{"id":36761,"date":"2025-07-31T19:44:49","date_gmt":"2025-07-31T23:44:49","guid":{"rendered":"https:\/\/www.elderplan.org\/?page_id=36761"},"modified":"2025-10-16T17:36:04","modified_gmt":"2025-10-16T21:36:04","slug":"2026-elderplan-for-medicaid-beneficiaries","status":"publish","type":"page","link":"https:\/\/www.elderplan.org\/zh\/medicare-advantage-plan-options\/2026-options\/2026-elderplan-for-medicaid-beneficiaries\/","title":{"rendered":"2026 \u5e74\u91ab\u7642\u88dc\u52a9\u53d7\u76ca\u4ebaElderplan\uff08\u9577\u8001\u8a08\u5283\uff09(HMO-POS D-SNP)"},"content":{"rendered":"\n

\n

\u5728\u4e00\u500b\u7c21\u55ae\u8a08\u5283\u4e2d\u4eab\u53d7\u60a8\u7684\u6240\u6709\u798f\u5229 ^{1<\/a><\/sup><\/h2>\n\n\n\n\n\u5c0d\u65bc\u5c0b\u6c42\u91ab\u7642\u3001\u4f4f\u9662\u548c\u8655\u65b9\u85e5\u4fdd\u96aa\u7684\u96d9\u91cdMedicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u548c Medicaid \u91ab\u7642\u88dc\u52a9\u53d7\u76ca\u4eba\u4f86\u8aaa\uff0c\u9019\u662f\u4e00\u9805\u7406\u60f3\u7684\u8a08\u5283\u3002<\/li>\n\n\n\n
\u7372\u5f97\u5c08\u9580\u8b77\u7406\u7ba1\u7406\u4eba\u7684\u5354\u52a9\uff0c\u5176\u5c07\u5354\u52a9\u60a8\u77ad\u89e3\u60a8\u7684\u798f\u5229\uff0c\u5f9e\u800c\u78ba\u4fdd\u60a8\u7372\u5f97\u6240\u9700\u7684\u8b77\u7406\u548c\u670d\u52d9\u3002<\/li>\n\n\n\n\u5728\u5e03\u6717\u58eb\u3001\u66fc\u54c8\u9813\u3001\u7687\u540e\u5340\u548c\u5e03\u788c\u5d19\u4ee5\u53ca\u5a01\u5fb9\u65af\u7279\u548c\u62ff\u7d22\u7e23\u63d0\u4f9b\u3002 \u6b64\u5916\uff0c\u6211\u5011\u9084\u5c07\u65bc 2026 \u5e74\u5c07\u670d\u52d9\u7bc4\u570d\u64f4\u5c55\u5230 Putnam \u548c Richmond \u7e23\u3002<\/li>\n<\/ul>\n<\/div><\/figure><\/div>\n\n\n\n\n\u798f\u5229\u6982\u89bd<\/h2>\n\n\n\n\n\u4fdd\u8cbb\uff1a<\/strong>\u00a0\u96f6\u6708\u7e73\u8a08\u5283\u4fdd\u8cbb^{2<\/a><\/sup><\/li>\n\n\n\n}
Primary Care:<\/strong> \u521d\u7d1a\u8b77\u7406\uff1a<\/strong>\u00a0\u73fe\u5834\u6216\u9060\u7a0b\u91ab\u7642\u521d\u7d1a\u8b77\u7406\u5c31\u8a3a3<\/a><\/sup> \u96f6\u5171\u4ed8\u984d<\/li>\n\n\n\n
\u5c08\u79d1\u91ab\u751f<\/strong>\uff1a \u81ea\u7531\u9078\u64c7\u7db2\u7d61\u5167\u6216\u7db2\u7d61\u5916\u7684\u4efb\u4f55\u5c08\u79d1\u91ab\u751f\uff0c\u8b93\u60a8\u6709\u66f4\u591a\u6a5f\u6703\u7372\u5f97\u8b77\u7406 4<\/a><\/sup><\/li>\n\n\n\n
\u73fe\u91d1 Flex \u5361<\/strong>\uff1a\u6bcf\u5e74 500 \u7f8e\u5143\u6d25\u8cbc\uff0c\u7528\u65bc\u652f\u4ed8\u7259\u79d1\u3001\u8996\u529b\u3001\u807d\u529b\u548c\u5065\u8eab\u8cbb\u7528\u7684\u81ea\u4ed8\u8cbb\u7528
\u77ad\u89e3\u6709\u95dc\u73fe\u91d1 Flex \u5361\u798f\u5229\u7684\u66f4\u591a\u8cc7\u8a0a<\/a><\/li>\n\n\n\n
\u904b\u8f38\uff1a<\/strong>\u00a0\u514d\u8cbb\u4ea4\u901a\u5f80\u8fd4\u91ab\u7642\u9810\u7d04 \u2013 \u6700\u591a24\u6b21\u55ae\u7a0b\u65c5\u884c<\/li>\n\n\n\n
\u91dd\u7078\uff1a<\/strong>\u00a0\u91dd\u7078\u3001\u6307\u58d3\u548c\u53cd\u5c04\u7642\u6cd5\u5c31\u8a3a\u96f6\u5171\u4ed8\u984d \u2014 \u6bcf\u5e74\u6700\u591a 20 \u6b21\u5c31\u8a3a<\/li>\n\n\n\n
\u7dca\u6025\u627f\u4fdd\uff1a<\/strong>\u70ba\u5168\u7403\u7dca\u6025\u60c5\u6cc1\u63d0\u4f9b $50,000 \u7684\u627f\u4fdd<\/li>\n\n\n\n
OTC<\/strong>: \u6bcf\u5b63\u5ea6 $6605<\/a><\/sup> \u7528\u65bc\u8cfc\u8cb7\u50b3\u7d71 OTC\u3002\u7b26\u5408\u8cc7\u683c\u7684\u6703\u54e16<\/a><\/sup> \u9084\u53ef\u4ee5\u4f7f\u7528\u6d25\u8cbc\u4f86\u7372\u5f97\u64f4\u5c55 OTC \u798f\u5229\uff0c\u4f8b\u5982\u79df\u91d1\/\u62b5\u62bc\u8cb8\u6b3e\u3001\u6c34\u96fb\u8cbb\u3001\u7db2\u969b\u7db2\u8def\u3001\u96dc\u8ca8\u6216\u9001\u9910\u5230\u5bb6<\/li>\n\n\n\n
\u7259\u91ab\uff1a<\/strong>\u88dc\u5145\u7684\u7d9c\u5408\u6027\u7259\u79d1\u670d\u52d9\u6c92\u6709\u9650\u5236\uff0c\u5305\u62ec\u7259\u51a0\u3001\u5047\u7259\u3001\u7a2e\u690d\u9ad4\u548c\u6839\u7ba1\u6cbb\u7642\u3002 \u81ea\u7531\u9078\u64c7\u7db2\u8def\u5167\u5916\u7684\u4efb\u4f55\u7259\u91ab 6<\/a><\/sup><\/li>\n\n\n\n
\u8996\u529b\uff1a\u00a0<\/strong>\u5e38\u898f\u773c\u79d1\u6aa2\u67e5\u96f6\u5171\u4ed8\u984d + \u6bcf\u5e74 $350 \u7528\u65bc\u8cfc\u8cb7\u773c\u93e1\uff0c\u4f8b\u5982\u96b1\u5f62\u773c\u93e1\u6216\u6846\u67b6\u773c\u93e1\uff0c\u5305\u62ec\u93e1\u7247\u548c\u93e1\u6846<\/li>\n\n\n\n
\u5065\u8eab\u623f\u6703\u7c4d\uff1a<\/strong>\u514d\u8cbb\u5065\u8eab\u623f\u6703\u7c4d\u5e6b\u52a9\u60a8\u4fdd\u6301\u5065\u5eb7\u6d3b\u529b\uff0c\u9084\u6709\u8d85\u904e 15,000 \u500b\u7dda\u4e0a\u5f71\u72477<\/a><\/sup>
<\/li>\n\n\n\n
\u4fdd\u5065\u734e\u52f5<\/strong>\uff1a \u900f\u904e\u6211\u5011\u7684\u4fdd\u5065\u734e\u52f5\u8a08\u5283<\/a>\u9032\u884c\u9810\u9632\u6027\u7be9\u6aa2\u548c\u63a5\u7a2e\u75ab\u82d7\u4f86\u7372\u5f97\u734e\u52f5<\/li>\n\n\n\n
BrainHQ<\/strong>\uff1a \u900f\u904e\u4e00\u9805\u8a18\u61b6\u4fdd\u5065\u8a08\u5283\uff0c\u5229\u7528\u904a\u6232\u3001\u62fc\u5716\u3001\u6bcf\u6708\u4e00\u6b21\u7684\u5927\u8166\u5065\u5eb7\u7db2\u8def\u7814\u8a0e\u6703\u3001\u7dda\u4e0a\u8a18\u61b6\u8ab2\u7a0b\u548c\u5176\u4ed6\u6709\u8da3\u7684\u7df4\u7fd2\u4f86\u6539\u5584\u5927\u8166\u529f\u80fd
\u8a3b\u518a BrainHQ<\/strong><\/a><\/li>\n\n\n\n
\u6703\u54e1\u9593<\/strong>\uff1a \u900f\u904e\u6211\u5011\u7372\u734e\u7684\u6703\u54e1\u5c0d\u6703\u54e1\u8a08\u5283\u6703\u7c4d\u8207\u5176\u4ed6\u6703\u54e1\u806f\u7d61
\u77ad\u89e3\u6709\u95dc\u6703\u54e1\u9593\u7684\u66f4\u591a\u8cc7\u8a0a<\/a><\/strong><\/li>\n<\/ul>\n\n\n\n\u6240\u6709\u8cbb\u7528\u5206\u6524\u5747\u53d6\u6c7a\u65bc\u60a8\u7684 Medicaid \u91ab\u7642\u88dc\u52a9\u8cc7\u683c\u7b49\u7d1a\u3002<\/p>\n\n\n\n
\u4fdd\u8cbb\u3001\u5171\u4ed8\u984d\u3001\u5171\u540c\u4fdd\u96aa\u548c\u81ea\u4ed8\u984d\u53ef\u80fd\u56e0\u60a8\u7372\u5f97\u7684\u300c\u984d\u5916\u8f14\u52a9\u300d\u7684\u7b49\u7d1a\u800c\u7570\u3002 \u8acb\u806f\u7d61 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u4ee5\u77ad\u89e3\u66f4\u591a\u8a73\u60c5\u3002<\/p>\n<\/div><\/section>\n\n\n\n\n\u63a2\u7d22\u6211\u5011\u7684\u7db2\u7d61<\/h2>\n\n\n\n\n\n\n\u6211\u5011\u7684\u7db2\u7d61\u5305\u62ec\u00a040,000<\/strong>\u00a0\u5c08\u5bb6\u3001\u521d\u7d1a\u4fdd\u5065\u91ab\u751f\u3001\u85e5\u5c40\u548c\u7259\u91ab\uff01<\/p>\n<\/div>\n\n\n\n\n\n\u5c0b\u627e\u91ab\u751f<\/a><\/div>\n\n\n\n\u5c0b\u627e\u85e5\u623f<\/a><\/div>\n<\/div>\n\n\n\n\n\u5c0b\u627e\u7259\u91ab<\/a><\/div>\n\n\n\n\u5c0b\u627e\u85e5\u7269<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n\n\u6709\u8208\u8da3\u52a0\u5165\u9019\u500b\u8a08\u5283\u55ce\uff1f<\/h2>\n\n\n\n\n\n\n\u7acb\u5373\u53c3\u4fdd<\/a><\/div>\n<\/div>\n\n\n\n\u6216\u81f4\u96fb\u6211\u5011\u7684\u53c3\u4fdd\u4e2d\u5fc3\uff1a\u00a01-866-360-1934<\/a>\u00a0\uff08TTY\uff1a711<\/a>\uff09\u3002<\/p>\n\n\n\n
\u6211\u5011\u7684\u798f\u5229\u9867\u554f\u6bcf\u9031 7 \u5929\uff0c\u4e0a\u5348 8:00 \u81f3\u665a\u4e0a 8:00 \u70ba\u60a8\u63d0\u4f9b\u5354\u52a9\u3002<\/p>\n\n\n\n
\u60a8\u662f\u5426\u77e5\u9053\u73fe\u5728\u66f4\u591a\u7684\u4eba\u6709\u8cc7\u683c\u7372\u5f97 Medicaid \u91ab\u7642\u88dc\u52a9\uff1f<\/strong><\/p>\n\n\n\n
\u7531\u65bc Medicaid \u91ab\u7642\u88dc\u52a9\u5c08\u70ba\u4f4e\u6536\u5165\u5bb6\u5ead\u800c\u8a2d\u8a08\uff0c\u56e0\u6b64\u6709\u6536\u5165\u9650\u5236\u3002 \u77ad\u89e3\u6709\u95dc\u7d10\u7d04\u5dde\u00a0Medicaid \u91ab\u7642\u88dc\u52a9\u62b5\u964d\u4fdd\u8cbb\u548c\u91ab\u7642\u9700\u6c42\u6536\u5165\u6c34\u6e96 (MNIL) \u7684\u66f4\u591a\u8cc7\u8a0a<\/a>\u3002<\/p>\n<\/div>\n\n\n\n
\n\u4e0b\u8f09\u8a08\u5283\u8a73\u60c5 (PDF)<\/strong><\/strong><\/p>\n\n\n\n\nC \u90e8\u5206\u548c D \u90e8\u5206\u661f\u7d1a\u8a55\u7d1a\uff1a<\/a><\/div>\n\n\n\n\u798f\u5229\u6458\u8981<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<\/p>\n<\/div><\/section>\nMedicaid \u91ab\u7642\u88dc\u52a9\u53d7\u76ca\u4eba\u7684 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u662f\u4e00\u9805\u96d9\u91cd\u8cc7\u683c\u7279\u6b8a\u9700\u6c42\u8a08\u5283\uff0c\u9069\u7528\u65bc\u900f\u904e\u7d10\u7d04\u5dde\u91ab\u7642\u63f4\u52a9\u8a08\u5283\u63a5\u53d7\u7d10\u7d04\u5dde Medicaid \u91ab\u7642\u88dc\u52a9\u6216\u5176\u4ed6\u63f4\u52a9\u7684 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u53d7\u76ca\u4eba\u3002 \u4fdd\u8cbb\u3001\u5171\u4ed8\u984d\u3001\u5171\u540c\u4fdd\u96aa\u548c\u81ea\u4ed8\u984d\u53ef\u80fd\u6703\u6839\u64da\u60a8\u53ef\u80fd\u6536\u5230\u7684 Medicaid \u91ab\u7642\u88dc\u52a9\u63f4\u52a9\u548c\/\u6216\u4f4e\u6536\u5165\u88dc\u8cbc (LIS)\uff08\u300c\u984d\u5916\u8f14\u52a9\u300d\uff09\u7684\u6c34\u5e73\u800c\u6709\u6240\u4e0d\u540c\u3002 \u8acb\u806f\u7d61 Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u4ee5\u4e86\u89e3\u66f4\u591a\u8a73\u60c5\u3002[\u21a9<\/a>]<\/span><\/li>
\u60a8\u6bcf\u6708\u652f\u4ed8 $22.70 \u7684\u8a08\u5283\u4fdd\u8cbb\uff1b\u4f46\u662f\uff0c\u5982\u679c\u60a8\u6709\u8cc7\u683c\u6839\u64da Medicaid \u91ab\u7642\u88dc\u52a9\u7372\u5f97 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u8cbb\u7528\u5206\u6524\u63f4\u52a9\uff0c\u5247\u60a8\u6bcf\u6708\u652f\u4ed8 $0 \u7684\u8a08\u5283\u4fdd\u8cbb\u3002[\u21a9<\/a>]<\/span><\/li>
\u60a8\u70ba\u5230\u521d\u7d1a\u8b77\u7406\u548c\u5c08\u79d1\u91ab\u751f\u8fa6\u516c\u5ba4\u7576\u9762\u5c31\u8a3a\u652f\u4ed8 20% \u7684\u5171\u540c\u4fdd\u96aa\uff1b\u4f46\u662f\uff0c\u5982\u679c\u60a8\u6709\u8cc7\u683c\u6839\u64da Medicaid \u91ab\u7642\u88dc\u52a9 \u7372\u5f97 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u7528\u5206\u6524\u63f4\u52a9\uff0c\u5247\u60a8\u652f\u4ed8 0% \u7684\u5171\u540c\u4fdd\u96aa\u3002 \u9060\u7aef\u91ab\u7642\u521d\u7d1a\u8b77\u7406\u670d\u52d9\u6c92\u6709\u5171\u540c\u4fdd\u96aa\u6216\u5171\u4ed8\u984d\u3002 \u60a8\u70ba\u5c08\u79d1\u91ab\u751f\u63d0\u4f9b\u7684\u9060\u7a0b\u91ab\u7642\u670d\u52d9\u652f\u4ed8 20% \u7684\u5171\u540c\u4fdd\u96aa\uff1b\u4f46\u662f\uff0c\u5982\u679c\u60a8\u6709\u8cc7\u683c\u6839\u64da Medicaid \u91ab\u7642\u88dc\u52a9\u7372\u5f97 Medicare \u806f\u90a6\u91ab\u7642\u4fdd\u96aa\u8cbb\u7528\u5206\u6524\u63f4\u52a9\uff0c\u5247\u60a8\u652f\u4ed8 0% \u7684\u5171\u540c\u4fdd\u96aa\u3002[\u21a9<\/a>]<\/span><\/li>
\u9664\u975e\u662f\u5728\u7dca\u6025\u60c5\u6cc1\u4e0b\uff0c\u7db2\u7d61\u5916\/\u672a\u7c3d\u7d04\u7684\u63d0\u4f9b\u8005\u6c92\u6709\u7fa9\u52d9\u8a3a\u6cbb\u8a08\u5283\u6703\u54e1\u3002 \u8acb\u64a5\u6253\u6211\u5011\u7684\u6703\u54e1\u670d\u52d9\u90e8\u96fb\u8a71\u6216\u67e5\u770b\u60a8\u7684\u627f\u4fdd\u7bc4\u570d\u8aaa\u660e\u66f8\u4ee5\u77ad\u89e3\u66f4\u591a\u8cc7\u8a0a\uff0c\u5305\u62ec\u9069\u7528\u65bc\u7db2\u7d61\u5916\u670d\u52d9\u7684\u5206\u6524\u8cbb\u7528\u3002[\u21a9<\/a>]<\/span><\/li>
\u60a8\u7684 OTC \u5361\u9918\u984d\u7121\u6cd5\u7d50\u8f49\u5230\u4e0b\u500b\u6708\u3002 OTC \u5361\u4e0d\u662f\u501f\u8a18\u5361\u6216\u4fe1\u7528\u5361\uff0c\u4e0d\u80fd\u8f49\u63db\u70ba\u73fe\u91d1\u3002[\u21a9<\/a>]<\/span><\/li>
\u8cc7\u683c\u53d6\u6c7a\u65bc\u60a8\u662f\u5426\u60a3\u6709\u8207 SSBCI \u798f\u5229\uff08\u64f4\u5927\u7684 OTC\uff09\u76f8\u95dc\u7684\u6162\u6027\u75c5\u3002 SSBCI \u75c5\u75c7\u5305\u62ec\u4f46\u4e0d\u9650\u65bc\u5fc3\u8840\u7ba1\u75be\u75c5\u3001\u7cd6\u5c3f\u75c5\u3001\u95dc\u7bc0\u708e\u3001\u6162\u6027\u80ba\u90e8\u75be\u75c5\u548c\u6162\u6027\u814e\u81df\u75be\u75c5\u3002 \u9084\u6709\u5176\u4ed6\u7b26\u5408\u689d\u4ef6\u7684\u75be\u75c5\u672a\u5217\u51fa\u3002 \u8a72\u798f\u5229\u7684\u6a19\u6e96\u53ef\u80fd\u6709\u6240\u4e0d\u540c\u3002[\u21a9<\/a>]<\/span>[\u21a9<\/a>]<\/span><\/li>
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