Is Fidelis Medicaid free?

What type of insurance is Fidelis Care?

Fidelis Care provides quality, affordable health insurance coverage for more than 2.3 million children and adults of all ages and at all stages of life.

Does Fidelis Medicaid cover breast pump?

Fidelis Care offers a special program called BabyCare to support the health of members during pregnancy. New York mothers and moms-to-be who are covered by Fidelis Care may be eligible to receive a free breast pump and equipment through insurance.

Which is better Fidelis or affinity?

Affinity Health Plan scored higher in 2 areas: CEO Approval and % Recommend to a friend. Fidelis Care scored higher in 6 areas: Overall Rating, Career Opportunities, Compensation & Benefits, Senior Management, Culture & Values and Positive Business Outlook. Both tied in 1 area: Work-life balance.

Does Fidelis Medicaid need referrals?

You do not need a referral from your PCP to get these services. If you have any questions or need information about these non-covered services, you can call Fidelis Care's Member Services Department at 1-888-FIDELIS (1-888-343-3547).

What's the difference between Medicaid and Medicare?

Medicare is a federal program that provides health coverage if you are 65+ or under 65 and have a disability, no matter your income. Medicaid is a state and federal program that provides health coverage if you have a very low income. ... They will work together to provide you with health coverage and lower your costs.

What is the difference between managed Medicaid and Medicaid?

Under the FFS model, the state pays providers directly for each covered service received by a Medicaid beneficiary. Under managed care, the state pays a fee to a managed care plan for each person enrolled in the plan.

Is NY Essential Plan Medicaid?

The Essential Plan is a health insurance plan in New York for people who have limited income, but don't qualify for Medicaid. Are not eligible for Medicaid or Child Health Plus. ...

Does Fidelis cover hospital bills?

Fidelis Care must protect you from bills for out-of-network emergency services in a hospital. You do not have to pay non-participating provider charges for emergency services (typically for services in a hospital emergency room) that are more than your in-network copayment, coinsurance or deductible.

Is Fidelis Medicare?

It is considered part of Original Medicare, the traditional program offered through the federal government. ... A number of Fidelis Care's Medicare Advantage plans include prescription drug coverage (Medicare Part D) as part of the comprehensive package.

How do you qualify 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).

Does NYS Medicaid cover out of state?

New York State (NYS) Medicaid provides medical coverage for low-income residents of New York. ... While this requirement covers your medical needs within the state of New York, it leaves you without coverage when traveling to other states.

Can I use Fidelis Care out of state?

A: No. Because each state has its own Medicaid eligibility requirements, you can't just transfer coverage from one state to another, nor can you use your coverage when you're temporarily visiting another state, unless you need emergency health care.

Is Fidelis a marketplace insurance?

Fidelis Care Qualified Health Plan Products are standardized plans offered by Fidelis Care via NY State of Health, the Official Health Plan Marketplace. Plans fall into various "metal" levels based on their design and the level of cost sharing required: Platinum, Gold, Silver, Bronze, and Catastrophic Coverage.

What does NYS Medicaid cover?

New York Medicaid benefits include regular exams, immunizations, doctor and clinic visits, relevant medical supplies and equipment, lab tests and x-rays, vision, dental, nursing home services, hospital stays, emergencies, and prescriptions.

Can you have Medicaid and private insurance?

If You're Eligible for Both Medicaid and Private Insurance

Besides collaborating with other payers on a third-party basis, Medicaid may also arrange for private insurance plans and other entities to pay health care providers for services covered by Medicaid.

What does Fidelis cover for pregnancy?

Members can obtain the following family planning services through Fidelis Care: birth control drugs, birth control devices (IUDs and diaphragms) that are available with a prescription, plus emergency contraception, sterilization, pregnancy testing, prenatal care, and abortion services.

How do I add a newborn to Fidelis?

Does Fidelis cover diabetic supplies?

For your convenience, Fidelis Care offers direct mail options to fill your durable medical equipment needs. These providers offer a wide range of supplies such as diabetes test strips, bladder control pads, bandages, and more.