What My Plan Covers

How can I find out what benefits are covered by my VNSNY CHOICE FIDA Complete (Medicare-Medicaid Plan)?

CHOICE FIDA Complete combines all the benefits of Medicare and Medicaid for people who need long term care. It covers doctor visits, hospitalizations, prescription drugs, mental health, social services and more. It also includes extra benefits that you might not expect, like coverage for over-the-counter (OTC) health items and acupuncture, all at $0 cost to you. 

For more information, please refer to your Summary of Benefits, or call Participant Services at 1-866-783-1444 (TTY for the hearing impaired: 711), 7 days a week, 8 am - 8 pm.
 
As a VNSNY CHOICE FIDA Complete plan participant, you pay nothing for covered items and services as long as you follow VNSNY CHOICE FIDA Complete’s rules, which are in Chapter 3 Section B of the Participant Handbook. You will also find a chart that lists Covered Items and Services and any conditions or limitations in Chapter 4 of the Handbook.  
 

Coverage decisions about your services and items and Prior Authorization

A coverage decision is a decision about whether you can get certain covered services and items or how much you can have of a certain covered service or item. Some services and items require prior authorization before they can be used. Information about coverage decisions and Prior Authorization can be found here and in the Participant Handbook

The benefit information provided here is a brief summary, not a comprehensive description of benefits.
 
Learn more about the extensive benefits of VNSNY CHOICE FIDA Complete by reviewing Participant Materials including the Participant Handbook and Summary of Benefits.

This is a FIDA-related page; some of the links will take you to non-FIDA information or to a different website.

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.

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information, contact the plan or read the Participant Handbook. Limitations and restrictions may apply. 
 
For more information, call VNSNY CHOICE FIDA Complete Participant services or read the VNSNY CHOICE FIDA Complete Participant Handbook. Benefits may change on January 1 of each year.
 
You can get this information for free in other formats, such as Braille or audio CD. Call toll-free 1-866-783-1444, TTY: 711, 8 am – 8 pm, 7 days a week. The call is free.
 
Enrollment in VNSNY CHOICE FIDA Complete depends on contract renewal.
 
Last updated 5/17/2017

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