Elderplan Customer Service Number — Comprehensive Professional Guide

Where to find the official Elderplan customer service number

The most accurate customer service number for your Elderplan membership is printed on your member ID card and in the Evidence of Coverage (EOC) packet mailed to you each year. If you have a paper or digital ID card, look on the front or back for a “Member Services” or “Customer Service” telephone number; plans always place the primary line there because it routes callers by member type, language and plan product.

If you do not have your card to hand, go to Elderplan’s official website (https://www.elderplan.org) and open the “Member Services” or “Contact Us” page. As a fallback for plan identification and immediate help, call Medicare at 1-800-MEDICARE (1-800-633-4227, TTY 711); Medicare can provide plan contact details and verify enrollment. Keep a copy or photo of your ID card stored on your phone so you can read the exact number quickly in future calls.

Typical hours, interpreter services, and what the number can do

Most Medicare Advantage and Medicaid managed care plans—including carriers like Elderplan—staff Member Services Monday through Sunday with extended hours (commonly 8:00 a.m. to 8:00 p.m. local time). Because hours vary by plan year and product, confirm hours on your card or EOC. Calls to Member Services are free from U.S. phones; TTY and relay services (TTY 711) are provided at no cost for members with hearing or speech impairments.

Member Services is the single point for enrollment questions, ID card replacement, benefit explanations, prior authorization status, care management referrals, transportation authorizations and billing/claims inquiries. They also coordinate language interpretation: Elderplan is contractually required to offer interpreter services in more than 200 languages on demand, so request an interpreter at the start of each call if English is not your preferred language.

Key alternative numbers and resources to keep bookmarked

If you cannot reach Elderplan directly or require federal/state assistance, use the following authoritative resources. These numbers and websites are neutral resources that can confirm Elderplan’s current member service phone numbers, file complaints on your behalf, and provide appeal guidance.

• Medicare (general assistance, plan look-up): 1-800-MEDICARE / 1-800-633-4227 — TTY 711 — website: https://www.medicare.gov
• Social Security (enrollment questions tied to Medicare eligibility): 1-800-772-1213 — TTY 711 — website: https://www.ssa.gov
• Elderplan official website and member portal: https://www.elderplan.org — check “Contact Us” or “Member Login” for your plan’s active phone lines and secure messaging

How to prepare for the call — checklist and sample prompts

Before dialing the Member Services number, gather the following items so you can resolve issues on the first call. Having complete documentation reduces average handle time and avoids repeat calls: keep your member ID, date of birth, Medicare and/or Medicaid numbers, provider name and address, claim or authorization numbers, and the date(s) of service.

• Essential items: member ID card, date of service, provider/NPI, claim or authorization number, prescription name and Rx number (if pharmacy issue).
• Sample opening prompt: “Hello, my name is [Full Name], DOB [MM/DD/YYYY], Member ID [########]. I am calling about [claim/authorization/prescription]. Can you confirm my coverage and tell me why this was denied or how to obtain a prior authorization?”
• If the agent cannot resolve your issue immediately, ask for: the agent’s name, ID number, time/date of the call, and an expected time frame for a callback or resolution. Request escalation to a supervisor or to Care Management if the matter affects access to necessary services.

Escalations, grievances, appeals, and documented timelines

If Member Services cannot resolve your problem, file a formal grievance or appeal. The fastest route for urgent clinical denials is an expedited appeal; for non-urgent matters, a standard appeal is appropriate. Always ask Member Services how to submit a written grievance (email address, fax number or postal address) and whether the plan will accept supporting clinical records or letters from your provider. Keep copies of everything you send.

Document dates and promised timeframes. As a practical matter, many Medicare Advantage plans aim to acknowledge grievances within 1–5 business days and resolve non-urgent issues within 30 calendar days; expedited reviews frequently target 48–72 hours for urgent clinical matters. These are operational timeframes—always verify the exact timelines in your EOC and request a written confirmation of any oral commitments made during the call. If you reach an impasse, contact the State Health Insurance Assistance Program (SHIP) in New York or the Medicare Beneficiary Ombudsman for independent help.

Final practical tips from a professional

When searching for the Elderplan customer service number the single most reliable source is your physical or digital member ID card and the plan’s official website. Store the number and the plan portal login in a secure password manager or the Health section of your smartphone for immediate access. Use photo documentation of your ID and any denial letters before you call.

If you expect ongoing clinical coordination (chronic care, durable medical equipment, behavioral health), ask to be connected to a case manager; case managers can reduce repetitive calls, coordinate authorizations, and often provide direct numbers for pharmacy, behavioral health and transportation vendors associated with Elderplan. Keep careful notes of every interaction — date, time, representative name and case number — to create a clear paper trail that speeds appeals and grievance resolution.

How much is Medicare’s advantage for seniors?

Medicare Advantage Plan Cost in Each State

State	Avg. Monthly Premium	Percentage Change from 2024
California	$16.42	-9.5%
Colorado	$13.71	-5.6%
Connecticut	$17.66	-13.9%
Delaware	$12.66	-11.2%

How to check Elderplan OTC card balance?

Access the OTC+Flex Member Portal at mybenefitscenter.com to manage your OTC and Flex benefits in one simple place. You’ll be able to: Check your OTC balance. Check your Flex balance.

What is the timely filing limit for Elderplan claims?

Replacement claims must be submitted within timely filing limits (180 days from DOS or as contractually agreed upon). Failure to meet the deadline will result in an untimely filing denial as well as a recoupment of the original payment.

Is Elderplan a Medicare Advantage plan?

At Elderplan, we understand that your health needs are unique, and your well-being is our priority. Our Medicare Advantage Plans have been created to provide comprehensive coverage and exceptional care for our members.

What is the best Medicare Advantage program for seniors?

An AI Overview is not available for this searchCan’t generate an AI overview right now. Try again later.AI Overview There is no single “best” Medicare Advantage plan, as the best choice depends on your individual health needs and location, but top-rated providers like AARP/UnitedHealthcare, Cigna, Kaiser Permanente, and Humana are often recommended for their wide availability, low costs, and strong member satisfaction ratings. When choosing a plan, consider your preferred doctors, prescription drug needs, budget, and desired extra benefits like dental or vision coverage, and always verify your plan’s provider network and costs in your specific area.  Top Providers and Their Strengths

• AARP/UnitedHealthcare: . Opens in new tabConsidered best overall by some sources, known for a strong combination of low costs, broad nationwide availability, and good coverage. 
• Cigna: . Opens in new tabA top-rated choice for its low costs and excellent member experience. 
• Kaiser Permanente: . Opens in new tabHighly rated for member satisfaction and often recommended for strong drug coverage and patient experience, though availability is more limited than national plans. 
• Humana: . Opens in new tabA leading provider with excellent member satisfaction, nationwide availability, and strong Part D prescription drug offerings. 
• Aetna: . Opens in new tabA good option for its wide availability and, for some, its good value plans. 

Factors to Consider When Choosing a Plan

• Your Doctors: Ensure your preferred doctors and specialists are in the plan’s network, which is a crucial first step, notes ValuePenguin. 
• Costs: Compare monthly premiums, deductibles, copayments, and out-of-pocket maximums to find a plan that fits your budget. 
• Prescription Drugs: Check if the plan includes Medicare Part D prescription drug coverage and if your specific medications are on the plan’s formulary. 
• Extra Benefits: Decide if you need additional coverage for dental, vision, hearing, or other health and wellness perks that Medicare Advantage plans may offer. 
• Member Satisfaction and Ratings: Look at the Medicare star ratings and member satisfaction scores for different plans and carriers, which can indicate the quality of service and care. 
• Plan Type: Understand the difference between an HMO (which requires you to use in-network providers, except for emergencies) and a PPO (which offers more flexibility but may cost more to see out-of-network doctors). 

How to Research and Enroll

• Use Medicare.gov: This official government website provides a tool to compare plans in your specific area. 
• Check Your Local Plan Offerings: Availability and benefits vary significantly by county and state, so always check what is offered in your location. 

AI responses may include mistakes. Learn moreWhat is the Best Medicare Advantage Plan in 2025? – ValuePenguinAug 6, 2025 — AARP/UHC: Best overall. Popular and has good ratings. Low-cost plans with many extras. Blue Cross: Best doctor network.ValuePenguinBest Medicare Advantage Plans of 2025 – SeniorLiving.orgApr 2, 2025 — We spent over 75 hours researching and reviewing more than a dozen insurance carriers before choosing Humana as our top…SeniorLiving.org(function(){
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What is the Elderplan OTC Flex spending benefit?

Use your Flex card for out-of-pocket dental, hearing, vision, and fitness expenses. Your benefit is $500 annually. These dollars are in addition to the benefits you already receive from Elderplan. You can use your Flex card at any provider that accepts Visa.