MetroPlus FIDA 2018

FIDA 2018

 

 

The FIDA program is a partnership between CMS and New York State that will integrate Medicare, Medicaid and Manage Long-Term Care (MLTC) services for adults, focusing on beneficiaries with long-term care needs.
 
The goal of FIDA is to manage the care of patients, resulting in better overall health outcomes as well as better coordination of Medicare and Medicaid services. An Interdisciplinary Team, including a personal Care Manager, will assist participants in obtaining medical services behavioral health care, prescription and non-prescription drugs, as well as financial, social and educational services.
 

Why Choose our MetroPlus FIDA Plan?

Our MetroPlus FIDA Plan will get you all your covered Medicare and Medicaid services, including long-term services and supports (LTSS) and prescription drugs. You pay nothing to join our FIDA plan or receive our FIDA plan services.
We will help make your Medicare and Medicaid benefits work better together and work better for you.
 

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Participant Resources
English Español
Participant Handbook (Evidence of Coverage) Download
Summary of Benefits (SB) Download
Annual Notice of Change (ANOC) Download

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Provider / Pharmacy Directories
   
The Bronx Download
Kings (Brooklyn) Download
New York (Manhattan) Download
Queens Download
Updated: 10/2017

The FIDA Comprehensive Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary

Request a Hard Copy of Provider/Pharmacy Directory:

Members can create a new account or sign in to an existing account on their member portal and follow the instructions to request a hard copy directory. 

Member Portal

If you want a Provider/Pharmacy Directory mailed to you or if you need help finding a network provider/pharmacy, please call at 1.844.288.FIDA (3432), TTY users: 711. You may also email your request for the directory at metroplus.org/contact-us. You can always access our online directory on our Provider Directory Page.

MetroPlus FIDA Plan Multi - Language Interpreter Services (PDF)

You can ask for this information in other formats, such as Braille or large print. Call 1.844.288.FIDA (3432), TTY users: 711, Monday through Saturday, 8 am - 8 pm. The call is free.

Disclaimers

MetroPlus FIDA Plan 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.
Enrollment in FIDA is dependent upon contract renewal and the service area included in the contract.
 
Limitations and restrictions may apply. For more information, call MetroPlus FIDA Plan Participant Services or read the MetroPlus FIDA Plan Participant Handbook. This means that you need to follow certain rules to have MetroPlus FIDA Plan pay for your services.
Benefits, List of Covered Drugs, and pharmacy and provider networks may change from time to time throughout the year and on January 1 of each year.

You can get this information for free in other languages. Call 1.844.288.FIDA (3432), TTY users: 711, Monday through Saturday, 8 am - 8 pm. After 8 pm, Sundays & Holidays: 24/7 Medical Answering Service at number listed above. The call is free. 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 MetroPlus FIDA Plan. ICAN may be reached toll-free at 1.844.614.8800 or online at www.icannys.org.

Learn more about Medicare on the CMS website.

Puede obtener esta información en otros idiomas sin ningún costo. Llame al Plan MetroPlus FIDA al 1.844.288.FIDA (3432), usuarios de TTY: 711, de lunes a sábado, de 8 am a 8 pm; domingos y días festivos: Servicio de Recepción de Llamadas para Médicos, las 24 horas del día, los 7 días de la semana al número arriba mencionados. La llamada es gratuita.
 
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Some resources along with non-English translations will be published when approved.

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