Fidelis Care Customer FAQ

Fidelis Care is a health insurance organization based in New York that provides a range of affordable health coverage options to individuals The organization focuses on preventative care and encourages members to utilize a network of healthcare providers across the state. Fidelis Care is committed to ensuring its members have access to essential health services, which helps facilitate better health outcomes. For additional information, including specific coverage options and enrollment details, it is advisable to visit their official website where current updates and contact information can be found....

Fidelis Care offers a variety of health insurance plans designed to meet the diverse needs of individuals and families in New York. Furthermore, Fidelis Care provides Medicare Advantage plans that serve seniors and individuals with disabilities, combining coverage for hospital and medical services into one plan. These plans often include additional benefits not usually covered by traditional Medicare, such as dental and vision care. Overall, Fidelis Care aims to offer comprehensive health insurance solutions that are accessible and cater to a wide range of health coverage needs. For the most current information about specific plans and eligibility requirements, it is always a good idea to look at their official website....

Fidelis Care’s coverage network is designed to provide members with access to a wide range of healthcare services across New York State. Fidelis Care typically emphasizes preventive care, primary care, and specialist services, covering a broad spectrum of medical needs. In addition to standard medical services, members may have access to behavioral health services, vision and dental coverage, depending on their specific plan. For the most current and detailed information regarding the network, including specific providers and facilities, it is advisable to visit the official Fidelis Care website. The website provides tools to search for participating providers in your area and outlines the available services in the coverage network....

When considering a switch to Fidelis Care, it is important to determine if your current doctor is part of the provider network associated...

Fidelis Care offers a range of financial assistance programs designed to help members access healthcare services while managing costs. Another significant program is the Child Health Plus program, which offers affordable health coverage for children under the age of nineteen, regardless of immigration status. Families with low to moderate incomes may have little to no premium, depending on their income level. Fidelis Care also provides a Special Needs Plan, designed for individuals with specific health needs that require comprehensive care. Additionally, there may be cost-sharing assistance for eligible enrollees based on their financial situation. Members are encouraged to review the details of these programs on Fidelis Care's official website, where they can find information about eligibility requirements and application procedures. This can help members gain a better understanding of the financial assistance options available to them....

Fidelis Care offers a variety of health insurance plans that cover a broad range of services to meet the needs of its members. For In addition to preventive care, Fidelis Care plans usually provide coverage for primary and specialist care, hospitalization, emergency room visits, and prescription medications. Coverage for inpatient and outpatient hospital services is also a significant component of their offerings. Mental health services, including counseling and substance use disorder treatment, are generally included as well. Moreover, certain plans may cover additional services such as vision and dental care, which can be particularly beneficial for families and individuals seeking comprehensive health solutions. Occasionally, there may be specific programs aimed at chronic disease management or wellness initiatives. It is important for individuals to review the details of their specific insurance plan to understand the full range of covered services and any associated costs. For more precise information regarding coverage, interested individuals may find helpful details on the current Fidelis Care website....

Fidelis Care offers various health plans that typically include coverage for prescription medications. The specific coverage can depend...

Fidelis Care provides coverage for a variety of preventive services as part of its health insurance plans. These services are designed...

Filing a claim for services covered by Fidelis Care typically involves a systematic process, designed to ensure that members receive However, if a member needs to file a claim for services provided by an out-of-network provider, the individual must take the steps necessary to submit the claim independently. To do this, it is important to gather all related documentation, including itemized bills and any receipts for services received. Additionally, members should ensure they have their member identification number and any relevant details about the services received. Once all documentation is prepared, the claim can be submitted to Fidelis Care through the appropriate channel, typically via mail or online, if applicable. Members should check the specific fax number or mailing address for claims on the official Fidelis Care website or their member portal. After the claim is submitted, it will be reviewed by Fidelis Care to determine coverage eligibility and the amount eligible for reimbursement. It may take some time for processing, and members will receive a notification regarding the claim's status. For the most current information regarding claims filing, including forms and specific address details, it is advisable to review the resources available on the Fidelis Care website....

To appeal a decision made by Fidelis Care, a member should follow a structured process to ensure their concerns are properly addressed. The member should gather any relevant documentation that supports their case, including medical records, treatment plans, or other pertinent information. This will be essential for providing a strong basis for their appeal. Fidelis Care usually requires that appeals be submitted in writing and within a specified timeframe, which is outlined in the denial notice. It is advisable to clearly outline the reasons why the member believes the decision should be reversed and include any supporting documents. Once the appeal is prepared, it can be submitted to the address provided in the denial notice. Members can usually find additional guidance and specific details on the appeal process on the official Fidelis Care website, where up-to-date information is available regarding the appeal procedures and any necessary forms. This ensures that members have the most accurate and current information for their appeal....

In the event of a medical emergency, it is crucial to seek immediate care from the nearest emergency room or urgent care facility....

To find a doctor in the Fidelis Care network, individuals can utilize the resources available on the Fidelis Care website. The website...