Is Fidelis Medicaid good?
Asked by: Elizabeth Gerhold | Last update: February 11, 2022Score: 5/5 (50 votes)
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.
Is Fidelis Care the same as Medicaid?
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 Medicaid free?
Fidelis Care offers free or low-cost health coverage year-round to New Yorkers of all ages and at all stages of life.
Is Fidelis Medicare or Medicaid?
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.
Does Fidelis Medicaid have copays?
There are no copays for covered services and no monthly premiums. Always check with your Primary Care Provider to find out if a referral is required for any additional health services you might need.
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Does Fidelis cover hospital stay?
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.
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).
Is Fidelis a WellCare?
WellCare is now Fidelis Care! WellCare is now Fidelis Care!
Is Fidelis 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 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.
Does Fidelis insurance cover 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 Care 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.
What type of insurance is Fidelis Care New York?
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.
Is Fidelis changing to wellcare?
Starting on January 1, 2022, our Medicare and Dual plans will now be Wellcare By Fidelis Care.
How do I get my Fidelis ID number?
Member ID You can find your ID number on your insurance card. Please enter your Member ID. Email Address (Member Portal Account users only) We will contact you through your Member Portal email address. If you do not have a Member Portal account, please register before submitting your question.
Is Fidelis part of centene?
Welcome, Providers!
As you may know, WellCare Health Plans is now part of Centene, which operates as Fidelis Care in New York State.
Does Fidelis cover birth control?
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 know if my Fidelis is active?
Need assistance? Call Member Services at 1-888-FIDELIS (1-888-343-3547).
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.
Does Fidelis drug test?
The drug test process is random.
Does Fidelis Medicaid cover acupuncture?
This year, Fidelis Care introduced new benefits for their Qualified Health Plans to help people take control of their health. Individuals in select areas can choose a wellness plan that includes acupuncture, while other options include a health savings account.
Does Fidelis cover bloodwork?
Diagnostic test (x-ray, blood work) $75 copay per visit after deductible Not covered Prior authorization required for diagnostic radiology except x-ray.
Does Fidelis Care cover ambulance?
The non-emergent transportation benefit covers round-trip transportation from the member's home to medical appointments with in-network providers located within 30 miles. This may include public transportation or scheduled trips by livery, ambulette, or ambulance.