Broker Resources

Resource  Link
2018 Dual Advantage Educational Webinar Click Here (.pdf)  
Off-Exchange Application Instructions Click Here (.pdf) 

My Advocate 

Click Here
Medicare Online Application changes are scheduled to go into production on 9/25/2017

Medicare Online Application Rewrite Tip Sheet (2017)


Click Here (.pdf)

Online Medicare Application Process
Click Here (.pdf)

Online Medicare Application

Click Here
Medicare Enrollment Application (2018) Click Here (.pdf)
Producer Program Contact List Click Here (.pdf)

Enrollment Kit: Medicare Advantage $0 Premium (001), Medicare Advantage Flex, Medicare Advantage Without Rx (2018)

Click Here (.pdf) 
Enrollment Kit: Medicare Advantage $0 Premium (002), Medicare Advantage Without Rx (2018)

Click Here (.pdf)

Comparison Grid: Medicare Advantage $0 Premium (001), Medicare Advantage Flex, Medicare Advantage Without Rx (2018)

Click Here (.pdf)
Comparison Grid: Medicare Advantage $0 Premium (002), Medicare Advantage Without Rx (2018)

Click Here (.pdf)
Comparison Grid: Dual Advantage Products (2018)

Click Here (.pdf)
Comparison Grid: Metal-Level Products (2018)

Click Here (.pdf)
Comparison Grid: Essential Plans (2018)

Click Here (.pdf)
Comparison Grid: Silver Plans (2018)

Click Here (.pdf)

Coverage Area: Child Health Plus, Medicaid, MLTC, and NY State of Health 

Click Here

Coverage Area: Medicare Advantage and Dual Advantage (2018)

Click Here

Coverage Area: Medicare Advantage and Dual Advantage (2017)

Click Here

Provider Directory (Find a Doctor Search)

Click Here

Formulary: Fidelis Dual Advantage, Fidelis Medicaid Advantage Plus and Fidelis Dual Advantage Flex (2018)

Click Here (.pdf)
Additional drug list for Fidelis Dual Advantage and Fidelis Medicaid Advantage Plus

Click Here (.pdf) 
Formulary: Fidelis Medicare Advantage Flex (HMO POS) and Fidelis 
Medicare $0 Premium (HMO) (2018)

Click Here (.pdf)

Part B Diabetic Supplies

Click Here (.pdf)
Formulary: Child Health Plus, Medicaid Click Here (.pdf)
Formulary: Metal-Level Products Click Here (.pdf)
Formulary: EP Click Here (.pdf)

Fidelis Care Products 

Click Here
Form: Scope of Appointment

Click Here (.pdf)

Form: Online Enrollment  Click Here (.pdf)
Form: Medicare Application Click Here (.pdf)
Form: MLTC Referral Form  Click Here (.pdf)
Medicare Star Ratings (2017) English (.pdf)
Español (.pdf)
Medicare Star Ratings (2018) English (.pdf)
Español (.pdf)
HIPAA Privacy Release Form  Click Here (.pdf)
HBX Approval Rate Manual
Click Here (.pdf)

Summary of Benefits: Medicare Advantage $0 Premium (001), Medicare Advantage Flex, Medicare Advantage Without Rx (2018)

Click Here (.pdf)

Summary of Benefits: Medicare Advantage $0 Premium (002), Medicare Advantage Without Rx (2018)

Click Here (.pdf)
Summary of Benefits: Dual Advantage and Dual Advantage Flex (2018) 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)