Fidelis Care New York: Comprehensive Guide To Health Insurance Services

Fidelis Care New York: Comprehensive Guide To Health Insurance Services

Fidelis Care New York is a leading health insurance provider dedicated to delivering quality healthcare services to residents across the state. Established with a mission to provide affordable health coverage, Fidelis Care has grown significantly since its inception, now serving over a million members. This article will delve deep into the various aspects of Fidelis Care, including its services, enrollment process, benefits, and why it stands out in the competitive landscape of health insurance.

In this comprehensive guide, we will explore the history of Fidelis Care, its mission and values, the diverse plans offered, and how to enroll in these plans. Additionally, we will discuss the eligibility criteria, the benefits of being a member, and the customer service support available to members. By the end of this article, readers will have a thorough understanding of Fidelis Care New York and its importance in the realm of health insurance.

Whether you are considering enrolling in health insurance, looking for specific coverage options, or simply seeking information about Fidelis Care, this article is tailored to provide you with all the necessary insights. Join us as we uncover the valuable services offered by Fidelis Care and how it can cater to your healthcare needs.

Table of Contents

1. History of Fidelis Care

Fidelis Care was founded in 1993 with a commitment to expanding access to affordable healthcare for New Yorkers. Initially, it started as a small health plan under the auspices of the New York State Catholic Health Care System. Over the years, Fidelis Care has evolved, gaining recognition for its efforts to provide quality health services to underserved communities.

In 2014, Fidelis Care became a subsidiary of Centene Corporation, a national leader in healthcare services. This acquisition allowed Fidelis Care to expand its resources and improve its offerings, ensuring that it could meet the diverse needs of its members across New York.

2. Mission and Values

Fidelis Care's mission revolves around the belief that all individuals deserve access to quality healthcare, regardless of their financial situation. The organization is committed to providing comprehensive health coverage, emphasizing prevention and wellness.

Core values of Fidelis Care include:

  • Compassion: Demonstrating empathy and understanding towards members.
  • Integrity: Maintaining transparency and ethical practices.
  • Collaboration: Working together with members, providers, and communities.
  • Innovation: Continuously improving services and adopting new technologies.

3. Health Plans Offered

Fidelis Care New York provides a variety of health insurance plans designed to cater to different needs and demographics. Below are the primary plans offered:

3.1 Medicaid Managed Care

The Medicaid Managed Care plan is designed for individuals and families with low income. This plan offers comprehensive health coverage, including:

  • Hospital services
  • Primary care visits
  • Prescription medications
  • Mental health services
  • Preventive care and screenings

3.2 Medicare Advantage Plans

Fidelis Care also offers Medicare Advantage plans for seniors aged 65 and older. These plans combine coverage for hospital care, doctor visits, and sometimes even additional benefits like dental and vision care.

3.3 Child Health Plus

The Child Health Plus program provides affordable health insurance for children under the age of 19. This program covers:

  • Routine check-ups
  • Immunizations
  • Emergency services
  • Dental and vision care

3.4 The Essential Plan

The Essential Plan is designed for individuals who do not qualify for Medicaid but still need affordable coverage. This plan offers low premiums and comprehensive benefits, making it an excellent option for working families.

4. How to Enroll in Fidelis Care

Enrolling in Fidelis Care is a straightforward process. Prospective members can enroll online, by phone, or in person at one of the many Fidelis Care offices. To begin the enrollment process, individuals need to provide:

  • Personal identification information
  • Proof of income
  • Residency information

Once the application is submitted, members will receive confirmation of their enrollment and details about their plan options.

5. Eligibility Criteria

Eligibility for Fidelis Care plans depends on several factors, including income, age, and residency status. Generally, the following criteria apply:

  • Must be a resident of New York State.
  • Income must fall within the limits set for the specific plan.
  • For some plans, age restrictions may apply (e.g., Child Health Plus is for children under 19).

6. Benefits of Being a Member

Members of Fidelis Care enjoy numerous benefits, including:

  • No or low-cost premiums depending on income.
  • Access to a wide network of healthcare providers.
  • Comprehensive coverage for preventive services.
  • 24/7 customer service support.

7. Customer Service Support

Fidelis Care prides itself on providing exceptional customer service. Members can reach out for assistance via:

  • Phone: 1-888-FIDELIS (1-888-343-3547)
  • Online chat through the official Fidelis Care website.
  • In-person visits at local offices throughout New York.

Customer service representatives are trained to assist with inquiries regarding coverage, claims, and enrollment processes.

8. Conclusion

In summary, Fidelis Care New York plays a crucial role in providing affordable and accessible healthcare to millions of residents. With a solid commitment to quality and service, Fidelis Care continues to expand its reach and enhance its offerings. If you or someone you know is in need of health insurance, consider exploring the various options provided by Fidelis Care.

We encourage you to leave your comments or questions below, share this article with others who might benefit from it, and check out our other articles for more insights into health insurance and related topics.

Thank you for reading! We hope you found this guide on Fidelis Care New York informative and useful.

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