Your Flex Benefit - Elderplan

Getting the Most From Your Flex Benefit

Your plan includes an annual Flex benefit — money loaded onto your card to help cover out-of-pocket costs for dental, hearing, vision, and fitness expenses. This is in addition to the benefits you already receive from Elderplan.

Your Flex Benefit Card works at any provider that accepts Visa, so you have the freedom to use it wherever you get care. No activation is needed. If you already have your card, it’s ready to use in 2027.

Always use your Elderplan benefits first. Your Flex Benefit is designed to help cover what’s left over after your plan benefits are applied, not to replace them. If your FlexBenefit balance doesn’t cover the full cost, you are responsible for paying the difference.

Your Flex balance is available for the full benefit year. Use it before December 31, or any remaining funds will expire. Your Flex allowance is separate from your OTC allowance — the two cannot be combined or transferred between each other.

senior man trying eyeglasses at an optometrist office

2027 Flex Benefit: Elderplan for Medicaid Beneficiaries (HMO-POS D-SNP)

Feature	Benefit Details
Allowance Amount	[$375] per year.
Covered Expenses	Out-of-pocket expenses for Dental, Vision, Hearing, and Fitness expenses.
Payment Method	Members receive a prepaid allowance card to use anywhere a VISA card is accepted for eligible expenses.
Roll-over Rules	No roll-over. Any unused funds at the end of the calendar year (December 31, 2027) expire and do not carry over to 2028.
Disenrollment Rule	If you disenroll from the plan, any remaining balance on the card expires immediately.
Provider Access	Can be used for covered out-of-pocket costs with providers both in and out of the plan’s network.

Key Usage Categories

Dental: Can be used for copayments or costs not covered by the standard dental benefit, or your plan.
Vision: Can be used for eyewear or exams beyond the standard [$350] annual allowance.
Hearing: Can be used toward hearing aid costs or related evaluations.
Fitness: Can be used for fitness-related expenses not covered by the Silver&Fit program.