Medicaid Managed Care
Medicaid Managed Care offers comprehensive coverage with no copays for covered services and no monthly premium for those who qualify.
Who can apply?
Children and adults who meet income, resource, age, and/or disability requirements can apply for Medicaid.
Availability
No need to wait for open enrollment: You can enroll in Medicaid Managed Care year-round.
Benefits
Covered benefits include:
- Preventive care, including well visits, immunizations, and preventive screenings
- Dental and vision care
- Prescription and non-prescription drugs (Effective April 1, 2023, members enrolled in Fidelis Care Medicaid Managed Care will receive their pharmacy benefits through NYRx, the Medicaid Fee-for-Service (FFS) Pharmacy Program.)
- Emergency room and ambulance services
- Hospital and outpatient care
- Behavioral health services
Read the Medicaid Managed Care Member Handbook to learn more about your benefits, as well as utilization management procedures, and specific benefit inclusions and exclusions. The Member Handbook also explains how to get care using our provider network. To request a paper copy, call Fidelis Care at 1-888-FIDELIS (1-888-343-3547); TTY: 711.
For members in Medicare and Medicaid, learn how Medicaid Advantage Plus (MAP) consolidates and simplifies your coverage and benefits for all of your Medicare and Medicaid services.
How to Enroll
Once you know the health coverage you qualify for, you can: