All Your Benefits, One Plan

Benefits and support designed around your health and your needs.

As a not-for-profit health plan, we’re here to help our members get the care, benefits, and support they need and deserve.

Our plans are designed to help you receive additional benefits that Original Medicare may not cover, like certain dental, vision, and hearing services, prescription drug Coverage, and more.

Plus our experienced Benefits Advisors are here to help you choose the right plan for your needs. Schedule an appointment today to start your journey towards better health care.

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Elderplan for Medicaid Beneficiaries¹(HMO-POS D-SNP)

Simplify Your Health Care in One 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. Plus, enjoy extra benefits like:

• Over-the-counter (OTC)) allowances for health-related items, rent/mortgage, utilities, internet, groceries, home-delivered meals, traditional OTC, and more²
• Flex Card for additional qualifying out-of-pocket expenses
• Comprehensive dental Coverage
• Vision, hearing and dental Coverage
• Transportation
• Gym membership
• Worldwide emergency Coverage

Available in the Bronx, Brooklyn, Manhattan, Queens, Staten Island, Nassau, Putnam and Westchester counties.

Elderplan Plus Long-Term Care³(HMO-POS D-SNP)

Get the Care you Need in the Comfort of Home

A Medicaid Advantage Plus plan for New Yorkers 18 and older who have both Medicare and Medicaid and need long-term care support to keep living safely at home. Plus, enjoy extra benefits like:

• OTC allowances for health-related items, rent/Mortgage, utilities, internet, groceries, home-delivered meals, community rides, traditional OTC, and more⁴
• Flex Card for additional qualifying out-of-pocket expenses
• Vision, hearing and dental Coverage
• Freedom to choose any specialist or dentist in or out-of-network

• Gym membership
• Worldwide emergency Coverage
• Personal Care Workers to help you with bathing, dressing, and preparing meals

 

Available in the Bronx, Brooklyn, Manhattan, Queens, Staten Island, Nassau, Westchester, Dutchess, Orange, Putnam, and Rockland counties.

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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)。

Footnotes

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. ↩︎
2. Eligibility is determined by whether you have a chronic condition associated with the SSBCI benefit (expanded OTC). Examples include, but are not limited to, Cardiovascular Disorders, Diabetes, Arthritis, Chronic Kidney Disease, Chronic Respiratory Disease (e.g., COPD). There are other eligible conditions not listed. Standards may vary for this benefit. ↩︎
3. 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 nursing home eligible ↩︎
4. Eligibility is determined by whether you have a chronic condition associated with the SSBCI benefit (expanded OTC). Examples include, but are not limited to, Cardiovascular Disorders, Diabetes, Arthritis, Chronic Kidney Disease, Chronic Respiratory Disease (e.g., COPD). There are other eligible conditions not listed. Standards may vary for this benefit. ↩︎