Medicare Advantage and Dual Advantage

Flex Reimbursement Account Information

Benefit Overview

Fidelis Care offers additional dollars available to help offset the cost of many common items for members enrolled in select products.

Flexible Reimbursement Account offered to members in the following programs: 

  • Fidelis Medicare Advantage Flex
  • Fidelis Dual Advantage Flex

Members must pay for the item up front and submit a copy of the receipt with a Flex Reimbursement Form to receive reimbursement.

If you have purchased an approved item, we will send you a check for the cost, up to the maximum per calendar year as listed in your program’s Evidence of Coverage document.

Purchase must be made within the benefit year. Receipts must be submitted within ninety (90) days from the date of purchase to be eligible for payment and any unused benefit as of December 31st each year will be forfeited.

Non-health care related items are not reimbursable.

You may NOT use your reimbursement account  to buy items for anyone else, including those who live with you.

Examples of what is covered under your flex benefit include medications and durable medical equipment. Click here for the list of covered items and services. 

Submit Your Flex Reimbursement Forms Online

Our Medicare Advantage Flex and Dual Advantage Flex members can now submit reimbursement forms online in our Member Portal. 

Log in or register for details.


Flex Reimbursement/Covered Services/Transportation Form

(These forms have been combined for 2018)


(Updated 1/2/2018)

Flex Reimbursement Form Guidelines

Questions? Call our Member Services Department at 1-800-247-1447 (TTY: 1-800-695-8544). From October 1 to February 14, our office hours are 8:00 a.m. to 8:00 p.m. seven days a week and from February 15 through September 30, our office hours are Monday through Friday, 8:00 a.m. to 8:00 p.m.

Fidelis Care is an HMO plan with a Medicare contract. Enrollment in Fidelis Care depends on contract renewal.

Fidelis Care is a Coordinated Care plan with a Medicare contract and a contract with the New York State Department of Health Medicaid program. Enrollment in Fidelis Care depends on contract renewal.

(Updated 10/18/2017) H3328_FC 17119 Approved