Want More Choices When Selecting A Health Plan?

Then See What's New From Elderplan in 2010.

For nearly 25 years, people like you have relied on Elderplan, a not-for-profit organization, for comprehensive and innovative, money-saving Medicare Advantage plans designed to help you get the best possible health care.

Elderplan has created a number of new plans for 2010 that are designed to help you live life your way. Plan options that are tailored to fit the changing needs of Medicare and Dual-Eligible* beneficiaries at every level of health…who live in the Greater Metropolitan New York area.

Now, more than ever, it makes sense to take a look at the benefits offered by our health plans. You'll see why Elderplan is becoming the Medicare Health Plan of choice for more independence-minded New Yorkers.

2010 PLAN HIGHLIGHTS

The benefit information described here for each plan is a brief summary. For the full plan description, please refer to the Summary of Benefits located directly below each plan description.

Elderplan Classic I: Medicare Extra Needs (HMO) Brooklyn, Queens, Manhattan, SI: An Institutional Special Needs Plan for individuals who reside in Brooklyn, Queens, Manhattan or SI and need an institutional level of care, like a nursing home, on an ongoing basis, but who can be cared for in a community setting, like at home or an Assisted Living Facility.

• Still no plan premium (you must continue to pay Medicare Part B Premium)
• Unlimited $0 generic drugs, through the coverage gap, from our formulary1
• $25 preferred brand name drugs, but no gap coverage1
• $0 co-pay for in-network primary care physician
• You can choose from quality board-certified private practice network physicians
• Still not-for-profit health plan

Want to learn more about everything Elderplan Classic I: Medicare Extra Needs (HMO) Brooklyn, Queens, Manhattan, SI has to offer? Click on the link to read the Summary of Benefits

Elderplan Classic I: Medicare Extra Needs (HMO) Bronx: An Institutional Special Needs Plan for individuals who reside in the Bronx and need an institutional level of care, like a nursing home, on an ongoing basis, but who can be cared for in a community setting, like at home or an Assisted Living Facility.

• Unlimited $0 generic drugs, through the coverage gap, from our formulary1
• $25 preferred brand name drugs, but no gap coverage1
• $0 co-pay for in-network primary care physician
• You can choose from quality board-certified private practice network physicians
• Still not-for-profit health plan
• Reduces your Part B Premium by $40 each month (For enrollees who are responsible for paying their own Part B Premium payments.)2

Want to learn more about everything Elderplan Classic I: Medicare Extra Needs (HMO) Bronx has to offer? Click on the link to read the Summary of Benefits

Elderplan Classic II: Medicare Zero Premium (HMO): Our most popular plan, it's for people who are eligible for a Medicare Advantage Prescription Drug Plan and don't want to pay a plan premium.

• Still no plan premium
  (you must continue to pay Medicare Part B Premium)
• Unlimited $0 generic drugs, through the coverage gap, from our formulary1
• $25 preferred brand name drugs, but no gap coverage1
• $0 co-pay for in-network primary care physician
• You can choose from quality board-certified private practice network physicians
• Still not-for-profit health plan

Want to learn more about everything Elderplan Classic II: Medicare Zero Premium (HMO) has to offer? Click on the link to read the Summary of Benefits

Elderplan Medicare Part B Premium Reduction (HMO)(with Part D): A plan for members who rarely visit the doctor or don't take many prescription medications.

• Reduces your Part B Premium by $40 each month (For enrollees who are responsible for paying their own Part B Premium payments.)2
• Still no plan premium
• Still no co-payment for preventive services
• You can choose quality board-certified private practice network physicians
• Still not-for-profit health plan

Want to learn more about everything Elderplan Medicare Part B Premium Reduction (HMO) has to offer? Click on the link to read the Summary of Benefits

Elderplan Medicare Part B Premium Reduction w/o Rx (HMO)(without Part D): A new plan for enrollees who want to keep their current Part D coverage.

• Reduces your Part B Premium by $40 each month (For enrollees who are responsible for paying their own Part B Premium payments.)2
• Still no plan premium
• Still no co-payment for preventive services
• You can choose quality board-certified private practice network physicians
• Still not-for-profit health plan

Want to learn more about everything Elderplan Part B Premium Reduction w/o Rx (HMO) has to offer? Click on the link to read the Summary of Benefits

Elderplan Medicare for Medicaid Beneficiaries (HMO): A plan designed for people with Medicare who receive state medical assistance as Qualified Medicaid Beneficiaries (QMB).

• You can choose quality board-certified private practice network physicians
• Low co-pay's for prescription drugs
• You will receive up to $480 a year ($120 per qtr.) of over the counter health related items3
• Between Elderplan, Medicare Advantage and State Medicaid, you do not pay for your medical services provided by in-network providers!4
• Still not-for-profit health plan

Want to learn more about everything Elderplan Medicare for Medicaid Beneficiaries (HMO) has to offer? Click on the link to read the Summary of Benefits

Elderplan Medicare Premium Benefit (HMOPOS): A new plan for individuals who want the freedom to receive Medicare covered benefits from outside of the Elderplan select provider network.

• Affordable co-pays for in-network services
• The ability to go out of-network for certain services (higher co-pay will apply)
• Maximum out of pocket cost is $1,000, with a $5,000 benefit Maximum for OON benefits
• You will receive up to $180 a year ($45 per qtr.) of over the counter health related items3
• Still not-for-profit health plan

Want to learn more about everything Elderplan Medicare Premium Benefit (HMOPOS) has to offer? Click on the link to read the Summary of Benefits

Elderplan Medicare Extra Help (HMO): A new Medicare Advantage Prescription Drug Plan designed for beneficiaries who receive assistance with paying for their prescription coverage, referred to as Low Income Subsidy or LIS.

• You will receive up to $240 a year ($60 per qtr.) for over the counter health related items3
• Low cost sharing on prescription drugs (depending on LIS level)1
• $0 for your in-network PCP
• There are no referrals necessary for in-network specialists
• You can choose from quality board-certified in-network private practice physicians
• Still not-for-profit health plan

Want to learn more about everything Elderplan Medicare Extra Help (HMO) has to offer? Click on the link to read the Summary of Benefits

Elderplan Medicare Plus Managed Long Term Care (HMO): A new plan for Medicare beneficiaries with full Medicaid who have chronic health care needs and are eligible to live in a nursing home, but would prefer and are able to live at home.

• Care Management Team to coordinate your care needs
• $0 cost sharing for covered in-network medical services
• Low cost sharing for Part D prescription drugs1
• Choose from quality board-certified in-network physicians
• Preventive Dental and Vision care
• Unlimited transportation to obtain necessary medical care and services
• Still not-for-profit health plan

Want to learn more about everything Elderplan Medicare Plus Managed Long Term Care (HMO) has to offer? Click on the link to read the Summary of Benefits

Elderplan Medicare Plus Medicaid Advantage (HMO): A new plan for Medicare beneficiaries with full Medicaid who want the convenience of receiving most of their benefits from one health plan.

• Care Management Team to coordinate your care needs
• $0 cost sharing for covered in-network medical services
• Low cost sharing for Part D prescription drugs1
• Choose from quality board-certified in-network physicians
• Preventive Dental and Vision care
• Unlimited transportation to obtain necessary medical care and services
• Still not-for-profit health plan

Want to learn more about everything Elderplan Medicare Plus Medicaid Advantage (HMO) has to offer? Click on the link to read the Summary of Benefits

Elderplan Medicare for Nursing Home Residents (HMO): is available to anyone who requires nursing home level care and who resides in or agrees to reside in one of Elderplan's contracted Special Needs Plan network nursing facilities.

• Specially trained Nurse Practitioner assigned to coordinate your care
• Preventive care
• Tracking of unique medical conditions
• Still not-for-profit health plan

Want to learn more about everything Elderplan Medicare for Nursing Home Residents (HMO) has to offer? Click on the link to read the Summary of Benefits

2010 Formulary

ENROLLMENT

Explore the site and see for yourself how Elderplan can help you live life your way. Visit the About Elderplan section for more details on our new plans. Learn more about what we offer our members. And find out how you can get involved.

Then, when you're ready to become a member, you can choose from one of our four easy enrollment options:

• For the ultimate in convenience, enroll right here on our Web site using our secure online application form.
• Call us at 1-866-360-1934 or TTY for the hearing impaired at 1-800-662-1220 and talk to an Elderplan enrollment counselor without leaving home! Call 8 a.m.–8 p.m., 7 days a week.
• Use our online form to make an appointment and meet with one of our helpful enrollment counselors in person.
• Or to enroll by mail, simply download our enrollment form.
• Click here to download our pre-enrollment kit.

Medicare Advantage Prescription Drug Enrollment Form

Medicare Advantage Enrollment Form

In order to obtain information about Elderplan’s plan ratings or for more information about Medicare benefits and services including general information or Part D contact 1-800-MEDICARE (1-800-633-4227) 24 hours per day, 7 days per week or visit their website at http://www.medicare.gov.

*Dual-Eligible refers to individuals who qualify for both Medicare and Medicaid.