Medicare Advantage and Dual Advantage

Fidelis Legacy Plan

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:

Fidelis Dual Advantage Flex (HMO SNP) 017

For those who qualify for both Medicare and partial or full Medicaid coverage, our Dual Advantage Flex program combines and simplifies these two products into one. No monthly premium, transportation services, a $100 over-the-counter (OTC) benefit card, full prescription drug coverage, and very low copays or coinsurance if eligible for partial Medicaid are included with this product.  

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 product offers comprehensive medical coverage, preventive dental, no copays (except some small prescription drug copays in some cases), and a $25/month over-the-counter (OTC) card.

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

Fidelis Medicaid Advantage Plus (HMO SNP) 016
Fidelis Care Medicaid Advantage Plus (HMO) is an integrated Managed Long Term Care product for individuals who have or qualify for Fidelis Care Medicare Dual Advantage and receive an eligible score on a personal medical assessment (SAAM) conducted by a Fidelis Care nurse reviewer in their home.

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. 

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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