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Medicaid Managed Care

Medicaid Managed Care offers comprehensive coverage with no copays for covered services and no monthly premium for those who qualify.

Benefits

Covered benefits include:

  • Preventive care, including well visits, immunizations, and preventive screenings
  • Dental and vision care
  • Prescription and non-prescription drugs  (Pharmacy benefits administered by NYRx, the Medicaid Fee-for-Service (FFS) Pharmacy Program.)
  • Emergency room and ambulance services
  • Hospital and outpatient care
  • Behavioral health services
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Who can apply for Medicaid?

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.

2025 Medicaid Income Guidelines

Household Size

Maximum Yearly Income

1

$21,597

2

$29,187

3

$36,777

4

$44,367


See the complete income levels chart for Medicaid HERE.


How to Enroll

Once you know the health coverage you qualify for, you can:


Medicaid Managed Care Members

Welcome! Fidelis Care is proud to be your healthcare partner. Visit our Medicaid Managed Care Resources webpage for tips on getting started, including signing up for our member portal, choosing a PCP, scheduling your annual checkup, and accessing your list of covered drugs and over the counter (OTC) products.


Additional Benefits Available in the Member Handbook

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.


Beneficiaries Dually Eligible for Medicare & Medicaid

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.

Find a Doctor

Search for a medical professional, service, or facility in the Fidelis Care Network.

Do You Qualify for MAP?

Fidelis Care offers plans to help people live safely in their own homes. Medicaid Advantage Plus (MAP) makes it easy to get the care they deserve – right at home.