Your Advantage - Spring 2018

yourADVANTAGE A newsletter exclusively for FIDELIS MEDICARE ADVANTAGE AND FIDELIS DUAL ADVANTAGE MEMBERS

SPRING 2018 Fidelis Care Earns NCQA Health Plan Accreditation Member Portal: A Useful Resource for You Keep Your Teeth Healthy with These Tips

We Value Your Feedback Every year, surveys are mailed to randomly selected members, asking for your feedback.

These surveys are called the Consumer Assessment of Healthcare Providers and Systems survey (CAHPS), conducted by our partner DSS Research; and the Health Outcomes Survey (HOS), conducted by the Centers for Medicare & Medicaid Services.

Thanks to past member feedback, we’ve made important changes to make it easier than ever for you to receive care and use your health insurance: Use our Find a Doctor tool on www.fideliscare.org to search for a provider near you. $

Get reimbursed quickly when you use your $400 flex benefit (for Medicare Advantage Flex and Dual Advantage Flex members). Visit www.fideliscare.org/flex to learn more.

Pay your monthly premium, if you have one, securely through our new online payment portal at members.fideliscare.org

This year, look for even more ways we’re working to provide you with the highest-quality service and care, including: A member wellness incentive for qualified members who have an A1c test, a colonoscopy for colorectal cancer screening, a mammogram for breast cancer screening, or a bone mineral density test for osteoporosis during 2018.

New online tools and resources at: members.fideliscare.org.

More improvements in the care and service you receive.

Fidelis Care is proud to be your health care partner. If you receive one of these surveys, please complete and return it as soon as possible. If you have any questions, please call Member Services at 1-800-247-1447 (TTY: 1-800-695-8544).

Member Portal: A Useful Resource for You The Member Portal gives you access to your Fidelis Care account 24 hours a day, seven days a week. Available at members.fideliscare.org, it is a quick and easy way to view important information about your health benefits and the resources that make it easy to use and keep your health insurance.

The Fidelis Care Member Portal allows you to: ✔ Order new or additional member ID cards ✔ Pay your premium online and set up AutoPay ✔ Check your claims history .....and much more!

It’s easy to sign up! Simply go to the Member Portal at members.fideliscare.org, click on the green “Register” button, and enter your information. You can register all family members who have Fidelis Care health insurance under one account.

Submit Your Flex Claim Online!

Dual Advantage Flex and Medicare Advantage Flex members can now submit their Flex Benefit Reimbursement Form online. Online submission can speed up the reimbursement process, which can take more time through the mail. To submit your Flex claim online, simply: • • • • •

Log into the Member Portal, available at members.fideliscare.org Click on the “Documents” tab and scroll down to “Flex Reimbursement Form” Click on the green “Start Form” button at the bottom of the page Type in the items or services purchased, and attach the matching receipts.

Click on the blue “Submit” button

If you have any questions, call Member Services at 1-800-247-1447 (TTY: 1-800-695-8544).

Keep Your Teeth Healthy with These Tips Good dental hygiene helps keep your teeth and gums healthy.

Follow these tips to keep your teeth healthy: ✔ Floss daily ✔ Brush twice a day with a soft-bristled toothbrush and fluoride toothpaste ✔ Visit your dentist at least twice a year, and follow his or her advice ✔ Do not chew or smoke tobacco

Are you using all your dental benefits?

As a member of Fidelis Care’s Medicare Advantage and Dual Advantage plans, your dental coverage includes:

FIDELIS CARE PLAN

DENTAL BENEFITS

COST

All Medicare Advantage and Dual Advantage Plans

Exams

$0 copay

Cleanings

$0 copay

X-rays

$0 copay

Medicare Advantage Flex and Medicare Dual Advantage Flex members may use their $400 Flex Benefit for dental care services. Dual Advantage members may receive additional dental services covered by fee-for-service Medicaid.

Fidelis Care Earns NCQA Health Plan Accreditation Fidelis Care has received full, three-year Health Plan Accreditation from the National Committee for Quality Assurance (NCQA). The Accredited status applies to our Medicare Advantage/Dual Advantage (HMO/POS), Medicaid (HMO), and Qualified Health Plans (HMO) through the NY State of Health Marketplace.

NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA Accreditation is the most comprehensive evaluation in the industry. The NCQA Health Plan Accreditation shows members and providers that a health plan is well managed and delivers high quality care and service.

We Can Help You Keep Your Coverage Every year, Fidelis Care Dual Advantage members who are enrolled in the New York State Medicaid Program must renew the Medicaid portion of their coverage.

Before it’s time to renew, Dual Advantage members will receive a notice in the mail from their local Department of Social Services with everything they need to know about renewing their Medicaid coverage.

Fidelis Care is here to help members every step of the way toward keeping their health care benefits. If you have any questions about the Medicaid renewal process, please call us at 1-866-435-9521 (TTY: 711).

Medicare Advantage members do not have to go through a renewal process to keep their current coverage from year to year.

1:1 Support from Your Case Manager Dual Advantage members, as well as Medicare Advantage members who have certain health conditions or chronic diseases, are eligible to receive personalized health support from a Case Manager. Your Fidelis Care Case Manager can help coordinate your care and services.

Many Medicare Advantage members qualify for case management, including those with these health conditions: • Asthma

• HIV/AIDS

• Chronic obstructive pulmonary disorder

• Behavioral health conditions

• Diabetes

• Heart disease

• High blood pressure For more information about case management, including whether or not you qualify to receive the service, call 1-800-247-1441 (TTY: 1-800-695-8544), Option 4.

NON-PROFIT ORG US POSTAGE

PAID BUFFALO NY PERMIT 2826 480 CrossPoint Parkway Getzville, NY 14068

Lifestyle Changes for Stronger Bones If you have osteoporosis and have had a broken bone, it’s more likely that it will happen again. To help prevent another fracture, take your medications as prescribed by your doctor and follow these tips: Eat bone-healthy food Eat foods high in calcium and vitamin D such as dairy products, fish, spinach, and kale. Also, avoid foods that weaken your bones, such as soda, drinks with caffeine, and foods high in salt.

Exercise Exercise strengthens bones and muscles. Ask your doctor what type of exercise is right for you.

Organize your home Help prevent falls at home by keeping your floors free of clutter, attaching all cords and wires to the walls, and keeping frequently used items in places that are easy to reach.

Quit smoking If you smoke, talk with your primary care provider about a plan that will help you quit.

Still Time to Get Your Flu Shot Flu season runs through early spring, so there’s still time to get a flu shot. Adults over 65 are most at risk for flu-related complications, making it especially important for older adults to get the flu shot.

If you have any questions about the flu shot, talk to your primary care provider. You can also visit a network pharmacy for your flu shot. To find a pharmacy near you, call 1-866-505-6264, or visit www.fideliscare.org and click “Find a Doctor.”

Fidelis Care complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Fidelis Care cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Fidelis Care 遵守適用的聯邦民權法律規定，不因種族、膚色、民族血統、年齡、殘障或性別 而歧視任何人。 ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-247-1447 (TTY: 1-800-695-8544). 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電1-800-247-1447 (TTY: 1-800-695-8544)。