Fidelis Medicaid’s comprehensive coverage offers various healthcare benefits to eligible individuals and families in New York. It covers a wide range of essential medical services, including doctor visits, hospital stays, emergency care, prescription drugs, mental health and substance abuse treatment, and preventive care. Additionally, Fidelis Medicaid provides access to specialists, medical equipment, and home healthcare services. The program aims to promote health equity by ensuring that low-income individuals and families have access to quality healthcare services regardless of their ability to pay.
Covered Services
Fidelis Medicaid covers a wide range of health care services for eligible individuals and families. These services are designed to meet the medical needs of low-income individuals and families, including children, pregnant women, and people with disabilities.
Covered Services
- Doctor visits
- Hospital Stays
- Emergency room visits
- Mental health services
- Substance abuse treatment
- Prescription drugs
- Vision care
- Dental care
- Family planning services
- Transportation to medical appointments
In addition to the services listed above, Fidelis Medicaid also covers a number of other services, including:
- Skilled nursing facility care
- Intermediate care facility care
- Home health care
- Personal care services
- Hospice care
Benefits
Fidelis Medicaid offers a number of benefits to eligible individuals and families, including:
- Affordable coverage: Fidelis Medicaid is a low-cost health insurance option for eligible individuals and families. Premiums are based on income, and in some cases, there are no premiums at all.
- Comprehensive coverage: Fidelis Medicaid covers a wide range of health care services, including doctor visits, hospital stays, and prescription drugs.
- Easy access to care: Fidelis Medicaid providers are located throughout the state, making it easy for members to find a doctor or other health care provider.
Eligibility
To be eligible for Fidelis Medicaid, you must meet certain income and residency requirements. You must also be a citizen or legal resident of the United States. To apply for Fidelis Medicaid, you can contact your local Department of Social Services or visit the Fidelis Care website.
Conclusion
Fidelis Medicaid is a valuable health insurance program that provides affordable, comprehensive coverage to eligible individuals and families. If you are eligible for Fidelis Medicaid, you should apply today.
Fidelis Medicaid Coverage
Fidelis Medicaid is a health insurance program in New York that covers low-income individuals and families. The program provides comprehensive health coverage, including doctor visits, hospital stays, prescription drugs, and mental health services. It also covers long-term care services for people with disabilities.
Eligibility Requirements
- Be a New York resident
- Meet income and asset limits
- Be a U.S. citizen or eligible non-citizen
- Be pregnant, a child under 19, a parent or caretaker of a child under 19, disabled, or over 65
To apply for Fidelis Medicaid, you can visit the New York State of Health website or call the customer service number. You will need to provide proof of income, assets, and citizenship or immigration status.
Benefits Covered by Fidelis Medicaid
Fidelis Medicaid covers a wide range of health care services, including:
- Doctor visits
- Hospital stays
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental care
- Vision care
- Hearing aids
- Durable medical equipment
- Long-term care services
The exact benefits covered by Fidelis Medicaid vary depending on your age, income, and disability status. To find out what benefits you are eligible for, you can contact the Fidelis Medicaid customer service number or visit the New York State of Health website.
Cost of Fidelis Medicaid
There is no premium for Fidelis Medicaid. However, you may have to pay copayments and deductibles for some services. The amount you pay will depend on your income and the type of service you receive.
If you have questions about Fidelis Medicaid coverage or costs, you can contact the Fidelis Medicaid customer service number or visit the New York State of Health website.
Table of Fidelis Medicaid Benefits
| Service | Covered |
|---|---|
| Doctor visits | Yes |
| Hospital stays | Yes |
| Prescription drugs | Yes |
| Mental health services | Yes |
| Substance abuse treatment | Yes |
| Dental care | Yes |
| Vision care | Yes |
| Hearing aids | Yes |
| Durable medical equipment | Yes |
| Long-term care services | Yes |
Fidelis Medicaid Plans
Fidelis Care offers a variety of Medicaid plans to meet your needs. Whether you need comprehensive coverage or a plan that focuses on specific services, Fidelis Care has a plan to help you.
Fidelis Care Medicaid plans cover a wide range of services, including:
- Doctors’ visits
- Hospital care
- Prescription drugs
- Mental health and substance use treatment
- Dental care
- Vision care
- Family planning services
- Long-term care
Fidelis Care also offers a variety of additional benefits, such as:
- Transportation to and from medical appointments
- Help paying for over-the-counter medications
- Access to a personal care assistant
- A wellness program that can help you stay healthy
To find out more about Fidelis Care Medicaid plans, visit the Fidelis Care website or call 1-888-FIDELIS (1-888-343-3547).
| Plan | Coverage | Eligibility |
|---|---|---|
| Medicaid Standard | Comprehensive coverage for all medically necessary services | Families with children, pregnant women, adults with disabilities, and low-income adults |
| Medicaid Managed Care | A type of Medicaid that provides coverage through a managed care organization (MCO) | Families with children, pregnant women, adults with disabilities, and low-income adults |
| Medicaid Child Health Plus | Coverage for children and teens up to age 19 who do not qualify for Medicaid Standard or Medicaid Managed Care | Children and teens up to age 19 who meet income and asset guidelines |
| Medicaid Family Health Plus | Coverage for adults up to age 65 who do not qualify for Medicaid Standard or Medicaid Managed Care | Adults up to age 65 who meet income and asset guidelines |
| Medicaid Long-Term Care | Coverage for long-term care services such as nursing home care and home health care | Adults aged 65 and older, or adults under age 65 who are disabled and meet certain other requirements |
Benefits of Fidelis Medicaid
Fidelis Medicaid is a managed care health plan that provides comprehensive coverage for low-income individuals and families in New York State. The program offers a wide range of benefits, including:
- Doctor visits
- Hospital care
- Emergency care
- Mental health and substance abuse treatment
- Prescription drugs
- Dental care
- Vision care
- Hearing care
- Home health care
- Nursing home care
- Personal care services
- Transportation to medical appointments
- Interpreter services
- Family planning services
- Cancer screenings
- Immunizations
- Well-child visits
- Health education
- Tobacco cessation counseling
- Weight management counseling
- HIV/AIDS treatment
- Chronic disease management
Limitations of Fidelis Medicaid
There are some limitations to Fidelis Medicaid coverage. These limitations include:
- Copayments for some services
- Limits on the number of visits for some services
- Exclusions for some services
- A requirement to use in-network providers
The following table summarizes the benefits and limitations of Fidelis Medicaid:
| Benefit | Copayment | Limit | Exclusion |
|---|---|---|---|
| Doctor visits | $15 | 12 visits per year | None |
| Hospital care | $40 per day | 30 days per year | None |
| Emergency care | No copayment | No limit | None |
| Mental health and substance abuse treatment | $15 per visit | 20 visits per year | Inpatient treatment |
| Prescription drugs | $3 per prescription | No limit | Some brand-name drugs |
| Dental care | $10 per visit | 2 visits per year | Orthodontia, crowns, bridges |
| Vision care | $10 per visit | 1 visit per year | Contact lenses, laser eye surgery |
| Hearing care | $10 per visit | 1 visit per year | Hearing aids |
For more information about Fidelis Medicaid, please visit the Fidelis Care website or call Fidelis Care at 1-888-FIDELIS (1-888-343-3547).
Thanks for taking the time to learn more about the coverage provided by Fidelis Medicaid. I hope you found the information helpful. If you have any additional questions or would like to learn more about specific services, please don’t hesitate to contact Fidelis Medicaid directly. Be sure to check back later for updates on coverage and new programs that may be available. In the meantime, stay healthy and take care!