Do You Need Health Insurance? Find Out if the Essential Plan is Right for You.
4/9/2024
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Posted by Fidelis Care
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Health Insurance Basics,
Member News
If you are looking for quality, affordable health insurance, and don’t qualify for Medicaid or Child Health Plus, then the Essential Plan offered by Fidelis Care may be for you. With expanded coverage for the Essential Plan through the NY State of Health Marketplace, more New Yorkers qualify than ever before.
The Essential Plan is a low-cost plan with no monthly premium, no deductibles, and no or low out-of-pocket costs. If you meet eligibility requirements, you can apply for the Essential Plan at any time during the year through NY State of Health, The Official Health Plan Marketplace.
Essential Plan Benefits to Support Your Health and Wellness
- Free preventive care, like checkups with your primary care provider (PCP) and routine screenings. If you’re already an Essential Plan member with Fidelis Care and don't have a PCP, ask your Fidelis Care Representative about selecting a PCP today by calling 1-888-FIDELIS; (1-888-343-3547); TTY: 711.
- Dental and vision coverage
- Inpatient and outpatient hospital care
- Prescription drugs
- Prenatal care
- $400 fitness reimbursement each year
- Lab tests, X-rays, and more
Who can apply for the Essential Plan?
- Lower-income individuals who don’t qualify for Medicaid or Child Health Plus. This can include young adults who no longer qualify for Child Health Plus or individuals who don’t have health coverage through their employer.
How much does the Essential Plan cost?
The Essential Plan has no monthly premium and very low cost sharing, for those who qualify.
Questions about the Essential Plan? A Fidelis Care representative can answer your questions, help you apply for the Essential Plan, or renew your current coverage by phone. You can also visit fideliscare.org/essential-plan
To learn more about applying for health insurance, including Medicaid, Child Health Plus, Essential Plan, and Qualified Health Plans through NY State of Health, The Official Health Plan Marketplace, visit www.nystateofhealth.ny.gov or call 1-855-355-5777.