Get More Benefits with Medicare Advantage Plans from Elderplan

Two Great Plans for Medicare Beneficiaries

If you have Medicare, you can choose a Medicare Advantage Plan that provides additional benefits that Original Medicare may not cover – like certain dental, vision, and hearing services, prescription drug coverage, and more. Discover if you’re eligible for one of our Medicare Advantage plans today.

Elderplan Extra Help (HMO-POS)

This is an ideal plan designed especially for Medicare beneficiaries who are eligible for Extra Help/Low Income Subsidy (LIS). It offers medical, hospital, and prescription drug coverage at little-to-no premium and low copays, along with wellness incentives, free gym membership, and access to our Member-to-Member program.

Some benefits include:

$140¹ per quarter for traditional OTC. Eligible members² can also use their OTC allowance toward groceries and home-delivered meals.
$500 Flex Card per year for out-of-pocket dental, hearing, vision, and fitness expenses.
Zero copay for in-person or telehealth primary care visits
Freedom to choose any specialist or dentist in and out-of-network³, giving you greater access to care
Preventative and comprehensive dental, including root canals and crowns.
Zero deductible for preferred generic and brand-name drugs
NEW! $200 per year toward eyewear
NEW! Worldwide emergency travel assistance services + up to $50,000 worldwide emergency coverage

Elderplan Flex (HMO-POS)

This is a great plan for Medicare beneficiaries who want the flexibility to choose the benefits and doctors they want. In addition to offering medical, hospital and prescription drug coverage, this plan allows you to select between an over-the-counter (OTC) benefit OR a transportation benefit to and from medical appointments.

Some benefits include:

NEW! $500 Flex Card per year. Now covers copays for certain services plus out-of-pocket dental, hearing, vision, and fitness expenses.
Zero monthly plan premium
Zero copay for in-person or telehealth primary care visits
Freedom to choose any specialist or dentist in and out-of-network², giving you greater access to care
NEW! $2,500 towards comprehensive dental, including fillings and crowns
NEW! $500 per year for eyewear
NEW! Worldwide emergency travel assistance services + up to $50,000 worldwide emergency coverage

Plus, choose one of our Select Extras:

$140 per quarter for traditional OTC. Eligible members ¹ can also use their OTC allowance toward groceries and home-delivered meals. OR
Zero-dollar transportation to and from medical appointments — 48 one-way trips per year

Both plans are currently available in the Bronx, Manhattan, Queens, Brooklyn and Westchester County. We are also happy to announce our expansion into Nassau County in 2025.

Make an appointment with an Elderplan Benefit Advisor to review your health plan options today.

Elderplan is an HMO plan with Medicare and Medicaid contracts. Enrollment in Elderplan depends on contract renewal. Elderplan/HomeFirst complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATTENTION: If you speak a non-English language or require assistance in ASL, language assistance services, free of charge, are available to you. Call 1-800-353-3765 (TTY: 711)

Elderplan/HomeFirst cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-353-3765 (TTY: 711). Elderplan/HomeFirst 遵守適用的聯邦民權法律規定，不因種族、膚色、民族血統、年齡、殘障或性別而歧視任何人。注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-353-3765 [TTY: 711] 。

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1. Members in this plan receive a quarterly maximum amount of <$140>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.

2. 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.

3. Out-of-network/non-contracted providers are not obligated to treat Plan members except in emergencies. 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.

Elderplan es un plan HMO que tiene contratos con Medicare y Medicaid. La inscripción en Elderplan depende de la renovación del contrato.

Elderplan/HomeFirst complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATTENTION: If you speak a non-English language or require assistance in ASL, language assistance services, free of charge, are available to you. Call 1-800-353-3765 (TTY: 711) Elderplan/HomeFirst cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-353-3765 (TTY: 711). Elderplan/HomeFirst 遵守適用的聯邦民權法律規定，不因種族、膚色、民族血統、年齡、殘障或性別而歧視任何人。注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-353-3765 [TTY: 711] 。

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1. Los miembros de este plan reciben un monto máximo trimestral de <$140> para comprar productos OTC elegibles en tiendas minoristas autorizadas. El saldo de su tarjeta de producto de venta libre (OTC) no se puede transferir al mes siguiente. La tarjeta de OTC no es una tarjeta de débito ni crédito, y no se puede canjear por efectivo.

2. La elegibilidad se determina en función de si usted tiene una afección crónica asociada con el beneficio suplementario especial para personas con enfermedades crónicas (SSBCI) (OTC ampliado). Los ejemplos de afecciones SSBCI incluyen, entre otros, trastornos cardiovasculares, diabetes, artritis, trastornos pulmonares crónicos y cáncer. Existen otras condiciones elegibles que no se enumeran. Los estándares pueden variar para este beneficio.

3. Los proveedores fuera de la red o no contratados no tienen obligación alguna de tratar a miembros del plan, salvo en emergencias. Comuníquese con nuestro número de Servicios para los Miembros o consulte su Evidencia de cobertura para obtener más información, incluido el costo compartido que se aplica a los servicios fuera de la red.

Elderplan（長老計劃）是一項與 Medicare 聯邦醫療保險和 Medicaid 醫療補助簽有合約的 HMO 計劃。能否在 Elderplan（長老計劃）註冊參保視合約續簽情況而定。

Elderplan/HomeFirst complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATTENTION: If you speak a non-English language or require assistance in ASL, language assistance services, free of charge, are available to you. Call 1-800-353-3765 (TTY: 711). Elderplan/HomeFirst cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-353-3765 (TTY: 711). Elderplan/HomeFirst 遵守適用的聯邦民權法律規定，不因種族、膚色、民族血統、年齡、殘障或性別而歧視任何人。注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-353-3765 [TTY: 711] 。

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1. 該計劃的會員每季度最多可獲得 <140 美元>，用於在授權零售店購買符合條件的 OTC 藥品。您的 OTC 卡餘額無法結轉到下個月。 OTC 卡不是借記卡或信用卡，不能轉換為現金。

2. 資格取決於您是否患有與 SSBCI 福利（擴大的 OTC）相關的慢性病。 SSBCI 病症包括但不限於心血管疾病、糖尿病、關節炎、慢性肺部疾病和癌症。還有其他符合條件的疾病未列出。該福利的標準可能有所不同。

3. 除緊急情況外，網絡外/非簽約提供者沒有義務為計劃會員提供治療。請撥打我們的會員服務電話或查看您的承保證書以瞭解更多資訊，包括適用於網絡外服務的分攤費用。