With a mission to serve the poor and medically underserved, Fidelis Care is one of the largest government programs-based health insurance companies in the State and is committed to working with providers to ensure members always receive the highest quality care and service.
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How can I check my Fidelis eligibility?
Beginning August 15, 2022, all Fidelis Care providers inquiring about a patient’s eligibility and benefits will need to use either the Patient Search tool on Fidelis Care’s Provider Portal or our Interactive Voice Response (IVR) at 1-888-FIDELIS.
Does Medicaid cover mental health in New York?
Will Medicaid pay for mental health clinics? In New York, Medicaid Managed Care Plans cover an array of mental health issues including substance abuse disorders for enrollees.
Is Fidelis Care New York Medicaid?
Fidelis Care, a leading health insurer that serves all of New York State, offers free or low-cost comprehensive health coverage, including Medicaid Managed Care, Medicare Advantage, Child Health Plus, and plans available through NY State of Health, The Official Health Plan Marketplace.
Who runs Fidelis Care?
Fidelis Care was acquired by Centene for $3.8B on Sep 13, 2017 .
Can I use Fidelis Care out of state?
A: No. Because each state has its own Medicaid eligibility requirements, you can’t just transfer coverage from one state to another, nor can you use your coverage when you’re temporarily visiting another state, unless you need emergency health care.
How do I get my Fidelis member ID?
Simply call us at 1-888-FIDELIS (1-888-343-3547) and follow the prompts to get started. Don’t forget: Once you order your ID card over the phone, visit the Fidelis Care Member Portal online at members.fideliscare.org to print out a temporary ID card.
How do I know what type of Fidelis plan I have?
You can access your Summary of Benefits and Coverage,Subscriber Contract, Formulary, and other important plan documents by logging into the Member Portal. The Summary of Benefits and Coverage outlines some of your plan’s key benefits, and explains how much they could cost.
Does Medicaid cover mental health?
Yes. All Medicaid programs cover some mental health and substance use disorder services. The specific services covered will depend on your state. The Mental Health Parity and Addiction Equity Act of 2008 required healthcare plans to provide mental health benefits equal to medical and surgical coverage.
Can Lmhc bill Medicaid NY?
Is there any consideration for how to bill for services provided licensed mental health counselors (LMHC)? Medicaid reimburses for clinic services provided by licensed mental health counselors in the same manner as it reimburses for services provided by other licensed mental health practitioners.
Does NY Medicaid cover couples therapy?
Chapter amendments to legislation passed in 2021 have been passed by the state Legislature changing mental health practitioners to mental health counselors and adding marriage and family therapists to the list of providers covered by Medicaid.
Is Fidelis HMO or PPO?
Fidelis has one HMO plan available. It’s called Wellcare Fidelis No Premium (HMO).
What is straight Medicaid in NY?
What is New York Medicaid? Medicaid is a program for New Yorkers who can’t afford to pay for medical care. Medicaid pays for a number of services, but some may not be covered for you because of your age, financial circumstances, family situation, transfer of resource requirements, or living arrangements.
What is Fidelis Care timely filing limit?
IMPORTANT โ Claims must be submitted within 90 (ninety) days from the date of service.
What is CIN number Fidelis Care?
Your Fidelis Care ID card should arrive within 14 days after your enrollment date. Your card has your PCP’s (Primary Care Provider’s) name and phone number on it. It will also have your Client Identification Number (CIN).
What is centene’s mission?
Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.
What does the word fidelis mean?
faithful, loyal quotations โผ true, trustworthy, dependable.
Did Fidelis change to WellCare?
Fidelis Care’s Medicare and Dual plans are now called Wellcare By Fidelis Care.
Does Fidelis Care cover abortions?
Fidelis Care covers medically necessary abortions and elective abortions allowing for one (1) procedure per Member, per Plan Year. You do not need a referral from your PCP to access these services.
What hospitals take Medicaid NYC?
- NYC Health + Hospitals/Bellevue.
- NYC Health + Hospitals/Coney Island.
- NYC Health + Hospitals/Elmhurst.
- NYC Health + Hospitals/Harlem.
- NYC Health + Hospitals/Jacobi.
- NYC Health + Hospitals/Kings County.
- NYC Health + Hospitals/Lincoln.
- NYC Health + Hospitals/Metropolitan.
Is Medicare and Medicaid the same thing?
What is the difference between Medicare and Medicaid? Medicare is a medical insurance program for people over 65 and younger disabled people and dialysis patients. Medicaid is an assistance program for low-income patients’ medical expenses.
How do I submit a bill to Fidelis?
Claims can also be submitted through clearinghouse Ability, or another clearinghouse. Fidelis Care offers free online claims submission through Ability’s claims portal. To learn more about Ability, call 1-888-499-5465 or visit www.mdon-line.com/fideliscare.
What is the group number on insurance card?
Group number: Identifies your employer plan. Each employer choses a package for their employees based on price, or types of coverage. This is identified through the group number. If you purchased your insurance through the health exchange you might not have a group number.
How do I add a newborn to Fidelis?
- Complete the Contact Me Form, and a Fidelis Care Representative will be in touch.
- Call 1-888-FIDELIS (1-888-343-3547), TTY: 711.
- Find a Fidelis Care office near you. Make an appointment, or walk right in during regular business hours.
Can you have Medicare and Fidelis?
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.