Simplify Your Health Care with Our Medicare and Medicaid Plans

All Your Benefits in One Simple Plan

If you have both Medicare and Medicaid, Elderplan offers health plans that combine all your benefits—medical, hospital, prescription drugs, and more—into one easy-to-manage plan. You’ll also receive support from a Care Manager Team who will help coordinate your care and medical visits.

Elderplan for Medicaid Beneficiaries (HMO-POS D-SNP)¹

Perfect for dual Medicare and Medicaid beneficiaries who want all of their benefits under one plan – with no monthly premium.

Some additional benefits include:

$660/quarter OTC allowance² for OTC items, groceries, rent, utilities, and home delivered meals³
Flex Card: $500/year for out-of-pocket expenses for dental, hearing, vision, and fitness
Unlimited comprehensive dental coverage including crowns, dentures, implants, and root canals.
Zero copay for in-person or telehealth primary and specialist doctor visits
Freedom to choose any specialist or dentist in and out-of-network, giving you greater access to care
Hearing: $1,300 toward hearing aids for both ears combined every three years
Vision: $350/year for eyewear
Zero dollar gym membership includes access to 15,000+ online fitness videos⁴
Worldwide emergency coverage up to $50,000

This plan is available in the Bronx, Manhattan, Queens, Brooklyn, Nassau, and Westchester counties. Also expanding into Putnam and Richmond Counties for 2026.

Elderplan Plus Long-Term Care (HMO-POS D-SNP)⁵

An excellent choice for Medicare beneficiaries who also qualify for Medicaid, require long-term care (LTC) services at home and prefer the ease and convenience of having all of their benefits under one plan – with no monthly premium. Elderplan Plus Long-Term Care provides a personal care worker to help with bathing, dressing, and meals.

Some additional benefits include:

NEW for 2026: $0 gym membership + 15,000+ online fitness videos⁴
Community Rides³: Use your OTC allowance for rides with Uber or Lyft to visit friends, family, pharmacies, grocery stores, houses of worship, and more. You can also apply it toward gas, tolls, and parking.
$950/quarter OTC allowance⁶ or OTC items, groceries, rent, utilities, and home delivered meals.³ Unused funds roll over to the next quarter.
Flex Card: $500/year for out-of-pocket dental, hearing, vision, and fitness
Zero copay for in-person or telehealth primary and specialist doctor visits
Freedom to choose any specialist or dentist in or out-of-network, giving you greater access to care
Hearing: $2,500/year toward hearing aids for both ears combined
Vision: $600/year toward eyewear
Worldwide emergency coverage up to $50,000, plus emergency travel assistance

This plan is available in the Bronx, Manhattan, Queens, and Brooklyn, plus Dutchess, Orange, Rockland, Richmond, Westchester and Nassau Counties.

Elderplan is an HMO plan with Medicare and Medicaid contracts. Enrollment in Elderplan depends on contract renewal. Elderplan, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATTENTION: If you speak a non-English language or require interpretation assistance, language assistance services and appropriate auxiliary aids are available to you free of charge. If you need these services or have questions about our plan, call 1-800-353-3765 (TTY: 711). Elderplan, Inc. cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATENCIÓN: Si usted habla en un idioma que no es inglés o requiere asistencia de interpretación, tiene a su disposición servicios de asistencia lingüística y las ayudas auxiliares adecuadas de forma gratuita. Si necesita estos servicios o tiene preguntas sobre nuestro plan, llame al 1-800-353-3765 (TTY: 711). Elderplan, Inc. 遵守適用的聯邦民權法律規定，不因種族、膚色、民族血統、年齡、殘障情況或性別而歧視任何人。請注意：如果您說英語以外的語言或需要口譯協助，我們將免費為您提供語言協助服務和適當的輔助工具。如果您需要這些服務或對我們的計劃有疑問，請致電 1-800-353-3765 (TTY: 711)。

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1. Elderplan for Medicaid Beneficiaries is a dual eligible Special Needs Plan available to Medicare beneficiaries who receive New York State Medicaid or other assistance through New York State medical assistance programs. Premiums, copays, co-insurance, and deductibles may vary based on the level of Medicaid assistance and/or Low-Income Subsidy (LIS) (Extra Help) you may receive. Please get in touch with Elderplan for further details.

2. Members in this plan receive a quarterly maximum of $660 to purchase eligible OTC items at authorized retail stores. The OTC card balance cannot be carried over to the next quarter; it is not a debit or credit card and cannot be converted into cash.

3. Eligibility is determined by whether you have a chronic condition associated with SSBCI benefit (expanded OTC). Examples of SSBCI conditions include but are not limited to, Cardiovascular Disorders, Diabetes, Arthritis, Chronic Lung Disorders and Chronic Kidney Disease. There are other eligible conditions not listed. Standards may vary for this benefit.

4. No-cost gym membership is available at all fitness centers and select YMCAs in the Silver&Fit® network.

5. Members eligible to enroll in this plan must have Medicare and Medicaid, be 18 or older, need community-based long-term care services for more than 120 days, and be assessed as a nursing home eligible.

6. Members in this plan receive a quarterly maximum of $950 to purchase eligible OTC items at authorized retail stores. The OTC card balance will be carried over to the next quarter but will expire at the end of the year.

Elderplan es un plan HMO que tiene contratos con Medicare y Medicaid. La inscripción en Elderplan depende de la renovación del contrato.

Elderplan/HomeFirst complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATTENTION: If you speak a non-English language or require assistance in ASL, language assistance services, free of charge, are available to you. Call 1-800-353-3765 (TTY: 711). Elderplan/HomeFirst cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-353-3765 (TTY: 711). Elderplan/HomeFirst 遵守適用的聯邦民權法律規定，不因種族、膚色、民族血統、年齡、殘障或性別而歧視任何人。注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-353-3765 [TTY: 711] 。

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1. Elderplan for Medicaid Beneficiaries es un plan de necesidades especiales de doble elegibilidad, disponible para los beneficiarios de Medicare que reciban asistencia de New York State Medicaid o de otros programas de asistencia médica del estado de New York. Es posible que las primas, los copagos, los coseguros y los deducibles varíen según el nivel de asistencia de Medicaid o el nivel de subsidio por bajos ingresos (LIS) (Ayuda adicional) que pueda recibir. Para obtener más detalles, póngase en contacto con Elderplan.

2. Los miembros de este plan reciben un máximo trimestral de $660 para comprar productos de venta libre (OTC) elegibles en tiendas minoristas autorizadas. El saldo de la tarjeta para OTC no se puede transferir al siguiente trimestre; no es una tarjeta de débito ni de crédito y no se puede canjear por efectivo.

3. La elegibilidad se determina en función de si usted tiene una afección crónica asociada con el beneficio suplementario especial para personas con enfermedades crónicas (SSBCI) (OTC ampliado). Los ejemplos de afecciones SSBCI incluyen, entre otros, trastornos cardiovasculares, diabetes, artritis, trastornos pulmonares crónicos y cáncer. Existen otras condiciones elegibles que no se enumeran. Los estándares pueden variar para este beneficio.

4. No-cost gym membership is available at all fitness centers and select YMCAs in the Silver&Fit® network.

5. Los miembros elegibles para inscribirse en este plan deben tener Medicare y Medicaid, tener 18 años o más, necesitar servicios de atención a largo plazo basados en la comunidad por más de 120 días y haber sido evaluados como elegibles para un hogar de convalecencia.

Elderplan（長老計劃）是一項與 Medicare 聯邦醫療保險和 Medicaid 醫療補助簽有合約的 HMO 計劃。能否在 Elderplan（長老計劃）註冊參保視合約續簽情況而定。

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1. Medicaid 醫療補助受益人的長老計劃是一項雙重資格特殊需求計劃，適用於透過紐約州醫療援助計劃接受紐約州 Medicaid 醫療補助或其他援助的 Medicare 聯邦醫療保險受益人。保費、共付額、共同保險和自付額可能會根據您可能收到的 Medicaid 醫療補助援助和/或低收入補貼 (LIS)（「額外輔助」）的水平而有所不同。請聯絡 Elderplan（長老計劃）以了解更多詳情。

2. 該計劃的會員每季度最多可獲得 660 美元，用於在授權零售店購買符合條件的 OTC 藥品。 OTC 卡餘額無法結轉到下一季度；它不是借記卡或信用卡，也無法兌換成現金。

3. 資格取決於您是否患有與 SSBCI 福利（擴大的 OTC）相關的慢性病。 SSBCI 病症包括但不限於心血管疾病、糖尿病、關節炎、慢性肺部疾病和癌症。還有其他符合條件的疾病未列出。該福利的標準可能有所不同。

4. 有資格加入該計劃的會員必須享有 Medicare 聯邦醫療保險和 Medicaid 醫療補助，年滿 18 歲或以上，需要超過 120 天的社區長期護理服務，並被評估為符合療養院資格。

5. Members in this plan receive a quarterly maximum of $900 to purchase eligible OTC items at authorized retail stores. The OTC card balance cannot be carried over to the next quarter; it is not a debit or credit card and cannot be converted to cash.

Simplify Your Health Care with Our Medicare and Medicaid Plans

All Your Benefits in One Simple Plan

Elderplan for Medicaid Beneficiaries (HMO-POS D-SNP)1

Elderplan Plus Long-Term Care (HMO-POS D-SNP)5

Elderplan for Medicaid Beneficiaries (HMO-POS D-SNP)¹

Elderplan Plus Long-Term Care (HMO-POS D-SNP)⁵