Does Fidelis cover surgery?

outpatient surgery One copay is charged per surgery and applies only to surgeries performed in a hospital inpatient or hospital outpatient facility setting, including freestanding surgicenters (does not apply to office surgeries).

Does Fidelis Care cover gym membership?

Qualified Health Plan members and their spouses are eligible for Fitness Reimbursements, which pay you and a covered spouse up to $600 per year when you enroll in a qualified fitness facility and each visit at least 50 times in a six-month period.

What does Fidelis essential cover?

The Essential Plan offers access to essential health benefits, such as: Preventive care and chronic disease management. Emergency Services and hospitalization. Maternity and newborn care.

Does Fidelis Care cover MRI?

Imaging (CT/PET scans, MRIs) $40 copay per visit after deductible Not covered Prior authorization is required for certain blood work and diagnostic imaging except x-ray.

Does Fidelis Care cover mental health?

Fidelis Care offers the Children's Health and Behavioral Health Program for Medicaid Managed Care members under the age of 21.

Does Fidelis Care cover gym membership?

Qualified Health Plan members and their spouses are eligible for Fitness Reimbursements, which pay you and a covered spouse up to $600 per year when you enroll in a qualified fitness facility and each visit at least 50 times in a six-month period.

What does Fidelis cover?

Covered benefits include: Preventive care, including well visits, immunizations, and preventive screenings. Dental and vision care. Prescription and non-prescription drugs.

What is a healthy reward?

What is a healthy reward? Healthy rewards are incentives that promote healthy lifestyles among participants. At least, that's what incentive planners hope they do. These can include water bottles or workout gear with the company logo. Premium discounts can also fall into the healthy rewards bucket.

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Q: Does Fidelis Care cover mental health?

Fidelis Care offers the Children&#039;s Health and Behavioral Health Program for Medicaid Managed Care members under the age of 21.

BABYCARE PROGRAM PRENATAL ENCOUNTER FORM The Baby Care Incentive Program BIP rewards providers for the demonstration of quality care according to QARR/HEDIS standards. The information that you provide enables us to follow our members from prenatal to postpartum care. Directions Please complete this form and submit it to Fidelis Care as soon as you have seen our member for their first prenatal visit as a Fidelis Care member. BABYCARE PROGRAM PRENATAL ENCOUNTER FORM The Baby Care Incentive Program BIP rewards providers for the demonstration of quality care according to QARR/HEDIS standards. The information that you provide enables us to follow our members from prenatal to postpartum care. Directions Please complete this form and submit it to Fidelis Care as soon as you have seen our member for their first prenatal visit as a Fidelis Care member. You can either mail the form or fax it to 1-866-815-7223. You will qualify for a 100. 00 bonus if the member has had a prenatal visit in the first trimester 14 wks or within 42 days of enrollment in Fidelis Care. Section II must be completed and submitted no later than 30 days from the member s first visit as a Fidelis Care member. Please note that payment of the prenatal incentive is contingent upon receipt of this form within the timeframe stated* After initial submission of mandatory information indicated by an asterisk you may resubmit this form with additional information* These incentives are paid on a quarterly basis. SECTION I Provider Name Group Name Tax Identification Member Name Member ID Member Phone Member Date of Birth must be completed SECTION II PROVIDER SIGNATURE DATE must be signed and dated PRENATAL INFORMATION EDC Date Initial Visit Date 1st prenatal visit as a Fidelis Care member Gravida Para Chlamydia Test Date Cervical Pap Test Date HIV Test Offered Yes No Pre-Pregnancy Weight Current Weight Height BMI Risk Factors Identified Section Must Be Completed 1 No Issues Identified 13 History of Non-Compliance 2 Heart Disease 14 Hyperemesis Gravidarum 3 High Blood Pressure 15 Gestational Diabetes 4 Diabetes 16 History of Drug Abuse 5 Kidney Disorders 17 History of Alcohol Abuse 6 Asthma 18 History of Placenta Previa 7 Autoimmune Disorders 8 Anemia 20 History of Preterm Labor 9 Eating Disorder 21 History of Multiple Miscarriages 10 Sexually Transmitted Disease 22 History of Postpartum Depression 11 Depression 23 Tobacco Use 12 Late Entry to Care 24 Other COMMENTS Mandatory Information Confidential Proprietary Fidelis Care New York. BABYCARE PROGRAM PRENATAL ENCOUNTER FORM The Baby Care Incentive Program BIP rewards providers for the demonstration of quality care according to QARR/HEDIS standards. The information that you provide enables us to follow our members from prenatal to postpartum care. The information that you provide enables us to follow our members from prenatal to postpartum care. Directions Please complete this form and submit it to Fidelis Care as soon as you have seen our member for their first prenatal visit as a Fidelis Care member.

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