2023 Elderplan Extra Help (HMO)

A woman with short gray hair is helped out of a car, using a walker.

A health plan for Medicare beneficiaries eligible for Extra Help from Social Security.

If you receive Extra Help (also known as Low-Income Subsidy) from Social Security, you may receive additional savings on your prescription drugs. Plus, enjoy coverage not available with Original Medicare, such as our Wellness Incentive and Member-to-Member programs, free gym membership and more. 

Benefits at a Glance

  • Grocery iconNEW! $320 per year toward Over-the-Counter health-related items plus groceries and home-delivered meals12
  • Car iconZero-cost transportation  to and from medical appointments
  • App iconZero co-pay for in-person or telehealth primary care doctor visits
  • Dental iconPreventative and comprehensive dental, including fillings and crowns
  • Drug iconNo Part D deductible for preferred generic and preferred brand name drugs
  • Vision icon$150 for contacts or eyeglasses (lenses and frames) every year
  • Barbell iconNo-cost gym membership to help keep you fit and active, plus over 8,000 online videos3
  • Brain iconBrainHQ– a memory fitness program to improve brain function through games, puzzles and other fun exercises
  • Wellness Incentive ProgramWellness Incentive program, which rewards you for receiving preventive screenings and immunizations
  • UmbrellaWorldwide emergency coverage up to $50,000

Interested in enrolling in this plan?

To determine eligibility for Extra Help from Social Security, you will need information about your (and your spouse’s) income and resources. For more information about qualifying for Extra Help, visit the Social Security website.

Or call 1-866-360-1934 8 a.m. to 8 p.m., seven days a week.
(TTY: 711)

  1. Available in the Bronx, Brooklyn, Manhattan, Queens and Westchester counties.
  2. Prescription Drug cost sharing is based on your Extra Help/LIS level.

Want to learn more about everything Elderplan Extra Help (HMO) has to offer?

Summary of Benefits Evidence of Coverage Part C and D Ratings

  1. For eligible members (with certain chronic conditions), the Special Supplemental Benefits for the Chronically Ill (grocery benefit) combines with the OTC benefit to cover certain grocery items and meals as a part of the monthly OTC allowance. []
  2. Members in this plan receive a monthly maximum amount ($80 every quarter) to purchase eligible OTC items at authorized retail stores. Your 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. []
  3. No-cost gym membership is available at all fitness centers and select YMCAs in the Silver&Fit® network. []