Dual Advantage Plans

Dual Advantage health coverage is for individuals who are “dual eligible,” meaning they qualify for both Medicare and Medicaid coverage. 

Fidelis Dual Advantage health insurance coverage allows your health care expenses to be covered seamlessly between Medicare and Medicaid with no gaps in coverage, and with one point of contact — all for little to no out-of-pocket cost.

Individuals who meet Medicaid income and enrollment requirements can especially benefit from this type of coverage. It’s also available year-round, so there is no need to wait. 

 

Learn more about Fidelis Dual Advantage:


2021 Plans

Fidelis Dual Advantage Flex (HMO SNP) Plan 001

For those who qualify for both Medicare and partial or full Medicaid coverage, our Dual Advantage Flex plan  combines and simplifies these two plans into one. The plan includes low or no  monthly premium, transportation services, a $105/month over-the-counter (OTC) benefit card, full prescription drug coverage, and very low copays or  coinsurance if eligible for partial Medicaid.

Learn more about Over-the-Counter Benefits with Fidelis Care 

Fidelis Dual Advantage (HMO SNP) Plan 006

For those who qualify for both  Medicare and full Medicaid  coverage, this plan offers comprehensive medical  coverage and preventive dental. It features no copays (except small prescription drug copays in some cases), and includes a $25/month over-the-counter (OTC) card.

Medicaid Advantage Plus (HMO SNP) Plan 003 & Plan 008

Fidelis Medicaid Advantage Plus is a Dual Special Needs Plan for individuals who have, or qualify for, Fidelis Dual Advantage and receive an eligible score on an assessment conducted by an independent nurse evaluator. Members are assigned a designated nurse care manager and receive individual attention and care planning to help them remain in their own homes. Covered services include primary care physician office visits, inpatient hospital care, skilled nursing facilities, home health care, and much more.

If you'd like to review your Fidelis Advantage Flex overview and accompanied documents from 2020, click here.


Additional Information


Additional Information

For a complete listing of plans in your service area, contact the plan.  Fidelis Care is contracted with Medicare for HMO, HMO D-SNP, and HMO-POS plans, and with the state Medicaid program. Enrollment in Fidelis Care depends on contract renewal.

From October 1 to March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends and on federal holidays.

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