會員間

只需幾個簡單的步驟即可填寫安全的線上申請表。 從您的 Elderplan(長老計劃)或 HomeFirst(第一家)會員 ID 開始。這是您 Elderplan(長老計劃)福利卡上會員 ID 旁邊的號碼。 然後我們會詢問有關您和您興趣的問題。

    Contact Information

    Thank you for your interest in Elderplan's Member to Member Program, we are excited to have you join us!

    To help us better understand your needs, please provide the following demographic information.
    Your responses will be kept confidential.

    How should we contact you?

    Please select how best we can communicate with you.

    What is your preferred time to receive calls?

    Would you like to receive text messages?

    Activities and Events

    Are there any special considerations we should know about you that will help us in developing our program?

    Select as many as you like

    We are currently offering the following IN-PERSON services and activities:

    We are currently offering the following VIRTUAL events that you can join from the comfort of your home.

    Select as many as you like

    Do you need any technical assistance from us with logging in to the event?

    What device will you use to join the virtual events?

    About You

    Thank you for your interest in Friendly Chats! Answering these and other questions will help us find the best partner for your chat sessions

    Your Hobbies

    What are your hobbies?

    Select as many as you like

    What kind of pet(s) do you have?

    What kind of music do you listen to?

    Select as many as you like

    Career and Work Status

    What is your current work status?

    What industry were/are you in?

    Future Programming

    Are you interested in any of the following topics?

    Select as many as you like

    How did you hear about the M2M program?

    Signature & Disclaimers

    Please review our disclaimers and sign below.

    Anti-Discrimination Statement


    Elderplan is an HMO plan with Medicare and Medicaid contracts. Enrollment in Elderplan depends on contract renewal. Elderplan, Inc. 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 interpretation assistance, language assistance services and appropriate auxiliary aids are available to you free of charge. If you need these services or have questions about our plan, call 1-800-353-3765 (TTY: 711). Elderplan, Inc. cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATENCIÓN: Si usted habla en un idioma que no es inglés o requiere asistencia de interpretación, tiene a su disposición servicios de asistencia lingüística y las ayudas auxiliares adecuadas de forma gratuita. Si necesita estos servicios o tiene preguntas sobre nuestro plan, llame al 1-800-353-3765 (TTY: 711). Elderplan, Inc. 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、殘障情況或性別而歧視任何人。請注意:如果您說英語以外的語言或需要口譯協助,我們將免費為您提供語言協助服務和適當的輔助工具。如果您需要這些服務或對我們的計劃有疑問,請致電 1-800-353-3765 (TTY: 711)。

    Disclaimers


    Elderplan is a HIPAA Covered Entity and as such will not share your personal information to any third parties for commercial or non-healthcare related purposes. However, by participating in this program you may choose to share personal information with other members at your discretion. Elderplan has no control over the use and misuse of information shared by you with other members. Elderplan strongly recommends that members do not post, or share private information received from other members on social media platforms.


    For example, if you request pharmacy pick up, Elderplan may share the names of your medication with the volunteer who will help with your pharmacy pickup service.


    Also, if you participate in this program, you may choose to share personal information with other Elderplan members at your discretion. Elderplan has no control over the use or misuse of information shared by you with other members. Elderplan also strongly recommends that members do not post or share private information received from other members on social media platforms.


    Elderplan recommends that you check with your doctor before beginning any new physical activities.


    如何加入會員互動社區?

    1. 立即線上加入,使用我們安全和簡單的應用程式
    2. 透過電子郵件加入,下載並填寫申請表,然後透過電子郵件將其傳送至 [email protected]
    3. 透過電話加入,致電我們的會員互動熱線 1-347-254-7700 (TTY: 711),週一至週五上午 9 點至下午 5 點。
    4. 透過信件加入,下載並填寫申請表,然後將其郵寄至:
      MJHS Member-to-Member program
      55 Water Street, 46th Floor, Suite 202
      New York, NY 10041
    Man on laptop

    加入我們的社區!

    只需幾個簡單的步驟即可填寫安全的線上申請表。 從您的 Elderplan(長老計劃)或 HomeFirst(第一家)會員 ID 開始。這是您 Elderplan(長老計劃)福利卡上會員 ID 旁邊的號碼。 然後我們會詢問有關您和您興趣的問題。

    Image of the Elderplan benefits card with sample ID numbers and participant name

    閱讀我們的常見問題解答,瞭解關於如何申請的更多資訊。

    獲得所有會員福利

    我們的社區為會員提供相互聯絡的機會,並享受各種活動和活動