2018 Participant Materials

2018 Participant Materials

The list below includes links to a variety of materials that participants receive for VNSNY CHOICE FIDA Complete. Just select the materials you want, and you will be able to view or download them. You may also get for free, a printed copy or request a preferred language or other formats, such as large print, braille, or audio by calling 1-866-783-1444, 7 days a week, 8 am – 8 pm. TTY users please call 711.

Notice of Availability for 2019 Materials (English and Spanish)

Participant Handbook (English and Spanish)  

 Handbook Updates
   - Physical Therapy Limit Insert (EnglishSpanish)
 
Summary of Benefits (English and Spanish)   
 
 
List of Covered Drugs (Formulary) 
English and Spanish  
Formulary ID: 00018005, Version 19
 
 
Annual Notice of Change (English and Spanish) 

CHOICE FIDA Complete Provider and Pharmacy Directory Search

CHOICE FIDA Complete Provider and Pharmacy Directory Notice 
(English and Spanish)

Your MedImpact Prescription & Mail Service Pharmacy Benefits (English and Spanish)

VNSNY CHOICE Long Term Care Brochure (EnglishSpanish, and Chinese)

Prescription Drug Transition Policy

Request for Medicare Prescription Drug Coverage Form (English)

Information About Getting Care During a Disaster

Notice of Non-Discrimination and Information on Multi-language Interpreter Services 

VNSNY CHOICE Notice of Privacy Practices (English and Spanish)

VNSNY FIDA Complete Participant Newsletter 
Summer 2018 (English, Spanish
Spring 2018 (English, Spanish)
Winter 2017/2018 (English, Spanish)
Summer 2017 (English, Spanish)

VNSNY CHOICE FIDA Complete is a managed care plan that contracts with both Medicare and the New York State Department of Health (Medicaid) to provide benefits of both programs to Participants through the Fully Integrated Duals Advantage (FIDA) Demonstration.

For information on VNSNY CHOICE FIDA Complete, contact VNSNY CHOICE or the New York Enrollment Broker. To enroll, or for other options for your health care, call the New York Enrollment Broker at 1-855-600-FIDA, TTY: 1-888-329-1541, from 8:30 am – 8:00 pm, Monday – Friday and 10 am – 6 pm, Saturday or visit www.nymedicaidchoice.com.

The State of New York has created a Participant Ombudsman program called the Independent Consumer Advocacy Network (ICAN) to provide Participants free, confidential assistance on any services offered by VNSNY CHOICE FIDA Complete. The Participant Ombudsman may be reached toll-free at 1-844-614-8800 or online at icannys.org. (TTY users call 711, then follow the prompts to dial 1-844-614-8800.)

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-783-1444 (TTY: 711).

You can get this information for free in other formats, such as Braille or audio CD. Call 1-866-783-1444 (TYY: 711) during 8 am – 8 pm, 7 days a week. The call is free.

Enrollment in VNSNY CHOICE FIDA Complete depends on contract renewal. 

Last updated 12/11/2018

 

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