A health plan 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 State2. You will be assigned a dedicated care manager who will help you get the care you need and assist you in coordinating all your benefits. And best of all, your doctor’s office visits, hospital stays, prescription drugs, home health aides, mental health support and dental care are all covered.
Benefits at a Glance
NEW! $2,580 per year toward Over-the-Counter health-related items plus groceries, home-delivered meals, internet, wireless and utility bill pay34
NEW! Acupuncture– up to 28 visits per year
Zero monthly plan premium
Zero co-pay for inpatient, in-network hospitalization
Zero co-pay for in-person or telehealth primary care and specialist doctor visits (no referrals required)
Zero-cost transportation to and from medical appointments
Dental, vision, hearing and podiatry coverage
BrainHQ— a memory fitness program to improve brain function through games, puzzles and other fun exercises
Membership in our award-winning Member-to-Member program
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.
- All cost sharing is based on your level of Medicaid eligibility.
- Available in the 5 boroughs of NYC, Nassau, Dutchess, Orange, Putnam, Rockland, and Westchester counties.
Want to learn more about everything Elderplan Plus Long-Term Care (HMO D-SNP) has to offer?
Summary of Benefits Evidence of Coverage Part C and D Ratings- 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. [↩]
- Elderplan is the only 5-star plan in New York State (NYS) based on most recent 2019 data published in the DOH Consumer Guide Sept 2020 [↩]
- 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. [↩]
- 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. [↩]