Is Fidelis Care a NYS Health Insurance Program? Navigating Managed Long Term Care in New York

Understanding healthcare coverage can be complex, especially when it comes to long-term care. For residents of New York State navigating the options for managed long-term care (MLTC), a common question arises: Is Fidelis Care A Nys Health Insurance Program? This article aims to clarify the role of Fidelis Care within the New York State health insurance landscape, particularly in the context of MLTC plans. We’ll explore what MLTC entails, the types of plans available, and how Fidelis Care fits into this system, providing a comprehensive guide to help you understand your options.

Decoding Managed Long Term Care (MLTC) in New York State

Managed Long Term Care (MLTC) programs in New York State are designed to help individuals who need long-term services and supports to remain in their homes and communities whenever possible. These programs are crucial for those who require ongoing healthcare services due to chronic illnesses, disabilities, or aging. MLTC plans operate under the umbrella of New York Medicaid, offering a comprehensive approach to care management and service delivery.

New York State’s MLTC system is structured to provide a range of services, from home care and adult day care to nursing home care and other supportive services. The goal is to ensure individuals receive coordinated and person-centered care tailored to their specific needs. To navigate this system effectively, it’s essential to understand the different types of MLTC plans available.

Fidelis Care: A Key Provider in NYS MLTC Programs

To answer the initial question directly: Yes, Fidelis Care operates as a New York State health insurance program specifically within the MLTC framework. Fidelis Care, a well-established health plan in New York, offers “Fidelis Care at Home,” which is a Managed Long Term Care plan approved by New York State. This program is designed to provide long-term care services to eligible individuals within the comfort of their own homes or in community settings.

Fidelis Care at Home is a Partially Capitated MLTC plan. This means it focuses on providing long-term care and ancillary services, including essential home care and nursing home care when required. It’s important to note that to be eligible for Fidelis Care at Home, individuals generally need to be Medicaid recipients and aged 18 years or older.

Types of MLTC Plans in NYS: Understanding Your Choices

New York State offers several types of MLTC plans to cater to diverse needs and eligibility criteria. Understanding these categories is crucial when exploring options like Fidelis Care at Home and other programs. Here’s a breakdown of the primary MLTC plan types mentioned in the directory:

1. Partially Capitated Plans

Age Requirements: 18 years and older
Coverage Required: Medicaid
Benefit Package: Primarily focused on long-term care and ancillary services. This includes vital home care services, ensuring individuals can receive assistance with daily living activities, and nursing home care when a higher level of care is necessary.

Partially capitated plans like Fidelis Care at Home are ideal for individuals who primarily need long-term care services and are eligible for Medicaid. They offer a robust package of services aimed at supporting individuals in their homes and communities.

2. Program for the All-Inclusive Care for the Elderly (PACE)

Age Requirements: 55 years and older
Coverage Required: Medicaid, Medicare, and Private Pay options
Benefit Package: Comprehensive, encompassing all medically necessary services. This includes primary care, acute care, and long-term care, offering a holistic approach to health management.

PACE programs are designed for older adults who require a nursing home level of care but wish to remain in their community. They integrate medical and social services to provide comprehensive care.

3. Medicaid Advantage Plus (MAP)

Age Requirements: 18 years and older
Coverage Required: Medicaid and Medicare
Benefit Package: Extensive, including primary, acute, and long-term care services. MAP plans are designed for individuals who are eligible for both Medicaid and Medicare, streamlining their healthcare coverage into a single, coordinated plan.

MAP plans offer a dual benefit for those who qualify for both Medicare and Medicaid, providing a wide spectrum of healthcare services under one plan.

Finding Fidelis Care MLTC Plans in Your New York County

The availability of MLTC plans, including Fidelis Care at Home, varies by county within New York State. To assist in finding the right plan, here is a directory of counties and the MLTC plans approved to operate in each, based on the original data:

(Below, include the county-wise tables as in the original article. Ensure readability and maintain the links. Consider if breaking down the very long tables into smaller, county-group specific tables within the content flow would improve user experience. For now, keep the table structure but make sure it’s well-formatted in markdown.)

Upstate Counties	Partially Capitated	PACE	MAP
Albany Back to Map	Fidelis Care at Home Nascentia Health Options VNS Health	Eddy Senior Care	VNS Health Total WellCare Fidelis Duals Plus
Allegany Back to Map	Fidelis Care at Home iCircle Services Nascentia Health Options	Total Senior Care	WellCare Fidelis Duals Plus
Broome Back to Map	Fidelis Care at Home iCircle Services Nascentia Health Options	WellCare Fidelis Duals Plus
… (Continue listing all Upstate and NYC counties as in the original article) …

NYC Counties	Partially Capitated	PACE	MAP
Bronx Back to Map	Aetna Better Health Anthem Blue Cross and Blue Shield HealthPlus Centers Plan for Healthy Living Fidelis Care at Home Hamaspik Choice Homefirst MetroPlus RiverSpring at Home Senior Health Partners Senior Whole Health VillageCare MAX VNS Health	ArchCare Senior Life Centerlight Healthcare PACE	Anthem Blue Cross and Blue Shield HealthPlus Centers Plan for Healthy Living Elderplan, Inc. WellCare Fidelis Duals Plus Hamaspik Medicare Choice Healthfirst MetroPlus UltraCare RiverSpring MAP Senior Whole Health VillageCare MAX Total Advantage Plan VNS Health Total
Kings (Brooklyn) Back to Map	Aetna Better Health Anthem Blue Cross and Blue Shield HealthPlus Centers Plan for Healthy Living Fidelis Care at Home Hamaspik Choice Homefirst MetroPlus RiverSpring at Home Senior Health Partners Senior Whole Health VillageCare MAX VNS Health	Centerlight Healthcare PACE	Anthem Blue Cross and Blue Shield HealthPlus Centers Plan for Healthy Living Elderplan, Inc. Hamaspik Medicare Choice Healthfirst MetroPlus UltraCare RiverSpring MAP Senior Whole Health VillageCare MAX Total Advantage Plan VNS Health Total WellCare Fidelis Duals Plus
Queens Back to Map	Aetna Better Health Anthem Blue Cross and Blue Shield HealthPlus Centers Plan for Healthy Living Fidelis Care at Home Hamaspik Choice Homefirst MetroPlus RiverSpring at Home Senior Health Partners Senior Whole Health VillageCare MAX VNS Health	Centerlight Healthcare PACE	Anthem Blue Cross and Blue Shield HealthPlus Centers Plan for Healthy Living Elderplan, Inc. Hamaspik Medicare Choice Healthfirst MetroPlus UltraCare RiverSpring MAP Senior Whole Health VillageCare MAX Total Advantage Plan VNS Health Total WellCare Fidelis Duals Plus
New York (Manhattan)Back to Map	Aetna Better Health Centers Plan for Healthy Living Anthem Blue Cross and Blue Shield HealthPlus Fidelis Care at Home Hamaspik Choice Homefirst MetroPlus RiverSpring at Home Senior Whole Health Senior Health Partners VillageCare MAX VNS Health	ArchCare Senior Life Centerlight Healthcare PACE	Anthem Blue Cross and Blue Shield HealthPlus Centers Plan for Healthy Living Elderplan, Inc. Hamaspik Medicare Choice Healthfirst MetroPlus UltraCare RiverSpring MAP Senior Whole Health VillageCare MAX Total Advantage Plan VNS Health Total WellCare Fidelis Duals Plus
Richmond (Staten Island) Back to Map	Anthem Blue Cross and Blue Shield HealthPlus Centers Plan for Healthy Living Fidelis Care at Home Hamaspik Choice Homefirst MetroPlus RiverSpring at Home VillageCare MAX VNS Health	ArchCare Senior Life Centerlight Healthcare PACE	Anthem Blue Cross and Blue Shield HealthPlus Centers Plan for Healthy Living Elderplan, Inc. Hamaspik Medicare Choice Healthfirst MetroPlus UltraCare RiverSpring MAP Senior Whole Health VNS Health Total WellCare Fidelis Duals Plus

Conclusion: Choosing the Right MLTC Plan in NYS

Navigating the landscape of Managed Long Term Care in New York State can be challenging, but understanding the types of plans and the providers available in your county is a significant first step. Fidelis Care is indeed a NYS health insurance program offering MLTC through its Fidelis Care at Home plan. As you explore your options, remember to consider your specific healthcare needs, eligibility for Medicaid and/or Medicare, and the types of services that are most important to you. Utilize the directory provided to identify the plans available in your county and take the next step towards securing the long-term care support you or your loved ones need. For detailed information about Fidelis Care at Home and other MLTC programs, it’s always recommended to visit the plan websites directly or contact them for personalized guidance.