Fidelis Essential Plan: Your Reliable Protection Partner

Experience the peace of mind that comes with knowing your health is covered. The Fidelis Essential Plan provides a safety net exclusively for New York residents, offering 5 health plan options based on your annual income and residency status. From routine checkups to unplanned medical emergencies, these plans ensure you have access to quality care and all of the essential health benefits required by law, while still being affordable.

Ready to explore your options? Vista Health Solutions is here to guide you every step of the way providing expert advice and personalized assistance in selecting the ideal New York State of Health exchange plan for your unique needs and budget.

Affordable Coverage for Every Need

Fidelis Care health insurance offers the New York State Essential Plans to individuals at no cost or low cost, depending on your income and residency status, to get the essential healthcare services that all health plans are required by law to include. These plans provide comprehensive health insurance coverage and are designed to meet the needs of individuals with limited incomes, specifically those earning between 138% and 250% of the federal poverty level. Here is what you can expect when partnering with Essential Plan Fidelis Care.

Fidelis Care Essential Plan 1

This plan is perfect for those with an income of 150% – 200 % of the Federal Poverty Level. It offers a wide range of qualified health plan services, including:

Preventive care: Enjoy free screening and vaccines to help you stay healthy.
Primary and specialist care: Access a large network of doctors, specialists, and hospital services.
Prescription drug coverage: Generic and brand-name medication at low co-pays.
No deductibles: There are no deductibles, ensuring members don’t have to meet an upfront cost before receiving care.
Dental and vision care: The plan includes access to routine dental cleaning and vision screenings.

Fidelis Care Essential Plan 2

This plan is for individuals with incomes slightly lower than those qualifying for Plan 1 (between 138% -150% of the Federal Poverty Level). The coverage offered is identical to plan 1, however, the key distinction lies in its no-cost copays and lower-cost prescriptions, making it a more affordable option to use as compared to plan 1. Here are some other benefits of plan 2.

No deductibles or copayments: Clients will not have to meet any deductibles or copayments before receiving care.
Prescription drug coverage: This plan includes health insurance coverage for prescription drugs, which can be expensive for many individuals.
Dental and vision care: Get the health plans you need to maintain oral and vision health.

Fidelis Care Essential Plan 3

Plan 3 is designed for individuals with even lower income levels (100% to 138%), providing comprehensive coverage at no cost to those who have immigration status but do not qualify for Medicaid. Some of the key features include:

No premiums: There are no monthly premiums for this plan.
Full coverage: Enjoy comprehensive coverage for all essential health benefits, including preventive care, primary care, and specialist visits.
Prescription drug coverage: Affordable access to both generic and brand-name prescription medications.
Dental and vision services: You can enjoy coverage for routine dental and vision care, including cleaning, exams, and eyeglasses.

Fidelis Care Essential Plan 4

For individuals in the lowest income bracket with less than 100% of the Federal Poverty Level, Fidelis Care Essential Plan 4 is the coverage you need. It provides zero out-of-pocket cost for all services; while still ensuring you get the essential health benefits guaranteed by law. Here are the benefits from this plan:

Zero Copayments: Get free coverage for all essential health benefits with no monthly premium.
Comprehensive care: Full coverage for preventive care, hospital services, and doctor visits.
Prescription drug coverage: Members can access generic and brand-name medications without co-pays to health insurance companies.
Dental and vision coverage: Benefit from routine dental and vision care, including cleaning, exams, and eyeglasses.

Fidelis Care Essential Plan 200 – 250

This is the newest addition to the Essential Plans, designed for individuals with incomes between 200% and 250% of the federal poverty level. It offers identical coverage to all of the other Essential Plans but with slightly higher co-pays. Some of the benefits you can expect from this plan include:

Preventive care: Enjoy free screening and vaccines to help you stay healthy.
Primary and specialist care: Access to a network of doctors, specialists, and hospital services.
Prescription drug coverage: Generic and brand-name medications at low co-pays.
No deductibles: There are no deductibles, ensuring members don’t have to meet an upfront cost before receiving care.
Dental and vision care: The plan includes access to routine dental cleaning and vision screenings.

Frequently Asked Questions

How can I apply for the Fidelis Essential Plan?

The easiest way to apply is to speak with one of our representatives at (888)215-4045. They can help determine if you qualify, explain the plan benefits, and then assist in submitting your application.

Is there a difference between the Fidelis Essential Plan and the Fidelis Care Essential Plan?

No, our full company name is Fidelis Care, however, people often call us Fidelis and that has been applied to our essential plan as well.

What is the Fidelis Essential Plan in Brooklyn NY?

Fidelis Care offers the Essential Plan in almost every county in New York State. Our Fidelis Essential Care Brooklyn NY is our Kings County Essential Plan.

What is the Fidelis Essential Plan 1?

That plan is available to New York State residents who don’t have an existing health insurance policy, don’t qualify for Medicare or Medicaid, and have an income between 138%-200% of the Federal poverty level. Also, US citizenship is required and the applicant must be between the ages of 19-64.

Is Fidelis Essential Plan 1 Medicaid?

No, it’s a health insurance program exclusive to New York Residents, whereas Medicaid is a Federal program funded at the federal and state levels.

Conclusion

Fidelis Care Essential plans are affordable health plans exclusive to New York State residents. You may qualify if your income level is between 138% and 250% of the Federal poverty level. Additionally, for those with incomes below 138% of the Federal poverty level, and who do not qualify for Medicaid, then you may be eligible.

These plans were designed to ensure that more New Yorkers receive Essential health coverage while still within their financial needs. For more information on how to enroll in the Fidelis essential plan be sure to contact Vista Health Solutions today.