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2024 Elderplan Extra Help (HMO POS)

A health plan designed specifically for Medicare beneficiaries who are eligible for Extra Help (LIS) 1.

  • Get medical, hospital and prescription drug coverage at little- or-no premium and low copays
  • 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 gentleman in a blue shirt unloads groceries at his kitchen counter

Benefits at a Glance

  • Freedom to choose a providerNEW! Freedom to choose any specialist at no extra cost (in and out-of-network) 2
  • NEW! Freedom to choose any dentist (in or out-of-network) 2
  • Flexible spending cardNEW! Flex Cards! $500 annual allowance to help with out-of-pocket expenses for dental, vision, and hearing
    Learn more about the new Flex benefit
  • AcupunctureNEW! $0 copay for acupuncture, acupressure, and reflexology — up to 20 visits per year
  • OTC Products / Groceries / Plus more $560 per year toward Over-the-Counter health-related items plus groceries and home-delivered meals 3 4
    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 5
    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. Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our Member Services number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.[][]
  3. The benefits mentioned are a part of special supplemental program for the chronically ill. Not all members qualify..[]
  4. Members in this plan receive a monthly maximum amount ($140 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.[]
  5. No-cost gym membership is available at all fitness centers and select YMCAs in the Silver&Fit® network.[]