Get an Additional Level of Support Wherever You Call Home
- For Medicare beneficiaries who live in one of Elderplan’s contracted assisted living communities, nursing homes, or congregate care settings.
- Provides an additional level of care from our skilled Nurse Practitioner (NP) or Physician Assistant (PA) along with a dedicated Registered Nurse (RN)
- Available in the Bronx, Manhattan, Brooklyn, Queens, and Staten Island, plus Nassau, Suffolk, Dutchess, Monroe, Orange, Putnam, Rockland, Westchester, Ontario, Orleans, Seneca, Yates, and Livingston counties.
Benefits at a glance
Premium: Zero monthly plan premium
Primary Care: Zero copay + freedom to choose any doctor you want at no extra cost 
Hearing: $2,000 toward hearing aids – every three years
Vision: $500 on eyewear like contacts or eyeglasses, including lenses – every two years
Acupuncture: Zero copay on acupuncture, acupressure and reflexology visits — up to 20 visits per year
Transportation: $1,000 quarterly toward health-related appointments
new increased & expanded for 2025! OTC: $1751monthly towards Traditional OTC. Eligible members2 can also use allowance toward Expanded OTC benefits such as cellphones, cable, groceries and self-care products such as skincare and haircuts!
NEW for 2025! Dental: $1,500 toward preventative and comprehensive care – every year
Chiropractor: Zero copays for up to 20 visits per year
BrainHQ: Improve brain function through a memory fitness program with games, puzzles and other fun exercises
Sign up for BrainHQ
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 1-844-642-4115 (TTY: 711).
Representatives are available to assist you 8 a.m. to 8 p.m., seven days a week.
Download Plan Details (PDF)
- Members of this plan receive a monthly maximum amount $175 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.[↩]
- Eligibility is determined by whether you have a chronic condition associated with SSBCI benefit (expanded OTC). Examples of SSBCI conditions include but are not limited to, Cardiovascular Disorders, Diabetes, Arthritis, Chronic Lung Disorders and Cancer. There are other eligible conditions not listed. Standards may vary for this benefit.[↩]
