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2019 Family Planning and Reproductive Health Benefits
11/7/2018 • Posted by Fidelis Care

As your health care partner, Fidelis Care is notifying you about key changes to how we will manage our members’ benefits for family planning and reproductive health services. These changes will take place on January 1, 2019. 

Starting January 1, 2019, Fidelis Care members will obtain family planning and reproductive health benefits by using their Fidelis Care Member ID card. There are no changes to our members’ covered family planning and reproductive health benefits. However, the changes in how members obtain these benefits from Fidelis Care are listed below by product. 

Product Entity providing coverage through 12/31/2018 Entity providing coverage as of 1/1/2019
Medicaid Managed Care (including Healthier Life Health and Recovery Program) Medicaid FFS Fidelis Care
Child Health Plus Affinity, GHI/Emblem, Healthfirst Fidelis Care
NYS of Health Exchange, Essential Plan 1&2 Unified, IPA Fidelis Care
NYS Essential Plan 3&4 Medicaid FFS Fidelis Care
New York State of Health Exchange, Metal Level Products Unified, IPA Fidelis Care

Members can obtain the following family planning services through Fidelis Care: birth control drugs, birth control devices (IUDs and diaphragms) that are available with a prescription, plus emergency contraception, sterilization, pregnancy testing, prenatal care, and abortion services. Members can also see a family planning provider for HIV and sexually transmitted infection (STI) testing and treatment and counseling related to their test results. Screenings for cancer and other related conditions are also included in family planning visits.

Members do not need a referral from their PCP and should present their Fidelis Care Member ID card to obtain these services from a participating family planning provider.

As a result of these changes, you should begin billing Fidelis Care directly for any such services provided on or after January 1, 2019.

If you have any questions, please contact Provider Services at 1-888-FIDELIS (1-888-343-3547).

Please visit our Family Planning webpage to read family planning member notices by plan. 

 

 

 

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