Medicaid Managed Care

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Learn more about Medicaid Managed Care (.mp3)

Fidelis Care Medicaid Managed Care, a New York State-sponsored health insurance program, provides personal care from your own doctor, hospital and emergency care, prenatal care, eye exams, eye glasses, and more. Fidelis Care Medicaid Managed Care is comprehensive coverage with no copays for covered services and there is no monthly premium for the coverage for those that qualify. With Fidelis Care Medicaid Managed Care, we encourage you to choose and use your own doctor. Your doctor is also called your primary care provider (PCP) and can be seen for all your regular health care. When necessary, your PCP can refer you to a specialist. Fidelis Care also covers emergency care for medical problems that need immediate attention.

ACA ScreenshotHow to Apply: We're Here to Help!
Medicaid Managed Care has a year-long open enrollment period. To meet with a Fidelis Care Representative, call 1-888-FIDELIS (1-888-343-3547) or email us. We'll meet with you in your home, at one of our local offices, or at a convenient location in the community near you.

By entering a zip code, date of birth, number of family members, and household income, the Fidelis Affordable Care Advisor can let you know if you qualify for Medicaid. It also allows you to schedule an appointment with a representative who can assist with enrollment or apply directly through NY State of Health.

Want to find out more? Download the complete Medicaid Managed Care Member Handbook (.pdf)

You may also be interested in:

Medicaid Managed Care Preferred Drug List (Formulary) (.pdf) | A drug formulary is a list of both generic and brand name prescription drugs that are covered by your prescription drug benefit. The formulary is managed by our Pharmacy and Therapeutics Committee,  qualified pharmacists and doctors whose primary  focus is offering safe, high-quality and cost-effective drugs.  New drugs are added to the formulary periodically based on the latest medical research and some drugs may be removed periodically based on the findings and recommendations of the Pharmacy and Therapeutics Committee. 

Medicaid Managed Care Provider Network | A list of Doctors and Hospitals who have a contract with Fidelis Care to provide medical services to our members.

1-888-FIDELIS Available 24/7