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

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 VNSNY CHOICE FIDA Complete Participant Handbook.
Learn more about the extensive benefits of VNSNY CHOICE FIDA Complete by reviewing Participant Materials including the Participant Handbook and Summary of Benefits.

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. ICAN 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 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 10/1/2019

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