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1-888-FIDELIS
Extended Member Services Hours
1-888-FIDELIS
To better serve our members, Fidelis Care Member Services Support has extended its hours:

Monday-Friday: 8am - 8pm
Saturdays: 9am - 1pm

NY State of Health

Audio File

Learn more about NY State of Health (.mp3)

Enrolling in the NY State of Health is as easy as 1 - 2 - 3!

New York State of Health Logo

1. The Basics

The NY State of Health: The Official Health Plan Marketplace provides consumers more of a choice of insurance products at a lower price. Products are standardized in the Marketplace and fall into various "metal" levels based on their design and the level of cost sharing required of individuals in the product: Platinum, Gold, Silver and Bronze. There are also Child-Only plans, plans that cover young adults in the home until age 29, and Catastrophic plans. Within each metal level and product there are price (monthly premium) and product (co-insurance, copays and deductible) levels.  

Open Enrollment Period

Child Health Plus: All Year
Medicaid Managed Care: All Year
"Metal" Level Products: November 15, 2014 - February 15, 2015*

*Open enrollment for the metal level products ended March 31 for 2014 coverage, but you may be eligible to enroll if you have experienced a qualifying life event. Please see below for a list of qualifying life events.

 

Fidelis Care products offered through the NY State of Health give members the freedom to see any doctor in the Fidelis Care network--no referrals required. View our products

To make an appointment with a Fidelis Care Certified Application Counselor, call 1-888-FIDELIS (1-888-343-3547); TTY: 1-800-421-1220

 

ACA Screenshot

2. Estimate Your Rates

The Fidelis Affordable Care Advisor is an online calculator that can help you plan for and estimate the costs of new insurance options offered through NY State of Health, as well as find out if you may qualify for Child Health Plus or Medicaid. By entering a zip code, date of birth, number of family members, and household income, the Fidelis Affordable Care Advisor presents insurance options at prices that include subsidies or tax credits, if they apply. It also allows users to schedule an appointment with a representative who can assist with enrollment.

Click the button below to access the Fidelis Affordable Care Advisor:

3. Enroll!

    Open enrollment for the Marketplace ran from October 1, 2013 through March 31, 2014. For 2015 coverage, open enrollment runs from November 15, 2014 through February 15, 2015. Missed the March 31 deadline? You may still be eligible for coverage if you apply within 60 days of the date of one of these qualifying events:
      Qualifying Events
      Change in legal marital status
      Examples: Getting married, death of a spouse, divorce, separation, annulment, etc.
      Change in the number of dependents
      Examples: Having a child; adopting; child ceasing to meet age, student status, or marital status requirements; etc.
      Change in employment status
      Examples: Termination of employment; start or return from an unpaid leave of absence; changing from part-time to full-time; etc.
      Change in the place of residence
      Examples: Moving to a state or county where the current plan isn't available, obtaining a green card or permanent resident status, etc.
      Change in eligibility
      Examples: Becoming eligible for Medicare or Medicaid, gaining or losing eligibility for tax credits or cost-sharing reductions, etc.
      Change in employer-sponsored plan
      Examples: A change in coverage of a spouse or dependent under an employer's plan, open enrollment under the plan of another employer, loss of benefits under an employer's plan, etc.
      Errors or Violations through NY State of Health
      Examples: Chosen product does not provide minimum required coverage, enrolled in a plan or product you did not select, delays in processing, etc.
      Loss of coverage under a group health plan of a governmental or educational institution
      Examples: A state's children's health insurance program, medical care program of an Indian tribal government, etc.
      *If you have questions, need additional information, or want to schedule a meeting with one of our Certified Application Counselors, please call 1-888-FIDELIS (1-888-343-3547) or call your local broker.

        (Clicking this link will cause you to leave the Fidelis Care website)

        How much will a specific treatment cost? Use our Treatment Cost Calculator
        What's covered under these new products? Discover our Essential Health Benefits
        Am I eligible for financial assistance? Find out if you may qualify
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