2025 Elderplan Flex (HMO-POS)

Offers the flexibility to pick a Select Extra and provides even more ways to utilize your Flex Card.

  • For Medicare beneficiaries
  • Gives you the flexibility to select between an over-the-counter benefit (OTC) OR transportation benefit to and from medical appointments.
  • Provides the convenience of medical, hospital and prescription drug coverage all in one plan.
  • Available in the Bronx, Manhattan, Queens, Brooklyn, and Westchester County. Also expanding into Nassau County for 2025.
An older couple sits on a park bench, their dog jumping up into the husband's lap

Benefits at a Glance

  • PremiumPremium: Zero monthly plan premium
  • App iconPrimary Care: Zero copay for in-person or telehealth primary care visits
  • Heart EKGSpecialist: The freedom to choose any specialist or dentist in or out-of-network, giving you greater access to care
  • Prescription Drugs Prescription Drugs: Preferred generic, generic and preferred brand drugs / tiers
  • AcupunctureAcupuncture: Zero copay on acupuncture, acupressure and reflexology visits — up to 20 visits per year
  • Barbell iconGym Membership: No-cost gym membership to help keep you fit and active, plus over 15,000 online videos1
  • Wellness Incentive ProgramWellness Incentives: Earn rewards for doing preventative screenings and immunizations through our Wellness Incentive Program
  • Brain iconBrainHQ: Improve brain function through a memory fitness program with games, puzzles and other fun exercises
    Sign up for BrainHQ
  • Flexible spending cardnew expanded for 2025 Flex Card: $500 allowance per year for out-of-pocket costs on dental, vision, hearing and fitness expenses. Now covers copays for certain services
    Learn more about the new Flex Benefit
  • Dental iconNEW INCREASED FOR 2025 Dental: $2,500 towards comprehensive dental, including fillings and crowns
  • Vision iconNEW INCREASED FOR 2025 Vision: $500 on eyewear  like contacts or eyeglasses, including lenses and frames – every year
  • Hearing iconNEW INCREASED FOR 2025 Hearing: $1,500 toward hearing aids – every year
  • WorldwideNEW expanded for 2025! Travel Assistance: Zero copay for worldwide emergency coverage + travel assistance service
  • Member to MemberMember-to-Member: Connect with other members with membership in our award-winning program
    Learn more about Member-to-Member

Plus choose one of our Select Extras

  • OTC Products / Groceries / Plus moreOTC: $1402 quarterly towards Traditional OTC. Eligible members 3can also use allowance toward Expanded OTC benefits such as groceries or home-delivered meals
  • Car icon Transportation: Zero cost transportation to and from medical appointments – up to 48 one-way trips

Explore our network

Our network includes over 40,000 Specialists, Primary Care Doctors, Pharmacies and Dentists!

Interested in joining this plan?

Online enrollment begins October 15.

Or call our Enrollment Center at 1-866-360-1934 (TTY: 711).


Representatives are available to assist you 8 a.m. to 8 p.m., seven days a week.

  1. No-cost gym membership is available at all fitness centers and select YMCAs in the Silver&Fit® network.[]
  2. The OTC card is not a debit or credit card and cannot be converted to cash.[]
  3. 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.[]