2023 Elderplan Extra Help (HMO)

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

  • You may be eligible for additional saving on your prescription drug drugs if you receive Extra help from Social Security 1
  • Get wellness incentives and the option to join Member-to-Member programs, free gym membership and more
  • Available in the Bronx, Brooklyn, Manhattan, Queens and Westchester counties 
A woman with short gray hair is helped out of a car, using a walker.

Benefits at a Glance

  • OTC Products / Groceries / Plus moreNEW! $320 per year toward Over-the-Counter health-related items plus groceries and home-delivered meals 2 3
    Learn about our OTC benefits
  • App iconZero co-pay for in-person or telehealth primary care doctor visits
  • Dental iconPreventative and comprehensive dental, including fillings and crowns
    Learn more about dental benefits
  • Vision icon$150 for contacts or eyeglasses (lenses and frames) every year
  • Car iconZero-cost transportation  to and from medical appointments
  • Part DNo Part D deductible for preferred generic and preferred brand name drugs
  • Brain iconBrainHQ– a memory fitness program to improve brain function through games, puzzles and other fun exercises
    Sign up for BrainHQ
  • Barbell iconNo-cost gym membership to help keep you fit and active, plus over 8,000 online videos 4
    Check out the Silver&Fit® network
  • Wellness Incentive ProgramWellness Incentive program, which rewards you for receiving preventive screenings and immunizations
    Learn more about Wellness Incentive
  • WorldwideWorldwide emergency coverage up to $50,000

Prescription Drug cost sharing is based on your Extra Help/LIS level.

Explore our network

Our network includes over 40,000 Specialists, Primary Care Doctors, Pharmacies and Dentists!

Interested in joining this plan?

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

  1. 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.[]
  2. 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.[]
  3. 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.[]
  4. No-cost gym membership is available at all fitness centers and select YMCAs in the Silver&Fit® network.[]