One plan to meet all your health care needs
What is Wellcare Fidelis Dual Plus (HMO D-SNP)?
Wellcare Fidelis Dual Plus is a health plan for individuals who have Medicare and Medicaid coverage. Enrollment in the program includes coverage for all of your Medicare and Medicaid services.
Members enrolled in Wellcare Fidelis Dual Plus plans receive individualized support and flexible care planning to help them live in their own homes and communities for as long as possible. This plan is a Medicaid Advantage Plus (MAP) plan, which means both your Medicaid and Medicare benefits are provided by the same insurance provider.
At a glance, benefits in 2025 include:
- Home health aides
- Adult day health care
- Some mental health services
- Dental care
- Nursing home care
- Doctor visits
- Hospital stays
- $0 prescription copays*
- Wellcare Spendables card to use toward the purchase of healthy food, over the counter items, assistance with utilities, and more.
Moreover, your traditional fee-for-service (FFS) Medicaid benefit may fund some services not covered by MAP, such as specific behavioral health services. For a full list of benefits, please review the Summary of Benefits for Wellcare Fidelis Dual Plus 003.
Who is eligible for Wellcare Fidelis Dual Plus?
Individuals are eligible for a MAP plan in New York if they are:
- 18 years or older
- Eligible for Medicare Part A and Part B and enrolled in both programs
- Eligible for full Medicaid (FBDE & QMB+)
- Eligible for nursing home level of care:
- Require long-term care for more than 120 days from the date that they join our plan, including: nursing services and/or therapies in the home, home health aide services, personal care services, adult day health care, private duty nursing, or consumer directed personal assistance services
- Capable at the time of enrollment of returning to or remaining in their home or community without jeopardy to their health