Fidelis Care is a health insurance provider offering various health plans to individuals and families in the state of New York. It is a managed care organization that works in partnership with the New York State Department of Health to provide comprehensive health insurance coverage to eligible individuals. Fidelis Care offers different types of health insurance plans, including Medicaid, Medicare, and Child Health Plus. Medicaid is a government-sponsored health insurance program for low-income individuals and families, while Medicare is a federal health insurance program for people aged 65 and older, as well as individuals with certain disabilities. Child Health Plus is a health insurance program for children and pregnant women in low-income families.
Fidelis Care: Understanding Medicaid and Medicare
Fidelis Care is a health insurance provider that offers various coverage options for individuals and families in New York State. It’s essential to understand the differences between Fidelis Care Medicaid and Medicare to determine which program is best suited for your needs.
Fidelis Care Coverage Options
Fidelis Care provides a range of coverage options to meet the diverse needs of individuals and families. These options include:
- Medicaid: Medicaid is a government-sponsored health insurance program for low-income individuals and families. Fidelis Care offers various Medicaid plans, including:
- Medicaid Managed Care
- Medicaid Fee-For-Service
- Medicaid Managed Long-Term Care
- Medicare: Medicare is a health insurance program for individuals aged 65 and older, younger individuals with disabilities, and people with End-Stage Renal Disease (ESRD). Fidelis Care offers Medicare Advantage plans, which provide comprehensive coverage beyond traditional Medicare.
- Commercial Plans: Fidelis Care also offers commercial health insurance plans for individuals and families who do not qualify for Medicaid or Medicare.
In addition to the above plans, Fidelis Care provides specialized coverage options, such as:
- Child Health Plus: Child Health Plus (CHP) is a state-sponsored health insurance program for children and young adults in New York State who do not qualify for Medicaid.
- Essential Plan: The Essential Plan is a low-cost health insurance option for individuals and families who earn too much to qualify for Medicaid but cannot afford commercial health insurance.
Table Comparing Fidelis Care Medicaid, Medicare, and Commercial Plans
| Medicaid | Medicare | Commercial Plans | |
|---|---|---|---|
| Eligibility | Low-income individuals and families | Individuals aged 65+ or younger individuals with disabilities | Individuals and families of all ages |
| Premiums | Generally free or low-cost | Monthly premiums vary based on the plan and coverage | Monthly premiums vary based on the plan and coverage |
| Benefits | Comprehensive coverage, including doctor visits, hospital stays, prescription drugs, and more | Comprehensive coverage, including doctor visits, hospital stays, prescription drugs, and more | Coverage varies depending on the plan, but typically includes doctor visits, hospital stays, prescription drugs, and more |
| Provider Network | Varies by plan | Varies by plan | Varies by plan |
To learn more about Fidelis Care’s coverage options and determine which plan is right for you, visit their official website or speak with a licensed insurance agent.
Fidelis Care: An Overview
Fidelis Care is a health insurance provider offering coverage to New York State residents. It is a not-for-profit health plan that contracts with the state to provide affordable, quality health insurance to low-income individuals and families. Fidelis Care offers a range of health insurance plans, including Medicaid, Medicare Advantage, Child Health Plus, and Essential Plan. However, Fidelis Care is neither Medicaid nor Medicare.
Fidelis Care Eligibility
To be eligible for Fidelis Care, you must meet certain requirements, which vary depending on the type of health insurance plan you are applying for. Generally, you must be a New York State resident, a U.S. citizen or legal permanent resident, and meet income and asset limits.
Medicaid Eligibility
- Income: To be eligible for Medicaid through Fidelis Care, your income must be at or below 138% of the Federal Poverty Level (FPL).
- Assets: You must also meet certain asset limits to qualify for Medicaid. The asset limit is $15,500 for an individual and $31,000 for a couple.
Medicare Advantage Eligibility
- Age: To be eligible for Medicare Advantage through Fidelis Care, you must be 65 or older or have a qualifying disability.
- Medicare Part A: You must be enrolled in Medicare Part A (Hospital Insurance).
- Residence: You must reside in the Fidelis Care service area.
Child Health Plus Eligibility
- Age: To be eligible for Child Health Plus through Fidelis Care, your child must be under 19 years old.
- Income: Your family’s income must be at or below 400% of the FPL.
- Residence: Your child must reside in New York State.
Essential Plan Eligibility
- Income: To be eligible for the Essential Plan through Fidelis Care, your income must be between 138% and 400% of the FPL.
- Residence: You must reside in New York State.
You can apply for Fidelis Care online, by phone, or through a paper application. Once your application is approved, you will receive a Fidelis Care member ID card, which you can use to access healthcare services.
| Program | Age Requirement | Income Requirement | Residence Requirement |
|---|---|---|---|
| Medicaid | N/A | At or below 138% of FPL | New York State |
| Medicare Advantage | 65 or older or have a qualifying disability | Enrolled in Medicare Part A | Fidelis Care service area |
| Child Health Plus | Under 19 years old | Family income at or below 400% of FPL | New York State |
| Essential Plan | N/A | Income between 138% and 400% of FPL | New York State |
Fidelis Care Overview
Fidelis Care is a health insurance company that provides coverage to low-income New Yorkers. It is not Medicaid or Medicare, but it does offer similar benefits. Fidelis Care is available to residents of New York State who meet certain income and eligibility requirements.
Fidelis Care Benefits
Fidelis Care offers a wide range of benefits, including:
- Medical care
- Prescription drug coverage
- Mental health and substance abuse treatment
- Vision care
- Dental care
- Preventive care
- Family planning services
Fidelis Care also offers a variety of additional benefits, such as:
- Transportation assistance
- Child care assistance
- Nutrition assistance
- Housing assistance
- Employment assistance
Eligibility for Fidelis Care
To be eligible for Fidelis Care, you must meet the following requirements:
- You must be a resident of New York State.
- You must be a U.S. citizen or a qualified immigrant.
- You must meet certain income and asset limits.
The income and asset limits for Fidelis Care vary depending on your family size and composition. For more information, you can visit the Fidelis Care website or call their customer service number.
How to Apply for Fidelis Care
To apply for Fidelis Care, you can:
- Apply online at the Fidelis Care website.
- Call the Fidelis Care customer service number.
- Visit a local Fidelis Care office.
You will need to provide certain information when you apply for Fidelis Care, such as your name, address, date of birth, and Social Security number. You will also need to provide information about your income and assets.
Fidelis Care Costs
The cost of Fidelis Care varies depending on your income and family size. In general, the higher your income, the higher your premium will be. Fidelis Care also offers a variety of copayments and deductibles. For more information about Fidelis Care costs, you can visit the Fidelis Care website or call their customer service number.
Comparison of Fidelis Care, Medicaid, and Medicare
| Program | Eligibility | Benefits | Costs |
|---|---|---|---|
| Fidelis Care | Residents of New York State who meet certain income and asset limits | Medical care, prescription drug coverage, mental health and substance abuse treatment, vision care, dental care, preventive care, family planning services | Varies depending on income and family size |
| Medicaid | Low-income individuals and families who meet certain eligibility requirements | Medical care, prescription drug coverage, mental health and substance abuse treatment, vision care, dental care, preventive care, family planning services | Free or low-cost |
| Medicare | Individuals aged 65 and older, people with certain disabilities, and people with end-stage renal disease | Medical care, prescription drug coverage, mental health and substance abuse treatment, vision care, dental care, preventive care | Varies depending on the type of Medicare coverage |
Fidelis Care: An Overview
Fidelis Care is a health insurance company that provides coverage to New Yorkers through Medicaid, Medicare, and Child Health Plus. It is a not-for-profit organization that was founded in 1985. Fidelis Care is the largest Medicaid managed care provider in New York State, serving over 2 million members. It also serves over 250,000 Medicare members and over 100,000 Child Health Plus members.
Fidelis Care Services
Fidelis Care offers a wide range of health insurance plans, including:
- Medicaid Managed Care
- Medicare Advantage
- Child Health Plus
- Essential Plan
- Qualified Health Plan
Fidelis Care also offers a variety of programs and services to help members stay healthy, including:
- Preventive care
- Chronic disease management
- Mental health and substance abuse treatment
- Dental and vision care
- Transportation assistance
Fidelis Care Providers
Fidelis Care has a large network of providers, including:
- Doctors
- Hospitals
- Clinics
- Nursing homes
- Home health agencies
Members can choose any provider in the Fidelis Care network. They can also choose to see out-of-network providers, but they may have to pay more for their care.
Fidelis Care Costs
The cost of Fidelis Care varies depending on the plan you choose and your income. Medicaid and Child Health Plus are free for eligible members. Medicare Advantage plans have a monthly premium, but they may also cover some or all of your out-of-pocket costs.
How to Apply for Fidelis Care
You can apply for Fidelis Care online, by phone, or in person. You will need to provide information about your income, family size, and health status. You can also apply for Fidelis Care through the New York State Department of Health.
| Provider Type | Services |
|---|---|
| Doctors | Provide primary and specialty care |
| Hospitals | Provide inpatient and outpatient care |
| Clinics | Provide primary and specialty care, as well as preventive and wellness services |
| Nursing homes | Provide long-term care for people who need help with activities of daily living |
| Home health agencies | Provide skilled nursing care, physical therapy, occupational therapy, and other services in the home |
Thanks for sticking with me until the end of this article. I hope I’ve been able to shed some light on the often confusing topic of Fidelis Care. If you’re still not sure whether Fidelis Care is Medicaid or Medicare, I encourage you to do some more research or talk to a representative from Fidelis Care. In the meantime, be sure to check back for more informative articles like this one!