Chose the benefits and doctors you want.
- For Medicare beneficiaries
- Gives you the flexibility to select between an over-the-counter benefit (OTC) OR transportation benefit to and from medical appointments.
- Provides the convenience of medical, hospital and prescription drug coverage all in one plan.
- Available in the Bronx, Manhattan, Queens, Brooklyn, Westchester & Nassau County. Also expanding into Putman & Richmond Counties for 2026.
Benefits at a Glance
Premium: Zero monthly plan premium
Primary Care: Zero copay for in-person or telehealth primary care visits
Specialist: The freedom to choose any specialist in or out-of-network, giving you greater access to care1
Prescription Drugs: $0 deductible for preferred generic drugs, generic drugs, and preferred brand drugs (Tiers 1, 2, 3)
Acupuncture: Zero copay on acupuncture, acupressure and reflexology visits — up to 20 visits per year
Gym Membership: No-cost gym membership to help keep you fit and active, plus over 15,000 online videos2
Wellness Incentives: Earn rewards for doing preventative screenings and immunizations through our Wellness Incentive Program
BrainHQ: Improve brain function through a memory fitness program with games, puzzles and other fun exercises
Sign up for BrainHQ
Flex Card: $450 allowance per year for out-of-pocket costs on dental, vision, hearing and fitness expenses. Covers copays for certain services
Learn more about the new Flex Benefit
Dental: $2,500 towards comprehensive dental, including fillings and crowns. Freedom to choose any dentist in and out of network 1
Vision: $500 on eyewear like contacts or eyeglasses, including lenses and frames — every year
Hearing: $1,500 toward hearing aids – every year for both ears combined
Worldwide Emergency Coverage: Zero copay for up to $50,000 in worldwide emergency coverage + travel assistance services3
Member-to-Member: Connect with other members with membership in our award-winning program
Learn more about Member-to-Member
Plus choose one of our Select Extras
OTC: $1404 quarterly towards Traditional OTC. Eligible members5 can also use allowance toward Expanded OTC benefits such as groceries or home-delivered meals
OR
Transportation: Zero cost transportation to and from medical appointments — up to 48 one-way trips
Explore our network
Our network includes over 40,000 Specialists, Primary Care Doctors, Pharmacies and Dentists!
Interested in joining this plan?
Or 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)
- 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.[↩][↩]
- No-cost gym membership is available at all fitness centers and select YMCAs in the Silver&Fit® network.[↩]
- Get help 24/7 when you travel more than 100 miles away from home or to another country. This program connects you to doctors, hospitals, pharmacies, and other services all over the world, so you’re never without access to care.[↩]
- 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.[↩]
