Does Fidelis Care cover STD tests?

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HIV and sexually transmitted disease (STD) testing, treatment, and counseling. Screenings for cancer and other related problems are also included.

What type of insurance is Fidelis Care?

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.

Does Fidelis have copays?

All Fidelis Care Qualified Health Plans carry some combination of cost sharing between you and Fidelis Care. Some examples of cost-sharing include deductibles, coinsurance, and/or copays.

Does Fidelis cover MRI?

Imaging (CT/PET scans, MRIs) $0 Not covered Prior authorization is required for certain blood work and diagnostic imaging except x-ray. Facility fee (e.g., ambulatory surgery center) $0 Not covered Prior authorization is required. Physician/surgeon fees $0 Not covered Prior authorization required.

Does Fidelis cover infertility?

If you are unable to get pregnant, Fidelis Care covers services that may help. Starting October 1, 2019, Fidelis Care will cover some drugs for infertility. This benefit will be limited to coverage for 3 cycles of treatment per lifetime.

Does Fidelis cover abortion?

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.

Is Fidelis Care Medicare or Medicaid?

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 you tell what Fidelis plan I have?

The Member Portal is the easiest and most secure way to access information about your plan. With 24/7 access to your Fidelis Care account, you can pay your monthly premium, request and print new ID cards, and access your plan documents.

What is the maximum income to qualify for Medicaid in NY 2022?

In 2022, the medically needy income limit is $934 / month for a single applicant and $1,367 / month for a couple. The “spend down” amount is the difference between one’s monthly income and the medically needy income limit.

What is the income limit for NY state of health?

Meet income eligibility requirements. (Examples: single adults earning up to $25,520; adults in family of four earning up to $52,400)

What does Fidelis cover for pregnancy?

Members can obtain the following family planning services through Fidelis Care: birth control drugs, birth control devices (IUDs and diaphragms) that are available with a prescription, plus emergency contraception, sterilization, pregnancy testing, prenatal care, and abortion services.

Does Fidelis cover walkers?

Covered items include, but are not limited to: wheelchairs, crutches, hospital bed, IV infusion pump, oxygen equipment, nebulizer, and walker. We cover all medically necessary durable medical equipment covered by Original Medicare.

Does NY Medicaid cover IVF?

No state Medicaid program currently covers artificial insemination (IUI), IVF, or cryopreservation (Appendix 2). Some states specifically cover infertility diagnostic services; GA, HI, MA, MI, MN, NH, NM and NY all offer at least one Medicaid plan with this benefit, but the range of diagnostics covered varies.

Does insurance cover IVF?

Maternity and newborn care are considered essential benefits under most health plans, but infertility care often is not. Coverage runs the gamut: Some insurance plans cover in vitro fertilization (IVF) but not the accompanying injections that women may also require. Other plans cover both.

What is the timely filing limit for Fidelis?

General information for claims submission: IMPORTANT – Claims must be submitted within 90 (ninety) days from the date of service.

Does Fidelis essential plan cover vasectomy?

Fidelis Care covers family planning services, which consists of contraceptive drugs or devices, counseling on the use of contraceptives and related topics, sterilization procedures for women, and vasectomies.

Does Fidelis essential plan cover birth control?

Family Planning Services – Fidelis Care does not cover certain family planning and reproductive health services, such as abortion, sterilization and prescription birth control.

What is an elective abortion?

There are different types of medical abortions: Therapeutic medical abortion is done because the woman has a health condition. Elective abortion is done because a woman chooses (elects) to end the pregnancy.

Who bought Fidelis?

Centene has completed its $3.75 billion acquisition of nonprofit insurer Fidelis Care, giving it a leading managed care market share in New York.

Is Fidelis Care Catholic?

History. Fidelis Care was formed in 1993 as the NYC Catholic Health Plan Inc. by the Catholic Medical Center of Brooklyn and Queens, Inc. and the Diocese of Brooklyn to serve the poor and medically underserved.

What is the difference between Medicare and Medicaid?

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.

Is Medicaid a insurance?

1. Medicaid is the nation’s public health insurance program for people with low income. Medicaid is the nation’s public health insurance program for people with low income. The Medicaid program covers 1 in 5 Americans, including many with complex and costly needs for care.

What is Fidelis Dual access?

Wellcare Fidelis Dual Access (HMO D-SNP) has a network of doctors, hospitals, pharmacies, and other providers. You can save money by using our preferred mail-order pharmacy and by using providers in the plan’s network.

What does SNP stand for in insurance?

A special needs plan (SNP) is a Medicare Advantage (MA) coordinated care plan (CCP) specifically designed to provide targeted care and limit enrollment to special needs individuals.

Does Fidelis Care have an app?

As part of the Interoperability and Patient Access Rule, you are now able to view your health information from a third party app on a mobile device or PC.

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