Broker Resources

Resource  Link
Affordable Care Advisor  Click Here
Affordable Care Advisor: Training  Click Here (.pdf)
Online Medicare Application Click Here
Coverage Area: Child Health Plus, Medicaid, MLTC, and NY State of Health  Click Here
Coverage Area: Medicare Advantage and Dual Advantage Click Here
Find a Doctor Search Click Here
Formulary: Medicare Click Here (.pdf)
Formulary: Child Health Plus, Medicaid Click Here (.pdf)
Formulary: Metal-Level Products, Catastrophic, & EP Click Here (.pdf)
Fidelis Care Products  Click Here
Form: Scope of Appointment
  • English (.pdf)
  • Chinese (.pdf)
  • Russian (.pdf)
  • Spanish (.pdf)
Form: Online Enrollment  Click Here (.pdf)
Form: Medicare Application Click Here (.pdf)
Form: MLTC Referral Form  Click Here (.pdf)
Medicare Star Ratings English (.pdf)
Español (.pdf)
HIPAA Privacy Release Form  Click Here (.pdf)
HBX Approval Rate Manual Click Here (.pdf)
Summary of Benefits and Coverage: Fidelis Care Bronze (2017) Click Here (.pdf)
Summary of Benefits and Coverage: Fidelis Care Silver (2017) Click Here (.pdf)
Summary of Benefits and Coverage: Fidelis Care Gold (2017) Click Here (.pdf)
Summary of Benefits and Coverage: Fidelis Care Platinum (2017) Click Here (.pdf)
Summary of Benefits and Coverage: Fidelis Care Catastrophic (2017) Click Here (.pdf)

 

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