A person who is “dual eligible” qualifies for both Medicare and Medicaid. Dual eligible health insurance, such as Fidelis Dual Advantage plans, 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 age 65 who meet the 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 the annual election period.
Here are some dual eligible health benefits you should know more about:
• We will make sure you get 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.
• We connect you with 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.
• You will get 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.
• You will get help understanding your medications.
With dual eligible coverage, you can have an assigned Nurse Case Manager 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.
• You have a personal health advocate.
As a dual eligible member, you can have an assigned nurse case manager speak with your providers to ensure you are receiving the most coordinated care possible for your needs. They can also offer you help and advice with day-to-day health concerns.
If you, or someone you know, would like to learn more about dual eligible coverage, visit www.fideliscare.org/medicare or speak with one of Fidelis Care’s licensed sales representatives.
They 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 1-800-860-8707 (TTY: 711) to speak with a representative over the phone, or to arrange an in-person meeting.
