AgeWell New York FIDA (MMP) Disclaimer

Beginning January 1, 2019, AgeWell New York will no longer be offering the Fully Integrated Duals Advantage Program (FIDA). Members currently enrolled in the AgeWell New York FIDA Plan will be getting advance written notice advising them that they will be required to pick a new plan and/or will be auto enrolled by New York Department of Health into another FIDA plan.


AgeWell New York FIDA is a managed care plan that contracts with both Medicare and the New York State Department of Health (Medicaid) to provide benefits of both programs to Participants through the Fully Integrated Duals Advantage (FIDA) Demonstration. This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Participant Handbook. Limitations and restrictions may apply. For more information, call AgeWell New York FIDA Participant Services or read the AgeWell New York FIDA Participant Handbook. Benefits may change on January 1 of each year. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. We will send you a notice before we make a change that affects you. ATTENTION:  If you speak Spanish, language assistance services, free of charge, are available to you.  Call 1-866-586-8044 (TTY: 1-800-662-1220). ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 1- 866-586-8044 (TTY: 1-800-662-1220). The State of New York has created a Participant ombudsman program called the Independent Consumer Advocacy Network (ICAN) to provide Participants free, confidential assistance on any services offered by AgeWell New York FIDA. ICAN may be reached toll-free at 1-844-614-8800 or online at icannys.org. (TTY users call 711, then follow the prompts to dial 844-614-8800.) AgeWell New York complies with applicable Federal civil rights laws and does not discriminate on the basis of races, color, national origin, age, disability, or sex. AgeWell New York cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo.

Notice of Nondiscrimination

Read the full Notice of Nondiscrimination here.

Multi-Language Insert

Multi-language insert

CY2018, Under Section 1557 of the Affordable Care Act (ACA)

English:
ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Call 1-866-586-8044 (TTY: 1-800-662-1220).

Spanish:
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1- 866-586-8044 (TTY: 1-800-662-1220).

Chínese:
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 1-866-586-8044(TTY:1-800-662-1220).
Russian:
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1- 866-586-8044 (телетайп: 1-800-662-1220).
French Creole:
ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1- 866-586-8044 (TTY: 1-800-662-1220).
Korean:
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-866-586-8044 (TTY: 1-800-662-1220)번으로 전화해 주십시오.
Italian:
ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-866-586-8044 (TTY: 1-800-662-1220).
Yiddish:
אויפמערקזאם: אויב איר רעדט אידיש, זענען פארהאן פאר אייך שפראך הילף סערוויסעס פריי פון
.1-866-586-8044 (TTY: 1-800-662-1220) אפצאל. רופ

Bengali:
ল􀇘য্ কর‍নঃ যিদ আপিন বাংলা, কথা বলেত পােরন, তাহেল িনঃখরচায় ভাষা সহায়তা পিরেষবা উপল􀉇 আেছ। েফান কর‍ন ১-866-586-8044 (TTY: ১-800-662-1220)
Polish:
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1- 866-586-8044 (TTY: 1-800-662-1220).
Arabic:
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل
800-662-1220- 866 (رقم ھاتف الصم والبكم: 1 -586-8044 – برقم 1 .(
French:
ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1- 866-586-8044 (ATS : 1-800-662-1220).
Urdu :
خبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں ۔ کال
1-866-586-8044 (TTY: 1-800-662- کریں .( 1220
Tagolog:
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-866-586-8044 (TTY: 1-800-662-1220).
Greek:
ΠΡΟΣΟΧΗ: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής υποστήριξης, οι οποίες παρέχονται δωρεάν. Καλέστε 1- 866-586-8044 (TTY: 1-800-662-1220).
Albanian:
KUJDES: Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë. Telefononi në 1- 866-586-8044 (TTY: 1-800-662-1220).