Explore Fidelis Care’s health insurance options in New York, covering addiction treatment, mental health services, and more for families.
Fidelis Care Coverage for Substance Abuse & Rehab
Explore Fidelis Care’s health insurance options in New York, covering addiction treatment, mental health services, and more for families.
Fidelis Care is a subsidiary of Centene Corporation and they offer a wide range of health insurance plans in New York. They have individual and family plans in partnership with Ambetter through the state’s Insurance Marketplace and offer Medicaid options. They also have Medicare Advantage plans in partnership with Wellcare.
There are 20 community offices throughout the state so that members who have questions can come in and get in person help. There are also regional offices in Buffalo, Albany, Syracuse, New York City, and Rochester.
The company also has a mascot, Fidelisaurus, which they use to promote child and family healthcare. It’s used to make healthcare and health coverage less intimidating to children and their families and to connect health to having fun and being active.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Great place caring staff they treated me well.My only advice offer more overnight snacks for a diabetic that's all.I feel so much better now in my life overall.
Louis Robertson
4 months ago
Bradford recovery is just amazing. From the counselors. Medical staff. Bhas. The whole staff. The food is amazing. They care. It is clean. Beautiful scenery. I went in not knowing they were gonna change my life.. so glad I gave them that chance. Thanks to them I am 3 years clean and will never forget the kindness and support they gave me. I will always highly recommend Bradford Recovery Center to anyone needing help with their recovery.. I can't imagine there being a better place
L
6 months ago
This place change my life thanks to all the staff there treating me like family I got so much love there thank you and met some new friends.
Lindsay from Hope Sheds Light is phenomenal at her job helped me with some huge hurdles I was trying to handle, that woman deserves a huge raise. Thank you so much Lindsay.
Shell
3 months ago
Great staff, amazing environment, and a great basis for recovery if you want to get better. I recommend this place to anyone who wants to start a new life, one in which you can actually enjoy
noah harned
5 months ago
As a mental health professional with over a decade of experience in the field of addiction and co-occurring disorders, I have had the opportunity to refer and learn more about Rebirth Recovery Center and I can confidently say they are among the most compassionate and clinically sound treatment providers in the region.
From the very first interaction, their intake and admissions team has been responsive, thorough, and incredibly supportive, ensuring that referrals are handled with the urgency and sensitivity they deserve. The clinical team at Rebirth is exceptional in their use of evidence-based practices, including CBT, DBT, trauma-informed care, and motivational interviewing.
One of the standout features of Rebirth is their integrated approach. They address substance use holistically, incorporating Medication-Assisted Treatment (MAT) when appropriate, and always with a strong emphasis on co-occurring mental health conditions. This dual-focus treatment has been instrumental in stabilizing clients and supporting long-term recovery.
Clients reported feeling safe, respected, and genuinely cared for—particularly within the Intensive Outpatient (IOP) and Partial Hospitalization (PHP) programs. The staff’s ability to build trust while maintaining structure is a balance not often seen, and it speaks to their professionalism and commitment to ethical care.
Rebirth Recovery Center has become a trusted partner in my professional network, and I will continue to recommend them for individuals and families navigating the journey of recovery.
Highly recommended.
I can’t thank everyone at Wholeview enough. In just a short time working with them, I’ve been able to straighten out so many areas of my life. This past weekend, I achieved new heights in my professional career—something I can confidently say wouldn’t have been possible without the support of Thomas Quinn and Cameron Gittens.
From the bottom of my heart, thank you! If you’re even considering the services at Wholeview, please, please, please reach out to them. The difference they’ve made in my life has been nothing short of monumental. I’m a better person because of their guidance.
You guys are the best—thank you, thank you, thank you!
james Jurado
4 months ago
Dr Cameron is amazing
Kevin Ochs
4 months ago
Caring and compassionate therapists, I am very grateful to both Jacquelyn and Alexa in particular!
I have used this medical facility since 1993. The vast majority of my experiences there have been positive. Easy access and on time appointments. Staff are knowledgeable, courteous, professional and treat me with the utmost respect. I would recommend the Louis A Johnson VA Medical Center to any veteran who needs medical services.
Matthew Biggie
3 months ago
The best VA I have ever been to
Jay Jader
10 months ago
Hospital is good, staff is good!
Have found some of those metal strands from a grill brush in my food on a couple different occasions and recently. I hope it is resolved soon!
Absolutely hands down the next PHP in PA. Clinicians to house staff AMAZING. Beautiful in nature,trails,sunsets and sunrises stunning. Thank you Serenity for giving me my life back!!!!! ❤️
Joanna Allison
2 months ago
This place is amazing and has truly saved me! The staff made the house feel like a home.i learned so much being there. Thank you to everyone there for making this experience truly unforgettable and life changing
Amy Newson
7 months ago
Serenity mountain changed my life! Between the caring house staff, knowledgeable clinical team and great activities, this is a great place to grow, learn and recover. While I was there, I was able to learn so much, about myself, my disease, and God. We had opportunities to go to off campus activities including drum aerobics, enerchi, yoga, church and even special things like concerts, ice cream runs, local NA/AA meetings and women’s retreats! The councilors genuinely care and want the best for each and every one of the girls on the mountain, and the house staff does everything they can to keep us safe, healthy, and happy throughout our time there. Sandy and Joe genuinely do their best to help each individual woman and truly care about recovery. The food is much better than most rehabs, and the rooms are large, clean and very comfortable. There is even two house dogs, Chloe and poppi, who make adjusting to the mountain much easier and provide great emotional support when needed! Overall, I highly recommend serenity mountain if addiction is something you struggle with, the road to recovery isn’t always easy, but the mountain is a great stopping point along the journey!
Been sober for over 20 Years my journey started here impatient a life changer n life saver I followed directions and after I left I followed the recomdations thank you for saving my life not many get a second chance to grow old
philip dolan
9 months ago
My experience was it was a very decent facility.The staff seems to really care. I had a amazing counselor casssandra weaver that lady believed in me and really had legitimate concern for her work load as well as other people’s case load.she restored my belief in humanity.I don’t talk to her as often as I would like but she always made time when and if I needed it.Being African American and her occasion I Thought I would face racism Total opposite.wherever her and her cat Missy are God bless her soul professionalism Along with the QUEEN WHO RUNS THE PLACE LACY WHO FIGHTS FOR US HER AND DAVE BEHIND THE SCENES.THE FOOD WAS OKAY.CP
Carmen Collins
1 year ago
I have been with unity chemical dependency for a while now. All of the staff in outpatient and the majority of staff in inpatient are compassionate and were essential for my recovery. My outpatient therapist is always ready to listen and give incredible support and resources. I don't think I would be in recovery if it weren't for my therapist, Sam. My life has been saved. I have improved my quality of life, as well as my relationships. I highly recommend unity chemical dependency for those who struggle with addiction. If you are committed to changing your life, this program and staff will do everything to support you.
I went to this detox and rehab several times and they always accepted me back and let me keep trying to get myself clean a year and a half ago I went to their pemberton campus which is not the best of places but I made due and I’ve been clean a little over 18 months now so I don’t think it’s ever the rehab because I’ve been literally everywhere just has to do with if the persons willing to put in the work to make the best of the place they can get in get as much out of it and not go back out and use so you don’t ever have to be in an uncomfortable place like detox and rehab rehab and detox isn’t supposed to be comfortable and with how a lot of these places are they make it so comfortable people want to keep coming back but this place not only was my counselor great but the techs were great and went above and beyond to make sure that I was fed if I was too sick to get up and go to any meal and made sure I was up for my smoke break I owe Merryville my life because I’d probably be dead if they didn’t get me extensions and set me up for my mat treatment for when I left. Thank you Merryville for helping me get back to where I needed to be I owe you guys big time
Andrew Soto
4 months ago
I would like to thank the entire staff at the Williamstown location for being there! This experience was very hard for me and even harder to stay and complete. However, I did complete, Thankfully! The CITs, nurses, counselors, administrators, and in the kitchen (good food) were there each and every time I needed to talk to someone. Helping me find peace within that moment. Thank you all!
(In no particular order) 😎
Mr E, Jake, Dante, Eboney, Dr. Garcia, Derek, Tay, James, Artavia, Christina, Jazz, Carmen, Tameka, Jodi, June, Juan, Kyrbee, Bri, and the all the rest I missed thank you!!!
Matt Widder
5 months ago
This place was and still is a blessing for me. This was my first time in a place like this and it was a very positive experience. I can not say enough positive things about the cit's and Maryville in a whole. I was treated with respect from everyone there. I feel as though they go above and beyond for there clients. They give you all the tools you need to be successful apone leaving and I'm very thankful for that. It is how anything is in life you will only get out of it what you put in to it and that being said I got more than words can say out of it, but that is because I chose to make it that way. I want to thank Maryville and all the cit's / counslers there you guys have saved my life and I will forever be thankful to you all. Big shout out to a few people who deserve honorable mentions as they went above and beyond for me and everyone around them. First is Derek and Tay they work over night and we're always a ray of sunshine when they came in. Mr E is the most down to earth man and super understanding. He is very protective of his clients and it shows in his all around character. Also the cit June bug ( Jesus) he has a great grasp on recovery he helped me in more ways then I can say. Last but far from least is the A team of nurses barb and Julie these two nurses gave me all the respect a man can ask for. Always there to awnser my questions and go over my meds or really anything I ever asked. They definitely are the A team of nurses there.. Thank you all and thank you Maryville you have made me a true believer in recovery and set me up for a positive sober life.. Thank you all!!!
Excelente !!!!!! Personal amamos el morrrissania para nosotros son parte de nuestra familia.oramos siempre por ellos.Dios les bendiga siempre 🙏 Amén 🙏
Nery Tavarez
11 months ago
I give them five stars because I am diabetic and they on it like definitely on it. The only thing I don’t like is back to back appointments. I do not receive Medicaid and this is out come from my pockets so financially it hurts a little bit but as for the doctors, they perfectly great great, the only thing I said is back to back appointment for the same thing with different doctors but other than that, they absolutely great
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Frequently Asked Questions
Does Fidelis Care Cover Addiction Treatment?
Fidelis Care plans include all the essential benefits required by the Affordable Care Act. This means that Fidelis Care plans cover addiction and mental health treatment at some level.
However, every plan has different limits and requirements for coverage. It’s essential to check the specifics of your plan before deciding on a treatment center. You may need a referral and/or preauthorization for certain types of treatment.
All insurance plans focus on medically necessary care so it’s important to work with your doctor to get a treatment plan. The treatment plan will help direct you in what type of care to look for and will show what’s medically necessary in your case.
What Insurance Plans Does Fidelis Care Offer?
Fidelis offers a wide range of plans that span across individual and family plans as well as Medicare and Medicaid.
Individual and family plans are offered in partnership with Ambetter and can be purchased on the Insurance Marketplace in New York. These plans will be separated by “medal level”, designated as Bronze, Silver, and Gold. Bronze plans cost less per month but only cover an average of 60% of the cost of care. Gold plans have more expensive premiums but cover 80% of the cost of care. Silver plans are in the middle, balancing the premium and out of pocket costs.
Fidelis Care also has multiple Medicaid plan options. Those who qualify can get regular Medicaid coverage but also have access to Fidelis’s HealthierLife Plan. HealthierLife is a Medicaid plan that supports those with specific behavioral health needs such as addiction or mental health diagnoses.
The company also offers Child Health Plus for children of families that earn too much to qualify for Medicaid. If you qualify for both Medicaid and Medicare you can also look at the Dual Advantage plan from Fidelis Care. Finally, those who need long term care to live independently at home can get Fidelis Care at Home as Managed Long Term Care coverage.
For those who qualify for Medicare Fidelis Care offers a Medicare Advantageplan. An Advantage plan replaces Orginal Medicare and often gives you additional benefits that Original Medicare doesn’t such as vision and dental care. However you also need to use the provider network of the Advantage plan rather than using any Medicare provider in the country.
What Inpatient Addiction Treatment Does Fidelis Care Cover?
Fidelis Care insurance focuses on medically necessary care so the first step in treatment is to get a treatment plan from your doctor. You can then confirm your insurance coverage and your specific plan details.
Inpatient addiction treatment is typically recommended if you have a more severe case of addiction. Sometimes residential treatment is also recommended if you do not have a stable living environment. Your doctor will do an assessment to decide if this type of care is appropriate for your needs. You may also preauthorization from your insurance plan before you begin.
During inpatient or residential treatment you stay at the treatment center to complete the treatment plan. Depending on what substances you use you may need medical detox before the main treatment phase.
Treatment involves group and individual therapy as well as holistic treatment and recreation. The average length of stay is usually around 30 days but can be as long as 90 days or more.
What Outpatient Rehab Does Fidelis Care Cover?
Outpatient care is less intensive than residential treatment but you’ll still want to check with your insurance company to confirm coverage and get preauthorization if needed.
There are multiple types of outpatient care including partial hospitalization programs (PHPs) and intensive outpatient (IOPs) as well as general outpatient care. A PHP is a full day program in many cases and delivers similar services as inpatient or residential rehab except you are home at night. An IOP is more flexible and generally has three hour sessions a few days per week. You can often choose to have morning or evening sessions to make it easier to manage work and school schedules.
Finally general outpatient care only meets one or two hours a week. Sometimes a period of aftercare is recommended following the completion of a rehab period. Aftercare helps support your new habits and can also connect you to social services that you need to stay stable.
Does Fidelis Care Cover Methadone & Suboxone (MAT)?
Medication assisted treatment (MAT) often includes the use of drugs like methadone and suboxone which are FDA approved to treat opioid use disorders. There are also medications that can help with alcohol use.
These medications can be used during the initial detox period that may precede a residential stay for addiction treatment. They can also be used as a long term treatment to help patients stay stable and avoid relapse.
Methadone and suboxone are long acting opioid agonists which means they influence the same receptors as opioids but they don’t deliver a high. Naltrexone and Vivitrol can help control alcohol use disorder during treatment.
Does Fidelis Care Cover Other Mental Healthcare?
As mentioned earlier Fidelis Care plans provide at least some treatment for mental health conditions but it’s important to check your plan details to find out any limits or requirements.
Some treatment possibilities for mental health conditions include crisis support and behavioral therapy. These can help you if you struggle with depression or anxiety. Personality disorders and PTSD and other mental health diagnoses can also be treated.
Co occurring mental health disorders are common with addiction and it’s important to treat both the mental health condition and addiction at the same time to facilitate a long term recovery.
If you have a co occurring disorder — which is also known as a dual diagnosis — your treatment plan will take that into account and you will need to look for integrated mental health and addiction treatment. Fortunately many treatment centers specialize in this kind of care.
How Long Will Fidelis Care Cover Rehab?
Your Fidelis Care insurance plan may have limitations or requirements that affect the length of rehab. In most cases though your length of rehab is based on your medical needs.
Your doctor and the treatment center determine how long you need to be in a rehab program. A PHP or residential treatment can last between 30 and 90 days. Intensive outpatient programs (IOP) typically last between six weeks and three months. General outpatient programs are longer because they help you maintain your new habits and provide ongoing support.
Can I Travel Out of State For Treatment With Fidelis Care?
Whether you can travel out of state depends on your exact insurance plan with Fidelis Care.
If you have Medicaid you’ll be limited to the state you live in. Most other insurance plans require you to stay within a specific provider network unless you need emergency care.
Some Fidelis Care plans do include coverage for treatment outside the network but you’ll end up paying a lot more in deductible and copayment costs. Generally staying in your designated medical network ensures the most coverage and the lowest costs and your network will focus on your local area.
How to Verify Coverage With Fidelis Care
If you need to verify your coverage with Fidelis Care the best way to do so is to contact customer service by phone or by logging into your member account online.
Sometimes, you may have the opportunity to ask your treatment center if they accept your insurance plan. You can verify your coverage this way if you use the exact plan name under Fidelis Care. Not all plans offer the same coverage so even if your treatment center accepts Fidelis Care your plan may not have the coverage you need.
Calls to any general helpline will be answered or returned by a paid advertiser.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
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