Provider Quality

(New York, NY) – More than 1.2 million New Yorkers filed for unemployment benefits since mid-March, which is over 10 percent of the state’s labor force.  

For many New Yorkers, however, losing a job does not just create worry about income or providing for their families. It also raises concerns about protecting their health during a pandemic. According to the New York State Health Foundation, about half of all New Yorkers get their health insurance through their employer, so for many, being newly unemployed brings uncertainty about how to navigate affordable health coverage options.

“The impacts of COVID-19 on public health are far reaching. It is not only affecting people’s health, but also their employment situation and potentially their ability to access healthcare,” said Pam Hassen, Fidelis Care Chief Member Engagement Officer. “At Fidelis Care, we are supporting local residents in the communities we serve by providing access to quality, affordable coverage, and resources to help them apply for enrollment over the phone.”

It is important for New Yorkers who have lost their jobs or had a change in income to know that many health insurance options are available. Medicaid Managed Care, The Essential Plan and Child Health Plus allow for year-round enrollment. A Special Enrollment Period for Qualified Health Plans is available through May 15, as announced by NY State of Health.  

Here’s an overview of coverage options:

• Medicaid Managed Care:
  • For New Yorkers who can’t afford to pay for medical care.
    • NOTE: The Coronavirus Aid, Relief, and Economic Security Act (CARES Act) provides economic assistance for individuals, families, and small businesses affected by the COVID-19 pandemic. It can increase unemployment benefits for New Yorkers by up to $600 per week, but will not impact eligibility for Medicaid programs.

• Child Health Plus
  • For uninsured children under age 19 in New York State not eligible for Medicaid.
  • Monthly premiums are based on household income, with no copays or deductibles.

• The Essential Plan
  • For lower-income New Yorkers under age 65 who don’t qualify for Medicaid or Child Health Plus.

• Qualified Health Plans
  • For New Yorkers seeking quality, affordable coverage who don’t qualify for Medicaid, Essential Plan, or Child Health Plus.
  • Qualified Health Plans offered through NY State of Health are available in four metal tiers (platinum, gold, silver, and bronze).  
  • Doctor visits, hospital stays, emergency care, maternity and newborn care, mental health care, and more are covered.

Fidelis Care can assist New Yorkers who have questions about their options. Enrollment in Medicaid Managed Care, Child Health Plus, Essential Plan, and Qualified Health Plans is offered through NY State of Health, The Official Health Plan Marketplace. For information, individuals may call 1-888-FIDELIS (1-888-343-3547); TTY: 711 or visit fideliscare.org. For information about COVID-19, please visit the Center for Disease Control and Prevention at cdc.gov.

About Fidelis Care:
Fidelis Care offers quality, affordable coverage for children and adults of all ages and at all stages of life. With more than 1.8 million members Statewide, Fidelis Care believes that all New Yorkers should have access to the care they need. For more information, call Fidelis Care at 1-888-FIDELIS (1-888-343-3547) or visit fideliscare.org.

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