Medicare Blog

fidelis medicare how to bill well visit

by Dr. Birdie Bauch Published 2 years ago Updated 1 year ago
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After logging in to the Member Portal, click the “Billing and Payments” button Select the name of your plan Choose the “AutoPay Scheduling” tab, select either the standard or the custom option, and follow the instructions to finish setting up AutoPay. The standard option will automatically pay your balance 5 days before it is due.

Full Answer

What can I do with my WellCare by Fidelis Care Account?

With 24/7 access to your Wellcare By Fidelis Care account, you can pay your monthly premium, request and print new ID cards, and access your plan documents. To create a secure online member account, visit members.fideliscare.org and click “Register.”

Does Fidelis Care offer Medicare Advantage?

Medicare Advantage Medicare Advantage Plans (Medicare Part C) include all the benefits offered by Medicare Parts A and B, plus additional benefits, all combined into one plan. Fidelis Care offers Medicare Advantage plans that include Medicare Part D (prescription drug) coverage.

Does Fidelis Care offer telemedicine visits?

(By clicking this link, you will leave the Fidelis Care website.) (By clicking this link, you will leave the Fidelis Care website.) Fidelis Care also offers telemedicine visits with our network providers if they offer the service. Beginning in June 2021, regular cost shares apply for this type of telemedicine visit.

How do I pay my Fidelis Care premium online?

Log into your account, view patient information, and more. Login to your account, make a payment, see benefits and more. Login to your account, download forms, view auth grids and more. See plan benefits, coverage areas, get a quote and more. Paying online is a quick and easy way to make a SECURE payment for your monthly Fidelis Care premium.

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How do I submit a bill to Fidelis?

Claims can also be submitted through clearinghouse Ability, or another clearinghouse. Fidelis Care offers free online claims submission through Ability's claims portal. To learn more about Ability, call 1-888-499-5465 or visit www.mdon-line.com/fideliscare.

Is Medicare and Fidelis the same?

Fidelis Care is contracted with Medicare for HMO, HMO D-SNP, and HMO-POS plans, and with the state Medicaid program. Enrollment in Fidelis Care depends on contract renewal.

Is Fidelis the same as WellCare?

WellCare is now Fidelis Care! WellCare is now Fidelis Care!

What is timely filing for Fidelis Medicare?

General information for claims submission: IMPORTANT – Claims must be submitted within 90 (ninety) days from the date of service.

What kind of insurance is Fidelis Care NY?

Fidelis Care, a leading health insurer that serves all of New York State, offers free or low-cost comprehensive health coverage, including Medicaid Managed Care, Medicare Advantage, Child Health Plus, and plans available through NY State of Health, The Official Health Plan Marketplace.

Is Fidelis Care Only in NY?

As of 2018, Fidelis Care served more than 1.7 million New York residents. It is a subsidiary of Centene Corp and has offices throughout New York State....Fidelis Care.Formation1993Websitewww.fideliscare.org7 more rows

What is Fidelis Medicare?

Fidelis Care offers Medicare Advantage plans that include Medicare Part D (prescription drug) coverage. Medicare Advantage plans require you to pay a monthly premium, often carry copays and coinsurance, and choose doctors within a provider network.

Did WellCare merge with Fidelis?

Fidelis Care's Medicare and Dual plans are now called Wellcare By Fidelis Care. It's still the same great Medicare coverage from the company you know and trust, just with a new name.

When did WellCare become Fidelis?

We will officially transition to Wellcare By Fidelis Care on January 1, 2022, unless otherwise noted.

How do I get Fidelis Care Tax Form?

How to find your 1095-A onlineLog in to your HealthCare.gov account.Under "Your Existing Applications," select your 2021 application — not your 2022 application.Select “Tax Forms” from the menu on the left.Download all 1095-As shown on the screen.

How do I appeal Fidelis?

As a member you or your authorized representative may file an organization determination, grievance and/or appeal within 60 days of the date of the event or incident by calling our Member Services Department at 1-800-247-1447 (TTY users should call 711). ... All non-urgent requests will be acknowledged in writing.More items...•

Where is Fidelis Care headquarters address?

New York, NYFidelis Care / Headquarters

Wellcare By Fidelis Care

Fidelis Care is excited to share exciting news about upcoming changes to our Medicare and Dual Advantage plans. Starting on January 1, 2022, our Medicare and Dual plans will now be Wellcare By Fidelis Care.

Find a Doctor

Search for a medical professional, service, or facility in the Wellcare By Fidelis Care Network.

Additional Information

Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PFFS, PDP plan with a Medicare contract and is an approved Part D Sponsor. Our D-SNP plans have a contract with the state Medicaid program. Enrollment in our plans depends on contract renewal.

What is a $400 flex benefit?

A low-cost product that offers a $400 flex benefit to help pay for health-related items, a low copay for in-network primary care provider (PCP), preventive dental care, and limited out-of-network benefits. Low copays for health care providers who accept Medicare.

What is Medicare Advantage Plan?

Medicare Advantage Plans (Medicare Part C) include all the benefits offered by Medicare Parts A and B, plus additional benefits, all combined into one plan. Fidelis Care offers Medicare Advantage plans that include Medicare Part D (prescription drug) coverage.

Does Fidelis Care have a monthly premium?

Designed for people who already have Prescription Drug (Rx) coverage, or who do not want to purchase that coverage. Visit any doctor who accepts Medicare and pay less if you choose doctors who are in the Fidelis Care network. This plan has no monthly premium.

New Members

If you recently enrolled in Child Health Plus, the Essential Plan, or a Metal-Level Product, please select the button below to make your first payment. Have your NY State of Health Confirmation ID ready.

Returning Members

Pay your premium online using your Member ID. If you are making a payment for another member, have their Member ID ready.

AutoPay: an Easier Way to Pay Your Monthly Premium

Log in to your Member Portal account at members.fideliscare.org to set up AutoPay and ensure your payments are always made on time. Setting it up is easy:

Medicare Advantage Plans

Medicare Advantage Plans (Medicare Part C) include all the benefits offered by Medicare Parts A and B, plus additional benefits, all combined into one plan.

Dual Advantage Plans

Dual Advantage health coverage is for individuals who are “ dual eligible ,” meaning they qualify for both Medicare and Medicaid coverage.

Here to Help

Need Help Finding a Plan? Contact a NYS Certified Medicare representative at 1-888-FIDELIS, (TTY: 711), Mon-Fri, 8:30 AM - 6 PM.

Additional Information

Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PFFS, PDP plan with a Medicare contract and is an approved Part D Sponsor. Our D-SNP plans have a contract with the state Medicaid program. Enrollment in our plans depends on contract renewal.

What is Medicare wellness visit?

Medicare preventive wellness visits fall into three categories; the Welcome to Medicare Visit, also known as the Initial Preventive Physical Exam (IPPE), the initial Annual Wellness Visit, and subsequent Annual Wellness Visits. Each has its own Current Procedural Terminology code that must be used in the right circumstances and proper order.

What is the Medicare visit code?

In addition to the primary visit codes (G0402, G0438, and G0439) , a select list of other codes may be billed for services performed during a Welcome to Medicare Visit or Annual Wellness Visit. When using any of these codes, a separate note is required to support each rendered service.

How long does Medicare cover AWV?

Medicare covers an AWV for all patients who aren’t within 12 months after the eligibility date for their first Medicare Part B benefit period and who didn’t have an IPPE or an AWV within the past 12 months. Medicare pays for only 1 IPPE per patient per lifetime and 1 additional AWV per year thereafter.

What is an IPPE in Medicare?

Initial Preventive Physical Examination (IPPE) The IPPE, known as the “Welcome to Medicare” preventive visit, promotes good health through disease prevention and detection. Medicare pays for 1 patient IPPE per lifetime not later than the first 12 months after the patient’s Medicare Part B benefits eligibility date.

How many times can you report ACP?

There are no limits on the number of times you can report ACP for a certain patient in a certain time period. When billing this patient service multiple times, document the change in the patient’s health status and/or wishes regarding their end-of-life care. Preparing Eligible Medicare Patients for the AWV.

Does Medicare waive ACP deductible?

Medicare waives the ACP deductible and coinsurance once per year when billed with the AWV. If the AWV billed with ACP is denied for exceeding the once-per-year limit, Medicare will apply the ACP deductible and coinsurance. The deductible and coinsurance apply when you deliver the ACP outside of the covered AWV.

Does the AWV include HRA?

The AWV includes a HRA. See summary below of the minimum elements in the HRA. Get more information in the CDC’s A Framework for Patient-Centered Health Risk Assessments booklet, including:

Using telemedicine is easy!

You can get started by downloading the app for your plan from the App Store (iPhone) or Play Store (Android). Babylon and Teladoc visits are covered at no cost to you!

Telemedicine Visits With Network Providers

Fidelis Care also offers telemedicine visits with our network providers if they offer the service. Beginning in June 2021, regular cost shares apply for this type of telemedicine visit.

Your Health Information is Protected

The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule provides national standards to protect individuals’ medical records and other personal health information. The Privacy Rule applies to all forms of your protected health information, whether electronic, written, or oral.

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