To enroll in this plan, you must obtain a special enrollment application directly from the health plan.

Elderplan is dedicated to providing affordable health care to seniors in Brooklyn, Queens, Staten Island and Manhattan. Elderplan is a non-profit Social Health Maintenance Organization operating under a Medicare Advantage contract.  Medicare pays us so you don’t have to.

As a member, you pay no premium beyond the Medicare Part B premium. Your care is delivered by a network of 36 hospitals and over 5,000 providers, and coordinated by a network-affiliated Primary Care Physician (PCP) of your choice.

There is no copayment for each primary care doctor office visit for Medicare-covered services.  You pay $20 for each specialist visit for Medicare-covered services. 

You pay $300 for each Medicare-covered stay in a hospital.  There is no co-payment for additional days. 

Prescription Drug Coverage
Prescription drug coverage is offered through the basic plan. Copays: Retail: $0 generic/$20 formulary preferred brand/$50 brand name drugs for a 30-day supply purchased from an in-network preferred pharmacy.   Mail:  $0 generic/$40 formulary preferred brand/$100 brand-name drugs for 90-day supply through mail order.  Pharmacy benefit must be ordered from the plan formulary by a plan-affiliated physician.

Cost
There is no cost for this plan.

For More Information
You may call (718) 921-7898.
Hearing Impaired, please call TTY (877) 414-9015
Or write to:
Elderplan, Inc.
6323 7th Avenue
Brooklyn, NY 11220

Updated to reflect changes effective January 1, 2006