|Family Health Plus members will have new options for coverage in 2014 -- either through expanded Medicaid eligibility or a Marketplace product. Fidelis Care will provide updates as details become available.
Fidelis Care Family Health Plus, a New York State-sponsored health insurance program, offers comprehensive health insurance coverage for adults ages 19 to 64 who are residents of New York State.
Coverage through Family Health Plus includes: preventive care; prescription drugs; hospital inpatient, outpatient, and emergency care; surgery; and much more. There is no monthly premium for those that qualify. There are minimal copays for some services.
When you enroll, we encourage you to choose and work with your own personal doctor from the Fidelis Care network for any services you may need.
How to Apply: We’re Here to Help!
Fidelis Care will help you complete the application and make the process as easy as possible. To meet with a Fidelis Care Representative, just call 1-888-FIDELIS (1-888-343-3547). We'll meet with you in your home, at one of our local offices, or at a convenient location in the community near you.
|Family Health Plus Income Eligibility Levels
Effective January 1, 2013
|Parents with children under 21 in their household, and children 19-20 yrs residing with their parents
||Each Add'l Person
|Single adults and childless couples, 21-64, and children 19-20 yrs NOT residing with their parents
Want to find out more? Download the complete Family Health Plus Member Handbook (.pdf)
You may also be interested in:
Family Health Plus Preferred Drug List (Formulary) (.pdf) | A drug formulary is a list of both generic and brand name prescription drugs that are covered by your prescription drug benefit. The formulary is managed by our Pharmacy and Therapeutics Committee, qualified pharmacists and doctors whose primary focus is offering safe, high-quality and cost-effective drugs. New drugs are added to the formulary periodically based on the latest medical research and some drugs may be removed periodically based on the findings and recommendations of the Pharmacy and Therapeutics Committee.
Specialty Pharmacy Medication List (.pdf) | A list of specialty pharmacy medications covered by Caremark Specialty Pharmacy Services.
Family Health Plus Provider Network | A list of Doctors and Hospitals who have a contract with Fidelis Care to provide medical services to our members.