Fidelis Medicaid offers various healthcare services and benefits tailored to meet the needs of Medicaid recipients. Its focus on quality care emphasizes preventive care, addressing chronic conditions, and utilizing advanced technologies to enhance healthcare delivery. The organization strives to provide comprehensive health coverage to low-income individuals, families, children, pregnant women, people with disabilities, and the elderly, ensuring they receive the necessary care to maintain optimal health. By providing access to affordable and quality healthcare, Fidelis Medicaid aims to improve the overall health and well-being of its members and contribute to their overall quality of life.
Medicaid Coverage and Eligibility
Fidelis Medicaid is a health insurance program that provides coverage to low-income individuals and families in New York State. The program is funded by the federal government and the state of New York. Fidelis Medicaid offers a wide range of benefits, including:
- Medical care, including doctor’s visits, hospital stays, and prescription drugs.
- Mental health and substance abuse treatment.
- Dental and vision care.
- Long-term care.
- Transportation to medical appointments.
To be eligible for Fidelis Medicaid, you must meet certain income and residency requirements. The income limits for Fidelis Medicaid are based on the federal poverty level (FPL). The FPL is a measure of poverty that is used to determine eligibility for a variety of government programs. The residency requirements for Fidelis Medicaid are that you must be a resident of New York State and a U.S. citizen or a qualified immigrant.
If you think you may be eligible for Fidelis Medicaid, you can apply online or by calling the Fidelis Medicaid customer service number. You will need to provide information about your income, household size, and immigration status. You may also need to provide proof of income, such as a pay stub or a tax return.
Once you have applied for Fidelis Medicaid, you will be notified of your eligibility status within 45 days. If you are approved for coverage, you will receive a Fidelis Medicaid card. You can use your Fidelis Medicaid card to get medical care from any provider that accepts Fidelis Medicaid.
| Household Size | FPL | Income Limit |
|---|---|---|
| 1 | 100% | $12,760 |
| 2 | 138% | $17,658 |
| 3 | 175% | $22,556 |
| 4 | 213% | $27,454 |
| 5 | 250% | $32,352 |
| 6 | 288% | $37,250 |
| 7 | 325% | $42,148 |
| 8 | 363% | $47,046 |
Fidelis Care Network and Providers
Fidelis Care is a New York State health insurance program that provides affordable, quality health coverage to eligible New Yorkers. Fidelis Care has a network of providers that includes doctors, hospitals, and other healthcare professionals. Members can also choose to receive care from out-of-network providers, but they may have to pay more for these services.
Fidelis Care Network
The Fidelis Care network includes a wide range of providers, including:
- Doctors
- Hospitals
- Urgent care centers
- Mental health providers
- Dental providers
- Vision care providers
Members can find a provider in the Fidelis Care network by using the online provider directory or by calling the customer service number.
Fidelis Care Providers
Fidelis Care providers are committed to providing high-quality care to their patients. They are experienced and qualified to provide a wide range of healthcare services. Fidelis Care providers are also required to participate in quality improvement programs to ensure that they are providing the best possible care to their patients.
Some of the benefits of using a Fidelis Care provider include:
- Access to a wide range of healthcare services
- Quality care provided by experienced and qualified providers
- Participation in quality improvement programs
- Affordable rates for services
Table of Fidelis Care Providers
The following table lists some of the types of providers that are available in the Fidelis Care network:
| Provider Type | Services Provided |
|---|---|
| Doctors | Primary care, specialty care, surgery |
| Hospitals | Emergency care, inpatient care, outpatient care |
| Urgent care centers | Treatment for minor illnesses and injuries |
| Mental health providers | Counseling, therapy, medication management |
| Dental providers | Cleanings, fillings, extractions, dentures |
| Vision care providers | Eye exams, glasses, contact lenses |
Fidelis Medicaid: Covered Services and Benefits
Fidelis Medicaid is a health insurance program that provides coverage to low-income individuals and families in New York State. The program is administered by the New York State Department of Health and is funded by both the state and federal governments.
Covered Services
Fidelis Medicaid covers a wide range of health care services, including:
- Doctor visits
- Hospital care
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental care
- Vision care
- Hearing aids
- Durable medical equipment
- Home health care
Benefits
In addition to covered services, Fidelis Medicaid also provides a number of benefits to its members, including:
- Free or low-cost premiums
- No deductibles or copays for most services
- Access to a network of providers who accept Medicaid
- Coverage for out-of-state emergency services
- Transportation assistance to medical appointments
- Help with finding a doctor or other health care provider
Covered Prescription Drugs
Fidelis Medicaid covers a wide range of prescription drugs, including:
- Generic drugs
- Brand-name drugs
- Specialty drugs
Members can get their prescriptions filled at any pharmacy that accepts Medicaid.
Eligibility
To be eligible for Fidelis Medicaid, you must meet certain income and asset requirements. You must also be a resident of New York State and a U.S. citizen or legal immigrant.
To apply for Fidelis Medicaid, you can visit the New York State Department of Health website or call the Fidelis Medicaid customer service number.
How to Use Fidelis Medicaid
To use Fidelis Medicaid, you must first find a doctor or other health care provider who accepts Medicaid. You can find a list of providers who accept Medicaid on the New York State Department of Health website.
When you go to a doctor or other health care provider, you must show your Fidelis Medicaid card. The provider will then bill Fidelis Medicaid for the services you receive.
You can also use your Fidelis Medicaid card to get prescription drugs. You can get your prescriptions filled at any pharmacy that accepts Medicaid.
| Service | Covered |
|---|---|
| Doctor visits | Yes |
| Hospital care | 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 |
| Home health care | Yes |
Member Rights and Responsibilities
As a member of Fidelis Medicaid, you have certain rights and responsibilities. These rights and responsibilities ensure that you receive the quality of care and services that you deserve. It is essential to understand your rights and responsibilities as a member to make the most of your healthcare coverage.
Your Rights as a Fidelis Medicaid Member
- Right to Quality Care: You have the right to receive quality healthcare services that meet professional standards of care.
- Right to Choice: You have the right to choose your healthcare providers, including your primary care physician, specialists, and hospitals.
- Right to Information: You have the right to receive accurate and timely information about your health condition, treatment options, and the services covered by your Medicaid plan.
- Right to Privacy: You have the right to have your personal health information kept confidential, except as authorized by law.
- Right to File Complaints and Appeals: You have the right to file a complaint or appeal if you are dissatisfied with the care or services you have received.
Your Responsibilities as a Fidelis Medicaid Member
- Provide Accurate Information: You are responsible for providing accurate and complete information about your household income, family size, and other information relevant to your Medicaid eligibility.
- Use Your Benefits Wisely: You are responsible for using your Medicaid benefits appropriately and avoiding fraud and abuse.
- Follow Treatment Plans: You are responsible for following the treatment plans prescribed by your healthcare providers and taking your medications as prescribed.
- Keep Appointments: You are responsible for keeping your medical and dental appointments.
- Report Changes: You are responsible for reporting any changes in your address, phone number, or other contact information to Fidelis Medicaid.
| Rights | Responsibilities |
|---|---|
| Right to Quality Care | Provide Accurate Information |
| Right to Choice | Use Your Benefits Wisely |
| Right to Information | Follow Treatment Plans |
| Right to Privacy | Keep Appointments |
| Right to File Complaints and Appeals | Report Changes |
Fidelis Medicaid is committed to providing you with the best possible healthcare coverage. By understanding your rights and responsibilities, you can ensure that you receive the quality of care and services that you deserve.
Cheers for sticking with me till the end of this Medicaid journey! I know it can be a bit of a snooze fest, but I hope you found some valuable nuggets of info. If you still have questions bouncing around in that noggin of yours, don’t be shy, reach out and ask away. And hey, keep us bookmarked, because who knows what other Medicaid mysteries we’ll uncover in the future? Until then, keep your eyes peeled and your deductibles low. Catch you on the flip side!