Find a Provider Near You

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
55 Water Street 46th Floor
New York, NY 10041

The Elderplan provider directory contains the following:

• 762 Ancillaries
• 77 Hospitals
• 524 Long-Term Services
• 7,079 Primary Care Physicians
• 152 Skilled Nursing Facilities
• 28,740 Specialists
• 1,186 Dentists
• 3,785 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.