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- Request for Part D Coverage Determination
- Request for Redetermination of Medicare Prescription Drug Denial
- Member Reimbursement Form
- Member Part D Reimbursement Form
- Elderplan Provider Manual
- SNP Model of Care
- Elderplan Federal Deficit Reduction Act Policy
- Sunrise Laboratories Patient Services Centers
- Bioreference Laboratories
- Shiel Labs
- Non-Interference Reminder
- Clinical Practice Guidelines
- ISNP Guidelines
- No Balance Billing Medicare QMB Members Notice
- No Balance Billing Medicaid Members Notice
- Replacement Claims Submission
- EFT Communications
- Elderplan Advantage for Nursing Home Residents (HMO I-SNP) Telehealth Overview
- Part B: Step Therapy List
- Part B Drug ST Exception Form: Nyvepria, Ziextenzo
- Part B Drug ST Exception Form: Granix, Leukine, Neupogen, Nivestym
- Part B Drug ST Exception Form: Herzuma, Ogivri, Ontruzant
- Part B Drug ST Exception Form: Lemtrada
Elderplan uses OPTUM as our Claims Editing Software.
Questions? Call Elderplan today.
1-800-353-3765
[TTY: 711]
for the hearing impaired
Hours of Operation:
8 a.m. to 8 p.m., 7 days a week
Elderplan is available in the 5 boroughs of NYC, Nassau, Suffolk, Westchester, Rockland, Putnam, Monroe, Dutchess, Orange, Ontario, Orleans, Seneca, and Yates counties.
Looking for information?
Questions? Call Elderplan today.
1-866-360-1934
[TTY: 711]
for the hearing impaired
Hours of Operation:
8 a.m. to 8 p.m., 7 days a week
Elderplan is available in the 5 boroughs of NYC, Nassau, Suffolk, Westchester, Rockland, Putnam, Monroe, Dutchess, Orange, Ontario, Orleans, Seneca, and Yates counties.
