Rights and Responsibilities

Elderplan is proud to have you as a member and looks forward to caring for you long into the future. Each year, however, we are required to provide our members with the following disenrollment notice. If you are pleased with Elderplan and do not wish to make a change, you do not need to take any action.

Annual Notice of Disenrollment Rights

While we value your membership, enrollment in Elderplan is voluntary. If you require long-term care services and wish to leave Elderplan, you must choose another plan with NY Medicaid Choice to continue to receive your services. In order to receive long-term care services in your home, you must be enrolled in a Managed Long-Term Care plan. You may return to Medicaid Fee-for-Service without long-term care services in your home.

If you feel you no longer need managed long-term care services or wish to enroll in another Managed Long-Term Care Plan, please call Member Services or your Care Management Team. Your Care Manager will send you written confirmation of your request to disenroll. Elderplan will also forward your disenrollment request to the LDSS or NY Medicaid Choice for processing.

There are also reasons, such as you are no longer enrolled in Elderplan for your Medicare coverage, where Elderplan can involuntarily disenroll you or ask you to leave the plan. This could occur by you enrolling in another Medicare plan or by losing your Medicare coverage. For a complete list of these reasons and more information about the involuntary disenrollment process, please refer to your member handbook.

If you choose to disenroll from Elderplan, your effective date of disenrollment will be the last day of the month after LDSS or NY Medicaid Choice has processed your request. However, if your disenrollment is processed after the 20th of the month, your effective date of disenrollment will be the last day of the following month.

From the time of your disenrollment request through your effective date of disenrollment, Elderplan will continue to provide your covered benefits to you. We will also make all necessary referrals for alternative services, no longer covered by Elderplan, after the disenrollment date.

For a complete list of disenrollment reasons and more information about the disenrollment process, please refer to your Member Handbook or go to www.elderplan.org.

Thank you again for choosing Elderplan. If you have any questions or need assistance, please call Member Services at 1-877-891-6447 (TTY 711), 8 a.m. – 8 p.m., 7 days a week.

Elderplan, Inc.

Notice of Nondiscrimination – Discrimination Is Against the Law

Elderplan/HomeFirst complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Elderplan, Inc. does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Elderplan/HomeFirst:

  • Provides free aids and services to people with disabilities to communicate effectively with us, such as:
    • Qualified sign language interpreters
    • Written information in other formats (large print, audio, accessible electronic formats, other formats)
  • Provides free language services to people whose primary language is not English, such as:
  • Qualified interpreters
  • Information written in other languages

If you need these services, contact Civil Rights Coordinator. If you believe that Elderplan/HomeFirst has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you may file a grievance with:

Civil Rights Coordinator
6323 7th Ave
Brooklyn, NY, 11220

Phone: 1-877-326-9978, TTY 711
Fax: 1-718-759-3643

You may file a grievance in person or by mail, phone, or fax. If you need help filing a grievance, Civil Rights Coordinator is available to help you.

You may also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services

200 Independence Avenue, SW, Room 509F, HHH Building

Washington, D.C.  20201

1-800-368-1019, 1-800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Multi-language Interpreter Services

ATTENTION: If you speak a non-English language or require assistance in ASL, language assistance services, free of charge, are available to you. Call 1-877-891-6447 (TTY: 711).

(Spanish)

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-877-891-6447 (TTY: 711).

(Chinese)

注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-877-891-6447 (TTY: 711).

(Russian)

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-877-891-6447 (телетайп: 711).

(French Creole)

ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-877-891-6447 (TTY: 711).

(Korean)

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-877-891-6447 (TTY: 711)번으로 전화해 주십시오.

(Italian)

ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-877-891-6447 (TTY: 711).

(Yiddish)

אויפמערקזאם: אויב איר רעדט אידיש, זענען פארהאן פאר אייך שפראך הילף סערוויסעס פריי פון אפצאל. רופט

1-877-891-6447 (TTY: 711).

(Bengali)

লক্ষ্য করুনঃ যদি আপনি বাংলা, কথা বলতে পারেন, তাহলে নিঃখরচায় ভাষা সহায়তা পরিষেবা উপলব্ধ আছে। ফোন করুন 1-877-891-6447 (TTY: 711)।

(Polish)

UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-877-891-6447 (TTY: 711).

(Arabic)

ملحوظة:    إذا كنت تتحدث لغة غير الإنجليزية أو تحتاج إلى مساعدة في ASL، فإن خدمات المساعدة اللغوية تتوافر لك مجانا.  اتصل برقم .1-877-891-6447 (TTY: 711)

(French)

ATTENTION: Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-877-891-6447 (ATS: 711).

(Urdu)

خبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں ۔ کال کریں (Urdu).1-877-891-6447 (TTY: 711)

(Tagalog)

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-877-891-6447 (TTY: 711).

(Greek)

ΠΡΟΣΟΧΗ: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής υποστήριξης, οι οποίες παρέχονται δωρεάν. Καλέστε 1-877-891-6447 (TTY: 711).

(Albanian)

KUJDES: Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë. Telefononi në 1-877-891-6447 (TTY: 711).

Contact Member Services 

If you are an Elderplan Member and have questions or concerns, please don’t hesitate to contact Elderplan Member Services at 1-800-353-3765 [TTY: 711], 8 a.m. to 8 p.m., seven days a week.

For additional information on how to get in touch with us, visit our Member Services Page.

Want to become an Elderplan member?

Call our Enrollment Call Center at
1-866-360-1934 [TTY: 711]
8 a.m. to 8 p.m., 7 days a week or enroll online.