Flex Reimbursement Account Information

Benefit Overview

Fidelis Care offers additional dollars available to help offset the cost of many common items for members enrolled in select products.

Flexible Reimbursement Account offered to members in the following programs:

  • Fidelis Medicare Advantage Flex

Members must pay for the item up front and submit a copy of the receipt with a Flex Reimbursement Form to receive reimbursement.

If you have purchased an approved item, we will send you a check for the cost, up to the maximum per calendar year as listed in your program’s Evidence of Coverage document.

Purchase must be made within the benefit year. Receipts must be submitted within ninety (90) days from the date of purchase to be eligible for payment and any unused benefit as of December 31st each year will be forfeited.

Non-health care related items are not reimbursable.

You may NOT use your reimbursement account  to buy items for anyone else, including those who live with you.

Examples of what is covered under your flex benefit include medications and durable medical equipment. 

Submit Your Flex Reimbursement Forms Online

Our Medicare Advantage Flex and Dual Advantage Flex members can now submit reimbursement forms online in our Member Portal. 

Log in or register for details.

Flex Reimbursement/Covered Services/Transportation Form

(updated 10/1/2019)

Questions?

Call our Member Services Department at 1-800-247-1447 (TTY: 711).

Hours are 8 AM to 8 PM.  Member Services is available seven days per week between October 1 and March 31.  For the period of April 1 to September 30, Member Services is available Monday through Friday.

Fidelis Legacy Plan is an HMO plan with a Medicare contract. Enrollment in Fidelis Care depends on contract renewal.
Fidelis Legacy Plan is a Coordinated Care plan with a Medicare contract and a contract with the New York State Department of Health Medicaid program. Enrollment in Fidelis Care depends on contract renewal.

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