2027 Medicaid Beneficiaries
(MAP POS D-SNP)
Annual Notice of Change
Another Important Link
Make the Most of Your Plan
How to maximize your benefits
General FAQs
When will my benefits go into effect?
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What if I need to see a doctor, and I don’t have my Elderplan member card yet?
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What if I have both Medicare and Medicaid?
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At Elderplan, your coverage is designed to support your health, your independence, and your everyday life.
This section provides a clear overview of your benefits (the services and programs available to you) and your coverage (how, when and to what extent those benefits are provided).
From doctor visits and hospital care to prescription drugs and additional services, your plan brings together the care you need in one place. You’ll also find information on extra support and added-value programs, such as wellness incentives and member support resources, designed to help you stay healthy and connected.
For full details, please refer to your Evidence of Coverage.
Benefits & Coverage
Review what’s included in your plan. Click any section to learn more.
Core Medical Care
Benefits
Inpatient hospital stays, surgery, and emergency room visits. Doctor visits (Primary Care and Specialists).
Coverage
Must be medically necessary to prevent or treat illness.
Prior authorization is required for all planned hospital admissions.
Doctor Visits
Benefits
Doctor visits for both Primary Care (PCP) and Specialists.
Coverage
PCP visits are available at a [$0] copay for most members.
Specialists: No referral needed, most members pay [$0] for these visits with Medicaid assistance.
OTC & Flex Benefits
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OTC Card Benefits
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Flex Benefits
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Plan Documents
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Get Care
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Footnotes
- 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 Chronic Kidney Disease. There are other eligible conditions not listed. Standards may vary for this benefit.
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- Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.