Home > Medicare Advantage Plan Options > Elderplan Plan Options 2023 > 2023 Elderplan Plus Long-Term Care (HMO D-SNP)

2023 Elderplan Plus Long-Term Care (HMO D-SNP)

For Medicare and Medicaid beneficiaries who need long-term care at home and want medical and drug coverage in the same plan. 1

  • Receive the care and support you need from the only 5-star MAP plan in New York State 2
  • Get assistance with coordinating all your benefits, including behavioral health services, from a dedicated care manager
  • Enjoy expanded OTC benefits
  • Available in the five boroughs of NYC, Nassau, Dutchess, Orange, Putnam, Rockland and Westchester Counties
An assistant helps a resident use his walker.

Benefits at a Glance

  • OTC Products / Groceries / Plus moreNEW! $2,580 per year toward Over-the-Counter health-related items plus groceries, home-delivered meals, internet, wireless and utility bill pay 3 4
    Learn about our OTC benefits
  • PremiumZero monthly plan premium
  • InpatientZero co-pay for inpatient, in-network hospitalization
  • App iconZero co-pay for in-person or telehealth primary care and specialist doctor visits (no referrals required)
  • Dental icon Preventive and Comprehensive dental, including root canals and crowns.
    Learn more about our dental coverage.
  • Hearing icon Zero co-pay for routine hearing exams, hearing aid fittings and evaluations
  • Vision icon Zero co-pay for routine eye exams. Glasses and medically necessary contacts every two years
  • Car iconZero-cost transportation to and from medical appointments
  • AcupunctureNEW! Acupuncture– up to 28 visits per year
  • Foot iconNEW! Podiatry – up to 12 visits per year
  • Brain iconBrainHQ— a memory fitness program to improve brain function through games, puzzles and other fun exercises
    Sign up for BrainHQ
  • Member to MemberMembership in our award-winning Member-to-Member program
    Learn more about Member-to-Member

All cost sharing is based on your level of Medicaid eligibility.

Explore our network

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

Interested in joining this plan?

To qualify for this plan, you must receive a health care assessment from one of our nurses.

To get started, please call our Enrollment Center at 1-866-360-1934 (TTY: 711).

Representatives are available to assist you 8 a.m. to 8 p.m., seven days a week.

Download plan details (PDF)

  1. To be eligible for this plan, you must be 18 years or older, have Medicare and Medicaid, need community-based long-term care services for more than 120 days, and be assessed as nursing home eligible.[]
  2. Elderplan is the only 5-star plan in New York State (NYS) based on most recent results published in the DOH Consumer Guide October 2023, based on 2022 data[]
  3. 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, home-delivered meals, internet, wireless and utility payments as part of the monthly OTC allowance.[]
  4. Members of this plan receive a monthly maximum amount (of $215 every month) 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.[]