FAQ: How To Set Up A Family Doctor Fidelis?

How do I change doctors on Fidelis?

Members can also change a PCP over the phone by calling 1-888- FIDELIS (1-888-343-3547). PCP Change Effective Date: Typically the 1st of the month when the form is received by Fidelis Care.

How do I enroll in Fidelis?

How to Enroll

  1. Call 1-888- FIDELIS (1-888-343-3547), TTY: 711.
  2. Find a Fidelis Care office near you. Make an appointment, or walk right in during regular business hours!

Do I need a referral with Fidelis?

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 Medicaid and Fidelis the same?

Additional Information. For a complete listing of plans in your service area, contact the plan. 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.

How do I pay for Fidelis Care?

Log in to your Member Portal account at members. fideliscare.org to set up AutoPay and ensure your payments are always made on time. Setting it up is easy: After logging in to the Member Portal, click the “ Make a Payment ” button. Select the name of your plan.

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How much does Fidelis insurance cost?

Costs vary between tiers depending on your eligibility: Monthly premium is $0. Office visits are $0, $15 for a PCP and $25 for a specialist. Inpatient hospital stays are $0 or $150.

Is Fidelis part of Obamacare?

Fidelis had the largest market share in the state for private Obamacare plans as of Jan. 31. It also provides Medicaid plans, Medicare Advantage and managed long-term care plans.

Does Fidelis Care cover dental?

For members with dental coverage, your benefits are covered through DentaQuest. Visit the DentaQuest website (by clicking on this link, you will leave the Fidelis Care website) for more information or to register.

Does Fidelis Medicaid cover dental implants?

Dental implants will be covered by Medicaid when medically necessary. Prior approval requests for implants must have supporting documentation from the patient’s physician and dentist. A letter from the patient’s physician must explain how implants will alleviate the patient’s medical condition.

Does Fidelis Medicaid cover glasses?

Glasses $0 Not covered Limits may apply. If you have questions, please call Davis Vision at: 1-800-999- 5431. Excluded Services & Other Covered Services: Services Your Plan Generally Does NOT Cover (Check your policy or plan document for more information and a list of any other excluded services.)

Are all Fidelis plans Medicaid?

Coverage is provided through Medicaid Managed Care, Qualified Health Plans, Child Health Plus, Essential Plan, Health and Recovery Plan, Managed Long Term Care, Medicare Advantage, Dual Advantage, and Medicaid Advantage Plus. Regional offices are located in New York City, Albany, Syracuse, Rochester, and Buffalo.

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What is the best Medicaid plan in NY?

Which health insurance company is the best for Medicaid recipients in New York?

  • Fidelis Care – Fidelis Care offers a Medicaid Managed Care plan for Medicaid recipients.
  • Affinity Health Plan –
  • UnitedHealthcare –
  • Healthfirst –

Is Fidelis Care Free?

Any time of year. Fidelis Care offers free or low-cost health coverage year-round to New Yorkers of all ages and at all stages of life.

Does Fidelis cover emergency room visits?

Fidelis Care does not cover services by out-of-network providers, EXCEPT: For emergency services. When a request for prior authorization to see an out-of-network provider is approved.

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