About Medicare

Medicare is the federal health insurance program for people age 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD).  

Fidelis Care strives to help Medicare members better manage their Original Medicare and Medicare Part D benefits, and offers top-quality programs and services that meet their unique health care needs. 

Who Can Get Medicare?

You are eligible for Medicare at age 65 or older, if:

  • You are a U.S. citizen, or a permanent legal resident.
  • You have lived in the United States for at least five years.
  • You or your spouse has worked long enough to be eligible for Social Security or railroad retirement benefits, even if they are not yet receiving these benefits, OR
  • You or your spouse is a government employee or retiree who has not paid into Social Security but has paid Medicare payroll taxes while working.

Contact a Representative Today to Determine your Medicare Eligibility


Qualifying for Medicare  Before Age 65

If not yet 65, you might qualify for Medicare: 

  • If you qualify for Social Security Disability Insurance (SSDI) and have been receiving SSDI checks for at least 24 months. For more information, contact your local Social Security Office. 
  • You have End Stage Renal Disease (ESRD), otherwise known as kidney failure. 
  • You are dual eligible (qualify for both Medicare and Medicaid) due to certain health conditions and income.

The ABCs (and Part Ds) of Medicare

Medicare coverage is divided into four categories:

Medicare Part A (hospital insurance) covers inpatient hospital stays, care in skilled nursing facilities, hospice care, and some home health care. It is considered part of Original Medicare, the traditional program offered through the federal government.


Medicare Part B (medical insurance) covers certain doctors' services, outpatient care, medical supplies, and preventive services. It is also considered part of Original Medicare.

 


Medicare Part C, often called Medicare Advantage, is offered by private insurance companies working with the federal government to provide all Part A and Part B benefits together in one package. 

Your Medicare Part C plan may charge a premium in addition to the monthly cost of your Original Medicare coverage. 

A number of Fidelis Care's Medicare Advantage plans include prescription drug coverage (Medicare Part D) as part of  the comprehensive package.
 


Medicare Part D covers prescription drugs. Medicare Advantage Plans may also offer prescription drug coverage that follows the same rules as Medicare Prescription Drug Plans.


Additional Information

For a complete listing of plans in your service area, contact the plan.  Fidelis Care is contracted with Medicare for HMO, HMO D-SNP, and HMO-POS plans, and with the state Medicaid program. Enrollment in Fidelis Care depends on contract renewal.

From October 1 to March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends and on federal holidays.

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