Essentially, Medicare is for people who are over age 65 or have a disability, while Medicaid Medicaid in the United States is a federal and state program that helps with medical costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, including nursing home care and personal care services. The Health Insurance As…Medicaid
Full Answer
Is Fidelis good insurance?
Good Insurance Plan Selection. Fidelis Care offers a range of health insurance plans including Medicare Advantage, Medicaid Managed Care, Child Health Plus, and qualified health plans on the Health Insurance Marketplace. It also offers Essential Plans for people who need health care but are not eligible for Medicaid or Child Health Plus.
Is Fidelis Care good health?
Fidelis Care is a mission-driven health plan offering quality, affordable coverage for children and adults of all ages and at all stages of life. With more than 2.1 million members Statewide, Fidelis Care believes that all New Yorkers should have access to affordable, quality health insurance. For more information, call Fidelis Care at 1-888 ...
How good is Fidelis Care?
Is Fidelis health care good? Fidelis Care also received an overall quality rating of 5 stars for health plan performance as part of the New York State Department of Health’s 2017 Consumer’s Guide to Medicaid and Child Health Plus Managed Care Plans. Can I use Fidelis Care out of state? Fidelis Care does not cover services by out -of-network ...
What type of insurance is Fidelis Care?
What type of insurance is Fidelis Care? Medicare Advantage plans 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.
Is Fidelis and Medicare the same?
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.
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.
Is Fidelis non 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.
Is Fidelis Care NY Medicaid?
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 the difference between Medicare and Medicaid?
The difference between Medicaid and Medicare is that Medicaid is managed by states and is based on income. Medicare is managed by the federal government and is mainly based on age. But there are special circumstances, like certain disabilities, that may allow younger people to get Medicare.
Does Fidelis have copays?
All Fidelis Care Qualified Health Plans carry some combination of cost sharing between you and Fidelis Care. Some examples of cost-sharing include deductibles, coinsurance, and/or copays.
Is Fidelis part of Obamacare?
Fidelis had the largest market share in the state for private Obamacare plans as of Jan. 31. It also provides Medicaid plans, Medicare Advantage and managed long-term care plans. Centene, which trades on the New York Stock Exchance, will continue to operate the business under the Fidelis Care name.
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.Formation1993Region servedNew York StateProductsHealth insuranceParent organizationCentene CorporationStaff4,550 (est.)4 more rows
Who owns Fidelis Care?
Centene CorporationFidelis Care / Parent organizationCentene Corporation is a publicly traded managed care company based in St. Louis, Missouri. It serves as an intermediary for government-sponsored and privately insured health care programs. Centene ranked No. 24 on the 2021 Fortune 500. Wikipedia
Who qualifies for Medicaid?
To participate in Medicaid, federal law requires states to cover certain groups of individuals. Low-income families, qualified pregnant women and children, and individuals receiving Supplemental Security Income (SSI) are examples of mandatory eligibility groups (PDF, 177.87 KB).
Are Fidelis and WellCare the same?
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.
Does Medicaid cover dental implants in NY?
Dental implants will be covered by Medicaid when medically necessary. Prior approval requests for implants must have supporting documentation from the patient's physician and dentist. A letter from the patient's physician must explain how implants will alleviate the patient's medical condition.
Who Gets Medicare vs Medicaid?
Elderly and disabled people get Medicare; poor people get Medicaid. If you’re both elderly and poor or disabled and poor, you can potentially get b...
Who Runs Medicare vs Medicaid?
The federal government runs the Medicare Program. Each state runs its own Medicaid program. That’s why Medicare is basically the same all over the...
How Do Program Designs Differ For Medicare vs Medicaid?
Medicare is an insurance program while Medicaid is a social welfare program.Medicare recipients get Medicare because they paid for it through payro...
How Are Medicare and Medicaid Options Different?
The Medicare program is designed to give Medicare recipients multiple coverage options. Medicare is composed of several different sub-parts, each o...
Where Do Medicare and Medicaid Get Their Money?
Medicare is funded in part by the Medicare payroll tax, in part by Medicare recipients’ premiums, and in part by general federal taxes. The Medicar...
How Do Medicare and Medicaid Benefits differ?
Medicare and Medicaid don’t necessarily cover the same healthcare services. For example, Medicare doesn’t pay for long-term custodial care like per...
What is Medicare insurance?
Medicare. Medicare is an insurance program. Medical bills are paid from trust funds which those covered have paid into. It serves people over 65 primarily, whatever their income; and serves younger disabled people and dialysis patients. Patients pay part of costs through deductibles for hospital and other costs.
Do you pay for medical expenses on medicaid?
Patients usually pay no part of costs for covered medical expenses. A small co-payment is sometimes required. Medicaid is a federal-state program. It varies from state to state. It is run by state and local governments within federal guidelines.
Is Medicare a federal program?
Small monthly premiums are required for non-hospital coverage. Medicare is a federal program. It is basically the same everywhere in the United States and is run by the Centers for Medicare & Medicaid Services, an agency of the federal government.
What is the difference between medicaid and medicare?
Essentially, Medicare is for people who are over age 65 or have a disability, while Medicaid is for people with low incomes. Some people are eligible for both .
How much does the federal government pay for medicaid?
The federal government pays an average of about 60% of total Medicaid costs, but the percentage per state ranges from 50% to about 77%, depending on the average income of the state's residents (wealthier states pay more of their own Medicaid costs, whereas poorer states get more federal help). 10 .
How is Medicare funded?
Medicare is funded: In part by the Medicare payroll tax (part of the Federal Insurance Contributions Act or FICA) In part by Medicare recipients’ premiums. In part by general federal taxes. The Medicare payroll taxes and premiums go into the Medicare Trust Fund.
How much is Medicare Part B?
For most people, Medicare Part B premiums are $148.50 a month (in 2021 rates). However, you'll pay higher premiums for Medicare Part B and Part D if your income is higher than $87,000 per year for a single person, or $174,000 per year for a married couple. 3 .
What is Medicare program?
The Medicare program is designed to give Medicare recipients multiple coverage options. It's composed of several different sub-parts, each of which provides insurance for a different type of healthcare service.
How long do you have to be on Social Security to qualify for Medicare?
In most cases, you have to receive Social Security disability benefits for two years before you become eligible for Medicare (but there are exceptions for people with end-stage renal disease and amyotrophic lateral sclerosis). 2 . You’re eligible for Medicare if: You’re at least 65 years old.
How old do you have to be to get Medicare?
You’re eligible for Medicare if: You’re at least 65 years old. AND you or your spouse paid Medicare payroll taxes for at least 10 years. Whether you're rich or poor doesn't matter; if you paid your payroll taxes and you're old enough, you'll get Medicare. In that case, you'll get Medicare Part A for free.
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.
Who can apply?
Children and adults who meet income, resource, age, and/or disability requirements can apply for Medicaid.
Availability
No need to wait for open enrollment: You can enroll in Medicaid Managed Care year-round.
Get Coverage
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!
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.
How long do you have to be on Social Security to qualify for Medicare?
Qualifying for Medicare Before Age 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.
What is Medicare for people 65 years old?
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).
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.
Does Fidelis Care have Medicare Part D?
A number of Fidelis Care's Medicare Advantage plans include prescription drug coverage (Medicare Part D) as part of the comprehensive package. Medicare Part D covers prescription drugs. Medicare Advantage Plans may also offer ...
Who can apply?
The Essential Plan is for individuals who meet certain income requirements. It's a good option for young adults who no longer qualify for Child Health Plus. It’s also great for people who can’t get health coverage through their employer.
Cost
Fidelis Care offers four types of Essential Plans: Essential Plan 1, 2, 3, and 4. Your income will determine which plan you are eligible for.
Benefits
The Essential Plan offers access to essential health benefits, such as:
How to Enroll
Once you know the health coverage you qualify for, there are four ways you can enroll:
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 happens if a provider isn't included in your plan?
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. The table below compares the costs some of the Fidelis Medicare Advantage plans in different cities in New York.
Does Fidelis Medicare cover dental?
All Fidelis Medicare Advantage plans offer extra benefits like vision and hearing exams, and some may also cover dental, hearing aids, and prescription drugs. Fidelis provides healthcare coverage to more than 2.1 million beneficiaries across New York.
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.