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GuildNet Gold
 

GuildNet Gold is a Point-of-Service (POS) plan with Medicare and Medicaid contracts. With a
Point-of-Service plan, you can go to providers in or out of network for Medicare Services with no
additional cost sharing.


GuildNet Gold’s POS Medicare Advantage plan was designed for people who
have both Medicare and Medicaid (Dual Eligible). The following services are
covered by GuildNet Gold:

  • Physician care (primary and specialty care covered with no referral requirement)
  • Inpatient hospital care
  • Home health care, including personal care
  • Emergency and Urgent Care
  • Rehabilitation
  • DME / Supplies
  • Adult Day Health Care
  • Personal Emergency Response System
  • Hearing Services
  • Vision Services
  • Case Management
  • Health/Wellness Education
  • Dental
  • Transportation (Routine and Emergent)
  • Medicare Part D Prescription Drugs

Not all covered services are listed. Please see the Summary of Benefits,
Medicare Advantage Plus Member Handbook and/or Evidence of Coverage
for more information.

Benefits may change each year on January 1st. Please contact GuildNet for details.
GuildNet’s contract with Medicare is renewed annually and coverage beyond the end of
the contract year is not guaranteed.


Eligibility Requirements for Enrollment

  • Age 18 or older
  • A resident of Brooklyn, Queens, Manhattan or the Bronx
  • Have Medicaid AND Medicare Part A & B.
  • Eligible for nursing home level of care (as of the time of
  • enrollment)
  • Capable, at the time of enrollment, of returning to or remaining in your
    home and community without jeopardy to your health and safety
  • Expected to need care management and long-term care services for at
    least 120 days from the date of your enrollment.

To contact us:

GuildNet
15 West 65th Street
New York, NY 10023
Phone: 800-932-4703
Mon-Fri 8am-8pm
800-662-1220 TTY/TDD

E-mail: guildnetinfo@jgb.org


 
 
 
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