Boomers & Beyond-Spring 2017

Fidelis Care: Five Things to Know About Dual Eligible (Medicare and Medicaid) Health Coverage

A person who is “dual eligible” qualifies for both Medicare and Medicaid. Dual eligible health insurance allows your health care needs to be managed seamlessly between both programs without any gaps in coverage, and with one point of contact – all for little to no out-of-pocket cost.

People over the age of 65 who meet Medicaid income requirements and manage multiple health issues can especially benefit from this type of coverage. It’s also available year-round, so there is no need to wait for an open enrollment period.

However, many people who qualify might not be taking advantage of the opportunity because of fear about seeing a doctor.

“I work hard to allay some of those fears, and encourage my patients with compassion and respect, so I can help them get the medical care that they need,” said Colleen O’Connor, nurse case manager at Fidelis Care.

Here are five dual eligible health benefits that Fidelis Care Nurse Case Managers want more people to know about:

• Transportation to the Doctor
If you are unable to get to the doctor on your own, your dual eligible benefits allow us to arrange for transportation to and from your doctor appointments at no additional charge to you.

• Connect to Community Services
From medical supplies, to home health aides, to adequate access to food and housing – your dual eligible benefits allow us to help you find community services that help you live more independently while taking care of your health.

• Help Managing Your Health
Dual eligible benefits ensure you have the support you need to manage any chronic illnesses, including access to equipment and services that can help you stay safely in your home.

• Help Understanding Medications
With dual eligible coverage, your Nurse Case Manager can explain your medications to you, help you with dosages, talk to you about side effects, and check in regularly to make sure your medications are working for you.

• A Personal Health Advocate
As a dual eligible member, your Nurse Case Manager can speak with your providers to ensure you are receiving the most coordinated care possible for your needs. They can also offer help and advice with day-to-day health concerns.

“I love to offer encouragement and let my patients know they have the power to help their health along,” said Amanda Wagner, RN, case manager.
If you or someone you know might be interested in learning more about dual eligible coverage, Fidelis Care offers the Dual Advantage health plan.

Talk with one of Fidelis Care’s licensed Medicare sales representatives, who are able to meet with you in the comfort of your home to answer all of your questions and help you find out if you qualify.

Call us at 1-800-247-1447 (TTY: 1-800-695-8544) to speak with a representative over the phone, or arrange an in-person meeting.

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