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Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP) H3347-003 • 2027 • Suffolk County, NY

CMS Rating: ☆☆☆☆☆ (3.5 out of 5 stars*)
Monthly Premium
$33.70Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$9850.00In-network
Part B Giveback
Not offered
Prescription Coverage
Basic, $700.00 deductible
Additional Benefits
Dental, Vision, Hearing
Service Area
Suffolk County, NY
Local Enrollment
101 beneficiaries in Suffolk County
Last update:

Introduction

Elderplan Advantage For Nursing Home Residents is a Medicare Advantage Institutional Special Needs Plan (I-SNP) offered by Elderplan. The plan uses a Health Maintenance Organization with a Point of Service (HMO-POS) provider network and includes Medicare Part D prescription drug coverage. For the 2027 plan year, it has a $33.70 monthly premium, $0.00 medical deductible, and $9850.00 in-network maximum out-of-pocket. CMS Plan ID H3347-003 identifies this plan. The 2027 Part D prescription drug deductible is $700.00.

You must live in Suffolk County, New York to enroll in this plan. CMS reports 101 beneficiaries enrolled in this plan in Suffolk County. For assistance with this plan, new members can call (866)695-8101 (TTY 711).

Eligibility

Elderplan Advantage For Nursing Home Residents is an Facility-based Institutional (FI-SNP) plan for individuals requiring nursing-level care.

Special Needs Plan Type
Institutional Special Needs Plan (I-SNP)
Medicare Requirement
Must have Medicare Part A and Part B
Special Needs Requirement
This plan is for individuals living in a long-term care facility.
Service Area Requirement
Must live in the plan's service area
Prescription Drug Coverage
Medicare Part D prescription drug coverage is included.

Compare Similar Plans in Suffolk County

Compare this plan with the most-enrolled other HMO-POS I-SNP plan available in Suffolk County, New York. Enrollment is based on CMS local enrollment data.

HMO-POS I-SNP plan comparison for Suffolk County, New York
Plan Detail Elderplan Advantage For Nursing Home Residents Elderplan Select
CMS Plan ID H3347-003-0 H3347-018-0
Local Enrollment 101 21
Monthly Premium $33.70 $0.00
Medical Deductible Coming soon Coming soon
Maximum Out-of-Pocket $9,850.00 $9,850.00
Part B Giveback Coming soon Coming soon
Primary Care Coming soon Coming soon
Specialist Coming soon Coming soon
Part D Deductible $700.00 $350.00
CMS Star Rating 3.5 3.5
Dental Coming soon Coming soon
Vision Coming soon Coming soon
Hearing Coming soon Coming soon

Plan Benefits

Elderplan Advantage For Nursing Home Residents has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H3347-003.

You can also compare 2027 costs and coverage with last year, side-by-side: Plan H3347-003-0 Cost Compare.

Office Visits

Primary care
In-network: $0 copay
Out-of-network: $0 copay
Specialist
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance

Preventive and Wellness Services

Annual wellness exam
Not covered
Telehealth benefit
In-network: $0 copay, 20% coinsurance
Routine chiropractic
Not covered
Fitness benefits
Coming soon
Health education
Not covered
Counseling services
Not covered
Over-the-counter drug benefits
In-network: $0 copay
Health transportation (non-emergency)
Coming soon

Diagnostic, Lab, and Imaging Services

Diagnostic radiology services
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Lab services
In-network: $0 copay
Out-of-network: $0 copay
Outpatient x-rays
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Diagnostic tests and procedures
In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Emergency and Urgent Care Services

Emergency room care
20% coinsurance
Worldwide emergency care
Coming soon
Urgent care
$0 copay
Inpatient hospital care
In-network:
Tier 1
$0 per day for days 1-60
$434 per day for days 61-90
$868 per day for days 91-150
Out-of-network:
$0 per day for days 1-60
$434 per day for days 61-90
$868 per day for days 91-150
Skilled Nursing Facility
In-network:
Tier 1
$0 per day for days 1-20
$217 per day for days 21-100
Ground ambulance
In-network: 20% coinsurance

Mental Health Services

Outpatient individual therapy
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Outpatient group therapy
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Inpatient psychiatric hospital care
In-network:
Tier 1
$0 per day for days 1-60
$434 per day for days 61-90
$868 per day for days 91-150
Out-of-network:
$0 per day for days 1-60
$434 per day for days 61-90
$868 per day for days 91-150

Rehabilitation Services

Physical therapy and speech and language therapy
In-network: $0 copay
Occupational therapy
In-network: $0 copay

Medical Equipment and Supplies

Diabetes supplies
In-network: 20% coinsurance
Durable medical equipment
In-network: $0 copay
Prosthetics
In-network: $0 copay

Medicare Part B Drugs

Chemotherapy
In-network: 0%-20% coinsurance
Other Part B drugs (Medicare-covered)
In-network: 0%-20% coinsurance

Dental Services

Oral exam
Not covered
Dental x-rays
Not covered
Cleaning
Not covered
Periodontics
Not covered
Endodontics
Not covered
Restorative services
Not covered
Implant services
Not covered
Orthodontics
Not covered
Oral/Maxillofacial surgery
Not covered

Vision Services

Routine eye exam
In-network: $0 copay
Contact lenses
In-network: $0 copay
Eyeglass frames only
In-network: $0 copay
Eyeglass lenses only
In-network: $0 copay
Eyeglasses (frames & lenses)
In-network: $0 copay
Upgrades
In-network: $0 copay

Hearing Services

Hearing exam
Not covered
Fitting/evaluation
Not covered
Prescription hearing aids
Not covered
OTC hearing aids
In-network: $0 copay

Additional and Special Needs Services

Adult day health services
Not covered
Home-based palliative care
Not covered
Personal emergency response system
Coming soon
Weight management programs
Not covered
Wigs for chemotherapy-related hair loss
Coming soon
Alternative therapies
In-network: $0 copay
Massage therapy
Not covered
Home/bathroom safety devices
Not covered

Certain preventive services are covered 100% by Elderplan Advantage For Nursing Home Residents as a Part B benefit.

Prescription Drug Coverage

Elderplan Advantage For Nursing Home Residents includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.

Prescription Drug Plan Premium

The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.

Elderplan Advantage For Nursing Home Residents (H3347-003-0) Prescription Drug Plan Premium Details
Part D Premium Component Amount
Basic Part D Premium:$33.70
Supplemental Part D Premium:$0.00
Total Part D Premium:$33.70
Low-Income Premium Subsidy:$40.45
Low-Income Premium Subsidy Paid by CMS:$33.70
Low-Income Subsidy Premium:$0.00

For more details, visit the Social Security Extra Help program .

Prescription Drug Plan Deductible

This plan has a $700.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Elderplan starts contributing towards your prescription costs.

Prescription Drug Plan Out-of-Pocket Costs

Beyond premiums and deductibles, Elderplan Advantage For Nursing Home Residents may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.

Elderplan Advantage For Nursing Home Residents (H3347-003-0) Pharmacy Out-of-Pocket Costs by Drug Tier
Drug Tier Retail Mail Order
Brand-name drugs25% coinsurance25% coinsurance
Generic drugs25% coinsurance25% coinsurance
*Deductible does not apply.

CMS 5-Star Performance Ratings (Contract ID: H3347)

CMS star ratings reflect how well a Medicare plan performs across key quality measures, such as managing chronic conditions, member satisfaction, and customer service. Ratings range from 1 to 5 stars and are updated each year by Medicare.

2027 Medicare Star Ratings for Contract H3347
CMS Measure Star Rating
2027 Overall Rating ☆☆☆☆☆
Staying Healthy: Screenings, Tests, Vaccines ☆☆☆☆☆
Managing Chronic (Long Term) Conditions ☆☆☆☆☆
Member Experience with Health Plan ☆☆☆☆☆
Complaints and Changes in Plans Performance ☆☆☆☆☆
Health Plan Customer Service ☆☆☆☆☆
Drug Plan Customer Service ☆☆☆☆☆
Complaints and Changes in the Drug Plan ☆☆☆☆☆
Member Experience with the Drug Plan Not enough data available
Drug Safety and Accuracy of Drug Pricing ☆☆☆☆☆
Medicare Plan Data Sources and Methodology
Primary CMS datasets used for this Medicare Advantage Plan resource.
Data Source Publisher Last Accessed
Landscape Source Files Centers for Medicare & Medicaid Services October 5, 2026
Medicare Part C & D Performance Centers for Medicare & Medicaid Services October 5, 2026
Plan Benefits Package Centers for Medicare & Medicaid Services October 5, 2026
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services October 5, 2026

Data sources and methodology documentation.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
Elderplan (official source) http://www.elderplan.org October 4, 2026
CMS.gov Institutional Special Needs Plans (I-SNPs) April 28, 2026
CMS.gov Medicare Advantage Plan Fact Sheet April 28, 2026
AARP.org The Big Choice: Original Medicare vs. Medicare Advantage April 28, 2026

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard.