Dual Advantage Plans

Dual Advantage health coverage is for individuals who are “dual eligible,” meaning they qualify for both Medicare and Medicaid coverage. 

Fidelis Dual Advantage health insurance coverage allows your health care expenses to be covered seamlessly between Medicare and Medicaid with no gaps in coverage, and with one point of contact — all for little to no out-of-pocket cost.

Individuals who meet Medicaid income and enrollment requirements can especially benefit from this type of coverage. It’s also available year-round, so there is no need to wait. 


Learn more about Fidelis Dual Advantage plans:


2021 Plans

Fidelis Dual Advantage Flex (HMO SNP) Plan 001

For those who qualify for both Medicare and partial or full Medicaid coverage, our Dual Advantage Flex plan  combines and simplifies these two plans into one. The plan includes low or no  monthly premium, transportation services, a $105/month over-the-counter (OTC) benefit card, full prescription drug coverage, and very low copays or  coinsurance if eligible for partial Medicaid.

Learn more about Over-the-Counter Benefits with Fidelis Care 

Fidelis Dual Advantage (HMO SNP) Plan 006

For those who qualify for both  Medicare and full Medicaid  coverage, this plan offers comprehensive medical  coverage and preventive dental. It features no copays (except small prescription drug copays in some cases), and includes a $25/month over-the-counter (OTC) card.

Medicaid Advantage Plus (HMO SNP) Plan 003 & Plan 008

Fidelis Medicaid Advantage Plus is a Dual Special Needs Plan for individuals who have, or qualify for, Fidelis Dual Advantage and receive an eligible score on an assessment conducted by an independent nurse evaluator. Members are assigned a designated nurse care manager and receive individual attention and care planning to help them remain in their own homes. Covered services include primary care physician office visits, inpatient hospital care, skilled nursing facilities, home health care, and much more.

2020 Plans

Fidelis Dual Advantage Flex (HMO SNP) 017

For those who qualify for both Medicare and partial or full Medicaid coverage, our Dual Advantage Flex plan  combines and simplifies these two plans into one. The plan includes low or no  monthly premium, transportation services, a $100/month over-the-counter (OTC) benefit card, full prescription drug coverage, and very low copays or  coinsurance if eligible for partial Medicaid.

Learn more about Over-the-Counter Benefits with Fidelis Care

Fidelis Dual Advantage (HMO SNP) 002

For those who qualify for both  Medicare and full Medicaid  coverage, this plan offers comprehensive medical  coverage and preventive dental. It features no copays (except small prescription drug copays in some cases), and includes a $25/month  over-the-counter (OTC) card.

Learn more about Over-the-Counter Benefits with Fidelis Care. 

Fidelis Medicaid Advantage Plus (HMO SNP) 023_001, 023_002

Fidelis Medicaid Advantage Plus is a Dual Special Needs Plan for individuals who have, or qualify for, Fidelis Legacy Plan Medicare Dual Advantage and receive an eligible score on an assessment conducted by an independent nurse evaluator. Members are assigned a designated nurse care manager and receive individual attention and care planning to help them remain in their own homes.


Covered services include:
  • Primary care physician office visits 
  • Inpatient hospital care
  • Skilled nursing facilities
  • Home health care, and much more.

Fidelis Care, an insurance company you can trust.

For more information on Fidelis Care's new Medicare plans, contact a NYS licensed agent today.

Need Assistance?

Complete the Contact Me form to secure a consultation with a licensed Medicare Agent who can assist with enrollment, in accordance with the New York State of Health guidelines.