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.
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.
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.