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. Medicare Advantage plan costs are in addition to your Original Medicare monthly premium.
Full Answer
How good is Fidelis Care?
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. Medicare Advantage plans require you to pay a monthly premium, often carry copays and coinsurance, and choose …
Is Fidelis a Medicaid plan?
Dual Advantage health coverage is for individuals who are “dual eligible,” meaning they qualify for both Medicare and Medicaid coverage. Fidelis Dual Advantage health insurance coverage allows your health care expenses to be covered seamlessly between Medicare and Medicaid with no gaps in coverage, and with one point of contact — all for little to no out-of-pocket cost.
What are the benefits of Medicare Advantage plans?
Dec 14, 2021 · Takeaway. at a glance. Fidelis is a private insurance company that offers Medicare Advantage plans in the state of New York. The Medicare Advantage plans available through Fidelis are HMO, HMO D ...
What type of insurance is Fidelis Care?
About Medicare. Medicare is the federal health insurance program for people age 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD). Fidelis Care strives to help Medicare members better manage their Original Medicare and Medicare Part D benefits, …
Is Fidelis Care the same as Medicare?
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.
What type of insurance is Fidelis Care New York?
Welcome, Navigators! 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.
What is a qualified health plan New York?
Qualified Health Plans (QHP) are comprehensive, private health plans offered through the New York State of Health marketplace (NYSOH).
Is it true that if you have a Medicare Advantage plan you will lose Medicare?
If you're already in a Medicare Advantage Plan and want to switch, follow these steps: To switch to a new Medicare Advantage Plan, simply join the plan you choose during one of the enrollment periods. You'll be disenrolled automatically from your old plan when your new plan's coverage begins.
Is Fidelis part of Obamacare?
-- Fidelis Care, one of the biggest Obamacare health insurers in New York state, is selling its operation to a national public company that specializes in government-sponsored health insurance programs.Sep 12, 2017
Who owns Fidelis Care insurance?
Centene CorpAs 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.Formation1993PurposeHealth Insurance CompanyHeadquartersNew York City, United StatesRegion servedNew York StateProductsHealth insurance4 more rows
What makes a health plan a qualified plan?
An insurance plan that's certified by the Health Insurance Marketplace®, provides essential health benefits, follows established limits on cost-sharing (like deductibles, copayments, and out-of-pocket maximum amounts), and meets other requirements under the Affordable Care Act.
How can I get health insurance without a job in NY?
If you're unemployed you may be able to get an affordable health insurance plan through the Marketplace, with savings based on your income and household size. You may also qualify for free or low-cost coverage through Medicaid or the Children's Health Insurance Program (CHIP).
How much is health insurance in NY for one person?
How much does health insurance cost in New York? New York residents can expect to pay an average of $484 per person* for a major medical individual health insurance plan. Prices will vary and premiums can be lower if you are in good health.
What are the negatives of a Medicare Advantage plan?
Medicare Advantage can become expensive if you're sick, due to uncovered copays. Additionally, a plan may offer only a limited network of doctors, which can interfere with a patient's choice. It's not easy to change to another plan; if you decide to switch to Medigap, there often are lifetime penalties.
What is the biggest disadvantage of Medicare Advantage?
The primary advantage is the monthly premium, which is generally lower than Medigap plans. The top disadvantages are that you must use provider networks and the copays can nickel and dime you to death.Dec 12, 2021
Can you switch back and forth between Medicare and Medicare Advantage?
If you currently have Medicare, you can switch to Medicare Advantage (Part C) from Original Medicare (Parts A & B), or vice versa, during the Medicare Annual Enrollment Period. If you want to make a switch though, it may also require some additional decisions.
Benefits
Our Qualified Health Plans either fully or partially cover a comprehensive list of benefits, including:
Benefit Comparisons
Compare 2021 Qualified Health Wellness Plans (PDF)#N#(available only in NYC, Westchester, and Rockland counties)
Learn more about Fidelis Dual Advantage plans
For those who qualify for both Medicare and partial or full Medicaid coverage, our Dual Advantage Flex plan combines and simplifies these two plans into one.
Need Assistance?
Complete the Contact Me form to secure a consultation with a licensed Medicare Agent who can assist with enrollment, in accordance with the New York State of Health guidelines.
What is a Fidelis plan?
at a glance. Fidelis is a private insurance company that offers Medicare Advantage plans in the state of New York. The Medicare Advantage plans available through Fidelis are HMO, HMO D-SNP, HMO-POS plans. All Fidelis Medicare Advantage plans offer extra benefits like vision and hearing exams, and some may also cover dental, hearing aids, ...
What is Medicare Advantage?
Medicare Advantage (Part C) plans are health insurance plans that private insurance companies sell. You can choose to enroll in a Medicare Advantage plan instead of using original Medicare for your medical benefits. All Medicare Advantage plans have the same basic coverage as original Medicare.
What is an HMO plan?
In a Health Maintenance Organization (HMO) plan, you must receive your care from an in-network provider. If you use an out-of-network provider, you may be responsible for paying for the entire cost of your care.
Does Fidelis offer Medicare?
Fidelis offers a few different Medicare Advantage plans in the state of New York. The types of plans that are available include one HMO plan, HMO D-SNP, and HMO-POS plans. All Fidelis plans cover the same benefits as original Medicare. They may also include additional benefits like dental, vision, and hearing aids.
What are the benefits of telehealth?
telehealth benefits. fitness benefits like the SilverSneakers program. transportation. alternative treatments like acupuncture and massage therapy. installation of safety devices in your home, such as a grab bar in your shower. There’s variation in both the costs and services included in Medicare Advantage plans.
Does Medicare Advantage have a deductible?
Deductibles. Some Medicare Advantage plans may have a health or drug deductible that you’ll pay before coverage begins. Out-of-pocket costs. If a service or provider isn’t included in your plan, you’ll be responsible for paying any costs. Most plans have a maximum out-of-pocket limit, but these can vary by plan.
How do I qualify for medicare?
If not yet 65, you might qualify for Medicare: 1 If you qualify for Social Security Disability Insurance (SSDI) and have been receiving SSDI checks for at least 24 months. For more information, contact your local Social Security Office. 2 You have End Stage Renal Disease (ESRD), otherwise known as kidney failure. 3 You are dual eligible (qualify for both Medicare and Medicaid) due to certain health conditions and income.
What is Fidelis Care?
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. From October 1 to March 31, you can call us 7 days a week from 8 a.m. to 8 p.m.
Can I get Medicare if I am 65?
If not yet 65, you might qualify for Medicare: If you qualify for Social Security Disability Insurance (SSDI) and have been receiving SSDI checks for at least 24 months. For more information, contact your local Social Security Office. You have End Stage Renal Disease (ESRD), otherwise known as kidney failure.
Is Medicare Part C part of Medicare?
It is also considered part of Original Medicare. Medicare Part C, often called Medicare Advantage , is offered by private insurance companies working with the federal government to provide all Part A and Part B benefits together in one package.
Benefits
Our Metal-Level Plans either fully or partially cover a comprehensive list of benefits, including:
How to Enroll
Once you know the health coverage you qualify for, there are three ways you can enroll:
Get A Quote
Tell us more about yourself to find qualifying plans and estimate costs.
The Fidelis Care Blog
News you can use to live healthier and get the most out of your health insurance!