Become a Member


Eligibility

You are eligible for membership in our plan as long as:

  • You have both Medicare Part A and Medicare Part B (Section 2.2 of the Evidence of  Coverage (PDF) tells you about Medicare Part A and Medicare Part B)
  • -- and --you live in our geographic service area
  • -- and --you are a United States citizen or are lawfully present in the United States
  • -- and --you do not have End-Stage Renal Disease (ESRD), with limited exceptions, such as if you develop ESRD when you are already a member of a plan that we offer, or you were a member of a different plan that was terminated.
  • -- and --you meet the special eligibility requirements described below.

Special eligibility requirements for our plan

Our plan is designed to meet the specialized needs of people who need a level of care that is usually provided in a nursing home.


To be eligible for our plan, you must live in a nursing home available through our plan. Please see the plan’s Provider Directory for a list of our contracted nursing homes or call Member Services at 1-844-269-3442 (TTY users should call 711). From October 1 to March 31, we are open 7 days a week, from 8 a.m. to 8 p.m. EST. From April 1 to September 30, we are open Monday through Friday, from 8 a.m. to 8 p.m. EST.)


To be eligible for our plan, you must meet one of the two requirements listed below.


  • You live in a nursing home available through our plan. Please see the plan’s Provider Directory for a list of our contracted nursing homes or call Member Services and ask us to send you a list.
  • If you lose your eligibility but can reasonably be expected to regain eligibility within 3-month(s), then you are still eligible for membership in our plan (Chapter 4, Section 2.1 of Evidence of Coverage (PDF) tells you about coverage and cost-sharing during a period of deemed continued eligibility).


Click Here (PDF) to view the Enrollment form.

Contact Us:

Toll-Free: 1.844.269.3442 

TTY: 711

Mailing Address:

Health Pointe of New York

810 Seventh Avenue - Suite 801

New York, New York 10019

Please contact our Member Services number at 1-844-269-3442 for additional information. (TTY users should call 711.) From October 1 to March 31, we are open 7 days a week, from 8 a.m. to 8 p.m. EST. From April 1 to September 30, we are open Monday through Friday, from 8 a.m. to 8 p.m. EST.

We do not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, sex, gender identity, age or disability in our health programs and activities.

ATENCION: Si habla español, tiene a su diposicion servicios gratuitos de assistencia linguistica. Llame a 1.844.269.3442 / TTY: 711

Health Pointe Direct Complete Plan (HMO SNP) is a Health Plan with a Medicare Contract. Enrollment in Health Pointe HMO SNP depends on contract renewal.

CMS Material ID: H1722_HPweb2019 | Last updated 10/01/2019

Health Pointe of New York COVID-19 Statement – H1711

Health Pointe of New York is closely monitoring the COVID-19 (Coronavirus) outbreak.

Click on the following links for the most up-to-date information from NYC.gov and The New York State Department of Health websites.

If you have any questions, please call Member Services at 844-269-3442.

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