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:

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 a personal  medical assessment (SAAM) conducted by a Fidelis Legacy Plan 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.


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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H3328_FC 19170_2020

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