, hearing aids, and more.
✔️ 24/7 Nurse Line
Access to a licensed nurse anytime helps members get quick advice and avoid unnecessary ER visits.
Eligibility Requirements
Eligibility for Centers Plan depends on the type of plan:
🔹 For MLTC Plans:
Must be age 21 or older
Must be eligible for Medicaid
Must require community-based long-term care services for more than 120 days
🔹 For Medicare Advantage/D-SNP Plans:
Must be eligible for both Medicare and Medicaid
Must reside in a covered service area
Must not have End-Stage Renal Disease (except under certain conditions)
How to Enroll in Centers Plan for Healthy Living
Enrollment is simple and can be done through several methods:
Online: Through the CPHL official website or New York State of Health marketplace.
Phone: By calling a licensed plan representative or broker.
In Person: CPHL often holds local enrollment events or community outreach sessions.
Through Medicaid/Medicare offices: If you qualify for government programs, they can guide you to CPHL.
Make sure to have your ID, proof of eligibility, and medical history on hand when enrolling.
Where CPHL Operates
Centers Plan for Healthy Living is primarily available in New York State, serving counties such as:
Bronx
Brooklyn
Queens
Manhattan
Staten Island
Nassau
Suffolk
Westchester
Check the latest provider directory to ensure coverage in your specific ZIP code.
CPHL’s Focus on Preventative and Holistic Care
Unlike traditional insurance plans, CPHL emphasizes preventive care, such as:
Routine wellness checkups
Vaccinations
Health screenings
Nutrition counseling
Diabetes and hypertension management
This approach helps reduce hospital visits and ensures better quality of life for members.
Testimonials from CPHL Members
Many members have praised the plan for its reliability, care coordination, and cultural sensitivity. Here’s a quote from a satisfied member:
“CPHL gave me my independence back. The home care services and friendly nurse visits mean I can stay in my apartment and still get the care I need.” – Gloria R., Brooklyn, NY
How CPHL Supports Caregivers
Centers Plan doesn’t just serve members—it supports caregivers too. Caregivers receive training, resources, and even respite care options so they can continue to care for their loved ones while avoiding burnout.
Commonly Asked Questions (FAQs)
Q: Does Centers Plan cover prescriptions?
A: Yes. Most Medicare Advantage plans through CPHL include Part D prescription drug coverage.
Q: Can I switch to CPHL mid-year?
A: If you have a qualifying life event or are eligible for a Special Enrollment Period, you may be able to enroll or switch.
Q: Are telehealth services available?
A: Yes, many CPHL plans include telehealth options, which have expanded significantly since the COVID-19 pandemic.
Final Thoughts: Is Centers Plan for Healthy Living Right for You?
If you or a loved one is looking for a health plan that combines personalized care with community-based services, Centers Plan for Healthy Living is a top choice—especially for seniors and those with chronic health issues in New York.
From home care and transportation to wellness programs and care coordination, CPHL prioritizes dignity, independence, and overall well-being. Their commitment to affordable, quality care makes them a standout in the managed care landscape.
