Receive Enhanced Care in a Nursing Home
- For Medicare or dual Medicare and Medicaid beneficiaries living in one of Elderplan’s contracted nursing homes.
- Provides an additional level of care; a skilled Nurse Practitioner (NP) or Physician Assistant (PA) who will support and guide you by working with your physicians to create a customized care plan.
- 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:
new fOr 2026! You can get up to 104 hours of friendly visits through The Helper Bees. A friendly companion can come for 4 hours at a time to read with you, play games, talk, or simply keep you company.
Primary Care: Zero copay for primary care visits
new! Hearing: $1,000 toward hearing aids – every year
new! Vision: $150 on eyewear like contacts or eyeglasses, including lenses—every year
Freedom to choose any Primary Care Physician (PCP) or specialist 1
OTC: $1752 monthly towards Traditional OTC. Eligible members3 can also use the allowance towards expanded OTC benefits such as cell phone and cable bill pay, as well as self-care products like skincare and haircuts.
Therapeutic Leave: Plan members are covered for up to 5 days
Acupuncture/Acupressure: Zero copay on acupuncture & acupressure visits — up to combined 20 visits per year
Transportation: $1,000 every 3 months toward transportation
Explore our network
Our network includes over 40,000 Specialists, Primary Care Doctors, Pharmacies and Dentists!
Interested in joining this plan?
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)
- 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.[↩]
- Members of this plan receive a monthly maximum amount of $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 Chronic Kidney Disease. There are other eligible conditions not listed. Standards may vary for this benefit.[↩]
