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2023 Elderplan Advantage for Nursing Home Residents (HMO I-SNP)

A resident in a wheelchair speaks with a masked nurse in a courtyard.

A health plan for Medicare beneficiaries who live in one of Elderplan’s contracted nursing homes and want an added level of care.

Elderplan Advantage for Nursing Home Residents provides an added level of care from a skilled Nurse Practitioner or Physician Assistant who will address health issues early to help you avoid unnecessary and stressful emergency room visits and hospitalizations. They will create a care plan with your physician and help coordinate physical exams, manage chronic conditions, order lab tests, write prescriptions, and communicate any health care updates with your family.

Benefits at a glance:

  • Pill BlockNEW! $240 in OTC allowance per year that you can use toward health-related items1
  • DoctorNEW! Zero monthly deductible toward medical coverage
  • Heart EKGZero co-pay for in-person primary care and specialist doctor visits
  • Hearing iconHearing aids — up to $2,000 for both ears combined, every three years
  • Vision icon$200  for eyeglasses or contact lenses every year
  • Drug iconPrescription drug coverage
  • Acupressure iconZero co-pay for therapeutic leave for up to 5 days per year
  • Acupuncture iconZero co-pay for acupuncture and acupressure
  • AmbuletteZero co-pay for ambulette services which can be used to attend medical appointments, visit family and friends, attend a religious service, and more.

Interested in joining this plan?

Please call Member Services to verify eligibility at 1-844-642-4115 (TTY: 711). We are available to assist you 8 a.m. to 8 p.m., seven days a week.

  1. Available in the Bronx, Dutchess, Kings, Monroe, Nassau, New York, Orange, Putnam, Queens, Richmond, Rockland, Suffolk, Westchester, Ontario, Orleans, Seneca, Yates, and Livingston counties.

Want to learn more about everything Elderplan Advantage for Nursing Home Residents (HMO I-SNP) has to offer?

Summary of Benefits Evidence of Coverage Part C and D Ratings
  1. Members in this plan receive a monthly maximum amount ($20 every month) to purchase eligible over-the-counter (OTC) items at authorized retail stores. The OTC card balance cannot be carried over to the next month. The OTC card is not a debit or credit card and cannot be converted to cash. []