Vincent Thrasher
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Fidelis Care is a healthcare program that offers coverage to individuals and families in New York. However, there seems to be some confusion surrounding whether it is Medicaid or Medicare. Understanding the difference between these two programs is crucial in determining your eligibility and the benefits you can receive. In this article, we will explore what Fidelis Care is, the differences between Medicaid and Medicare, and which program Fidelis Care falls under. So, let’s dive in and clear up the confusion once and for all!
Fidelis Care is a Medicaid managed care plan, which means it provides healthcare services to eligible low-income individuals and families through the Medicaid program. Fidelis Care also offers Medicare Advantage plans for those who are eligible for Medicare. However, it is important to note that Medicaid and Medicare are two separate programs with different eligibility requirements and coverage options.
Is Fidelis Care Medicaid or Medicare?
If you are searching for a healthcare plan, you may have come across Fidelis Care, a health insurance provider in New York. However, you may be wondering whether Fidelis Care is Medicaid or Medicare. In this article, we will delve into the differences between Medicaid and Medicare, and explain which type of plan Fidelis Care offers.
Medicaid vs. Medicare
Medicaid and Medicare are both government-run healthcare programs that provide assistance to individuals who meet certain criteria. However, they differ in terms of who is eligible, what services they cover, and how they are funded.
Medicaid is primarily for low-income individuals and families, pregnant women, children, and people with disabilities. It is jointly funded by the federal and state governments and covers a wide range of medical services, including doctor visits, hospital stays, prescription drugs, and long-term care.
On the other hand, Medicare is a federal program that provides health insurance to individuals who are 65 years or older, as well as to younger people with disabilities or end-stage renal disease. It is funded by payroll taxes, premiums, and general revenue, and covers services such as hospital stays, doctor visits, and prescription drugs.
Fidelis Care
Fidelis Care is a health insurance provider that offers plans through the New York State of Health Marketplace. It is a Medicaid Managed Care plan, which means that it provides coverage to individuals who are eligible for Medicaid in New York.
Fidelis Care also offers a Medicare Advantage plan, which is a type of Medicare plan offered by private insurance companies that includes both medical and prescription drug coverage. This plan is available to individuals who are eligible for Medicare in the New York City and Long Island areas.
Benefits of Fidelis Care
Fidelis Care offers a variety of benefits, depending on the plan you choose. For Medicaid members, these benefits may include doctor visits, hospital stays, prescription drugs, and vision and dental care. For Medicare Advantage members, benefits may include medical, prescription drug, and dental and vision coverage, as well as wellness programs and transportation services.
One of the key benefits of Fidelis Care is that it offers a wide network of healthcare providers, including doctors, hospitals, and specialists. This allows members to choose the healthcare providers that best meet their needs and preferences.
Fidelis Care vs. Other Plans
When comparing Fidelis Care to other healthcare plans, it is important to consider factors such as cost, coverage, and network. Fidelis Care offers affordable plans with comprehensive coverage, making it a good option for individuals and families who are eligible for Medicaid or Medicare in New York.
However, it is important to compare different plans and providers to find the one that best meets your healthcare needs and budget. This may involve researching different plans, consulting with healthcare providers, and reviewing plan documents and benefits summaries.
Conclusion
In summary, Fidelis Care is a health insurance provider in New York that offers Medicaid Managed Care and Medicare Advantage plans. While Medicaid and Medicare differ in terms of eligibility and coverage, Fidelis Care provides comprehensive coverage and a wide network of healthcare providers for eligible individuals and families. When choosing a healthcare plan, it is important to compare different options and consider factors such as cost, coverage, and network to find the one that best meets your needs.
Contents
Frequently Asked Questions
Is Fidelis Care Medicaid or Medicare?
Fidelis Care is a health insurance company that provides coverage for individuals and families in New York State. The company offers a range of products, including Medicaid, Medicare Advantage, and Qualified Health Plans. Fidelis Care is a Medicaid managed care plan, which means it contracts with the New York State Department of Health to provide healthcare services to its members.
Fidelis Care also offers Medicare Advantage plans, which provide additional benefits beyond Original Medicare, such as prescription drug coverage, vision, and dental services. These plans are available to individuals who are eligible for Medicare and reside in the Fidelis Care service area. In addition, Fidelis Care offers Qualified Health Plans through the New York State of Health Marketplace, which is the state’s official health insurance marketplace.
What is the difference between Medicaid and Medicare?
Medicaid is a joint federal and state program that provides health coverage for low-income individuals, families, and children, as well as pregnant women, people with disabilities, and the elderly who meet certain eligibility requirements. Medicaid is administered by the states and funded by both the federal government and the states.
Medicare, on the other hand, is a federal health insurance program that provides coverage for individuals who are 65 or older, as well as for certain younger people with disabilities or end-stage renal disease. Medicare is funded by payroll taxes, premiums, and general revenue.
Who is eligible for Fidelis Care?
Fidelis Care offers health insurance coverage to individuals and families who reside in New York State. The company offers products for individuals who are eligible for Medicaid, Medicare Advantage, and Qualified Health Plans. Eligibility for these products varies depending on factors such as income, age, and residency status.
For example, to be eligible for Fidelis Care’s Medicaid Managed Care plan, individuals must meet certain income and residency requirements. To be eligible for Fidelis Care’s Medicare Advantage plan, individuals must be eligible for Medicare and reside in the Fidelis Care service area. To enroll in a Qualified Health Plan through Fidelis Care, individuals must enroll during the open enrollment period or have a qualifying life event.
What services does Fidelis Care cover?
Fidelis Care offers a range of healthcare services to its members, depending on the product they are enrolled in. For example, Fidelis Care’s Medicaid Managed Care plan covers services such as doctor visits, hospital stays, prescription drugs, and behavioral health services. Fidelis Care’s Medicare Advantage plan covers services such as doctor visits, hospital stays, prescription drugs, and additional benefits such as vision, dental, and hearing services.
Fidelis Care’s Qualified Health Plans offer coverage for essential health benefits, such as doctor visits, hospital stays, prescription drugs, and preventive care services. However, the specific services covered may vary depending on the plan selected.
How do I enroll in Fidelis Care?
Enrollment in Fidelis Care depends on the product you are interested in. Individuals who are interested in enrolling in Fidelis Care’s Medicaid Managed Care plan can apply online at the New York State of Health Marketplace or by calling the Fidelis Care customer service line. Individuals who are eligible for Fidelis Care’s Medicare Advantage plan can enroll during the annual enrollment period or during a special enrollment period if they have a qualifying life event. Individuals who are interested in enrolling in a Qualified Health Plan through Fidelis Care can do so during the open enrollment period or if they have a qualifying life event.
It’s important to note that eligibility requirements vary depending on the product selected, and individuals should review the eligibility requirements before enrolling in any Fidelis Care product.
In conclusion, Fidelis Care is a Medicaid managed care plan that provides health insurance coverage to individuals and families who meet certain income and eligibility requirements. As a Medicaid plan, Fidelis Care covers a wide range of healthcare services, including doctor visits, hospital stays, prescription drugs, and more.
It’s important to note that Fidelis Care is not a Medicare plan. Medicare is a federal health insurance program that provides coverage to people over the age of 65 and those with certain disabilities. While Fidelis Care does not offer Medicare plans, they do offer several Medicaid plans that cater to different healthcare needs.
Overall, Fidelis Care serves as a vital resource for individuals and families who may not have access to affordable healthcare. With a range of Medicaid plans to choose from, Fidelis Care provides comprehensive coverage and support to help individuals stay healthy and receive the care they need.
Vincent Thrasher, the pioneering founder of Over65InsuranceOptions, has an impressive 20-year tenure in the insurance industry. His in-depth expertise spans the entire spectrum of senior insurance, encompassing Medicare, Medigap, long-term care insurance, life insurance, and dental, vision, and hearing insurance. Vincent's unwavering passion for guiding seniors through the intricate insurance landscape and crafting customized solutions to address their individual needs has earned Over65InsuranceOptions an esteemed reputation as a dependable ally for seniors nationwide.
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