Receive Enhanced Care in a Nursing Home
- For Medicare or dual Medicare and Medicaid beneficiaries living in one of Elderplan’s contracted nursing homes.
- Provides an additional level of care; a skilled Nurse Practitioner (NP) or Physician Assistant (PA) who will support and guide you by working with your physicians to create a customized care plan,
- Available in the Bronx, Manhattan, Brooklyn, Queens, and Staten Island, plus Nassau, Suffolk, Dutchess, Monroe, Orange, Putnam, Rockland, Westchester, Ontario, Orleans, Seneca, Yates, and Livingston counties.
Benefits at a glance:
Premium: Zero monthly plan premium
Primary Care: Zero copay for primary care visits
Hearing: $2,000 toward hearing aids – every three years
Therapeutic Leave: Plan members are covered for up to 5 days
new increased for 2025! Vision: $500 on eyewear like contacts or eyeglasses, including lenses- every two years
new increased & expanded for 2025! OTC: $1751monthly towards Traditional OTC. Eligible members 2 can also use allowance toward Expanded OTC benefits such as cellphones, cable groceries and self-care products such as skincare and haircuts!
Acupuncture: Zero copay on acupuncture, acupressure and reflexology visits — up to 20 visits per year
Transportation: $1,000 quarterly toward health-related appointments
Explore our network
Our network includes over 40,000 Specialists, Primary Care Doctors, Pharmacies and Dentists!
Interested in joining this plan?
To get started, please call our Enrollment Center at 1-844-642-4115 (TTY: 711).
Representatives are available to assist you 8 a.m. to 8 p.m., seven days a week.
Download plan details (PDF)
- Members of this plan receive a monthly maximum amount $175 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.[↩]
- 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.[↩]
