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.
Staff were very attentive and organized. I felt calm having a discussions with the staff.
Alisha Delgado
4 months ago
Staff are very helpful and understanding. Always looking for ways that can help you achieve your goals on a day to day basis.
Danny Vega
4 months ago
The visit was superb I'm able to get through what I'm going through my consulor understands what I feel and I really appreciate her and all the staff everyone is very professional and has great personalities I thank Sun River health
And there staff
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
10 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
Louis
11 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.
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
9 months ago
Dr Cameron is amazing
Kevin Ochs
9 months ago
Caring and compassionate therapists, I am very grateful to both Jacquelyn and Alexa in particular!
Rebirth Recovery is top notch! I went for aftercare for 4 months and I had a great experience! The staff is professional and caring. The facility is clean and comfortable. I highly recommend coming here for treatment!
Melissa Longo
2 months ago
Rebirth Recovery Center provided a safe and stable environment while I picked up the pieces of my life and put them back together. The staff is understanding and compassionate. I would highly recommend them to anyone seeking treatment.
Shea Merritt
3 months ago
Not only is this a beautiful facility, but the incredibly knowledgeable staff will treat you, or your family member, as their own family. They truly care about their clients and I would highly recommend!
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
8 months ago
The best VA I have ever been to
Jay Jader
1 year 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!
Nursing and staff are wonderful food is great. The building itself is falling apart. The fire sprinklers aren't hooked up. Maintenance department really doesn't know what there doing unless they're putting something together out of box. There's a down spout that runs up hill they keep the heat on in the summer. But nursing is wonderful!
Raymond's Ackerly
1 month ago
Amazing program . I was in the pocono mountain recovery homes for about 6 and a half months . Good groups and helpful counselors . I greatly appreciate Brittney coleman . She's an amazing counselor . Also amazing counselors id like to thank like Sandra , Steve , josh, Monica , and scott . Courtney also will help you however possible and works so hard . Ms Patty who supervises the homes is also an amazing person . Also the techs are great people especially rich . All of these great people will help you however they can if your willing to do the work. I appreciate the experience from the bottom of my heart. If you read this and are looking to go there and get your life in order then lose your ego and take the next step to a better life .
michael azcuy
1 month ago
Dope rehabilitation center first one out of 6 I actually completed staff,cook crew,maintenance,nursing,counselors definitely get my recommendation for a great rehabilitation center to attend if your struggling!!! Thank yall
God’s Mountain Recovery Center provided a supportive and welcoming environment during a very important time in my life. The staff genuinely care about the people they serve and go above and beyond to offer encouragement, guidance, and respect. The program helped me build healthier habits, develop coping skills, and focus on long-term recovery. I appreciated the sense of community and the positive atmosphere that made it easier to stay motivated. I’m grateful for the support I received and would recommend God’s Mountain Recovery Center to anyone seeking help on their recovery journey.🩷🙏
sofia annabella
3 weeks ago
I can't say enough about the staff here — they are genuinely loving and supportive. The grounds are beautiful, with lovely walking paths, a heated pool, and both indoor and outdoor fireplaces that make the whole place feel warm and welcoming. I enjoy outings like bowling, ice cream trips, and visits to the Recovery Room, as well as church on Sundays and bingo. My room has a full-sized bed and TV, which makes it feel like home. I am so grateful this place exists and highly recommend it to anyone looking for a caring and comfortable environment!
Jessica Foster
1 month ago
This place is saving my life. They are great here n deffienity is great for post trauma growth if u struggle with PTSD n addiction I'm telling u this the place to come. It truly is. The counselors n staff are deffienity great n now perfectly how to work with trauma n growth. All u got to do is put in the work also n take the suggestions
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
1 year 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.
Best place aside from Discovery Institute, if your in recovery this place is a gem.
Stephen Prahl
3 months ago
I highly recommend Maryville to anyone who is seeking treatment for drugs or alcohol. They have saved my life and I can't thank them enough for that. From the wonderful ladies in admissions, the nurses who care and loved each one of the clients and the outstanding CIA's who go above and beyond their job duties to help us with whatever we needed, and the counselors who show love and understanding to each individual girls there. Miss Denise and Miss Sherri- I will never forget how much you both have done for me. I will never forget you and im so happy to have you wonderful ladies there for the woman coming in. They don't ever treat you as a druggie but as a equal with so much love and understanding. They know what it's like to be where we were before seeking treatment and genuinely want to see everyone of the girls make it.
I will be back in 2 years to tell my story.
Thank you all so much for being on my side and wanting us to make it. I love you all so much and have the utmost respect for all of you.
Tracy Vogt
5 months ago
I did the 28 day inpatient treatment. My experience was outstanding! My counselor, Gia, was a perfect "fit" & was extremely knowledgeable. The CIT staff were all helpful & understanding as well as provided fun activities. The only problem I experienced was the meals not always being warm however the food was great. I highly recommend anyone who wants to get clean & sober to go there...it's changed my life. Thank you Maryville-Williamstown/Kell Womens unit.
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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.
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.
Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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