We know how important it is to find a doctor who’s right for you. Use the directory below to find a provider in our network. Members can also get detailed information about health care coverage in their Evidence of Coverage.
Are you thinking about joining one of our plans? Elderplan offers access to a wide range of doctors to connect you to the care you need. You may likely be able to keep your same doctor when you enroll. Find them in the directory below.
You will have to choose one of our network providers who are listed in this directory to be your Primary Care Physician (PCP). Generally, you must get your health care services from your PCP The term “PCP” will be used throughout this directory.
The “network providers” listed in this directory have agreed to provide you with health care, long term care benefits, vision and dental services. You may go to any of our network providers listed in this directory. If you have been going to one network provider, you are not required to continue to go to that same provider.
If an out‐of‐network provider sends a bill directly to you, you should not pay the bill, but should submit it to the plan at the address provided below, for processing and determination of enrollee liability, if any.
Medical Claims:
Elderplan
Attn: Member Services
6323 Seventh Avenue
Brooklyn, New York 11220
The Elderplan provider directory contains the following:
- 760 Ancillaries
- 77 Hospitals
- 517 Long-Term Services
- 7,067 Primary Care Physicians
- 153 Skilled Nursing Facilities
- 28,275 Specialists
- 1,194 Dentists
- 3,416 Pharmacies
Get medical help as quickly as possible. Dial 911 for help or go directly to the nearest emergency room. In any emergency, you never need to contact any plan providers, even your own PCP, for either permission (“authorization”) or referral.
However, as soon as possible, you or someone else should contact your PCP or Elderplan about your emergency. Your PCP or Elderplan will need to be involved in following up on your emergency care. Your PCP’s telephone number appears on your Elderplan membership card. To contact Elderplan, please call Member Services at 1-800-353-3765 between 8:00 A.M. and 8:00 P.M., 7 days a week. TTY users should dial 711.
You can get covered emergency medical care whenever you need it, anywhere in the world.
Emergency care can always be obtained from the nearest available provider in or out of the service area. You must use plan providers for urgent care when in the service area.
You must use plan providers except in emergency or urgent care situations or for out‐of‐area renal dialysis. If you obtain routine care from out‐of‐network providers, neither Medicare nor Elderplan will be responsible for the costs.
The counties in our service area are listed below.
5 boroughs of NYC, Nassau, Suffolk, Westchester, Rockland, Putnam, Monroe, Dutchess and Orange counties.
If you have questions about Elderplan or require assistance in selecting a PCP, please call our Member Services Department at 1-800-353-3765, between 8:00 A.M. and 8:00 P.M., 7 days a week. TTY users should dial 711.
If you want a Provider/Pharmacy Directory mailed to you or need help finding a network provider and pharmacy, please email or call Member Services at [email protected] or 1-800-353-3765.
HomeFirst Directories: Click here for your directories.
Contact Member Services
If you are an Elderplan Member with questions or concerns, please don’t hesitate to contact Elderplan Member Services at 1-800-353-3765 [TTY: 711], 8 a.m. to 8 p.m., seven days a week.
For additional information on how to contact us, visit our Member Services Page.
Want to become an Elderplan member?
Call our Enrollment Call Center at
1-866-360-1934 [TTY: 711]
8 a.m. to 8 p.m., 7 days a week or enroll online.
