- Request for Redetermination of Medicare Prescription Drug Denial
- Member Reimbursement Form
- Member Part D Reimbursement Form
- Elderplan Provider Manual
- ICD-10
- SNP Model of Care
- Elderplan Federal Deficit Reduction Act of 2005 Statement
- Sunrise Laboratories Patient Services Centers
- Bioreference Laboratories
- Shiel Labs
- Non-Interference Reminder
- Clinical Practice Guidelines
- ISNP Guidelines
- No Balance Billing Medicare QMB Members Notice
- No Balance Billing Medicaid Members Notice
- Replacement Claims Submission
- EFT Communications
- FIDA Waiver of Liability Form
To request a Part D Coverage Determination via secure Web form click here.
To request Part D Coverage Re-determination via secure Web form click here.
Elderplan uses OPTUM as our Claims Editing Software.
Questions? Call Elderplan today.
1-800-353-3765
[TTY 711]
for the hearing impaired
Hours of Operation:
8 a.m. - 8 p.m., 7 days a week
Elderplan is available
in the 5 boroughs of NYC,
Nassau, Suffolk, Westchester
and Monroe counties.
Looking for information?
Questions? Call Elderplan today.
1-800-353-3765
[TTY 711]
for the hearing impaired
Hours of Operation:
8 a.m. - 8 p.m., 7 days a week