What Services Can I Get With a FIDA Plan?
The FIDA benefit package includes more services than any other managed care plan in New York. It includes:
- Medicare Part A (including hospital care and some home health services).
- Medicare Part B (including emergency room visits, doctor visits, and wheelchairs).
- Medicare Part D (prescription medicines).
- Medicaid (including home and nursing home care, behavioral health care services, and prescription medicines).
- Supplementary benefits (depending on which FIDA plan you choose).
- FIDA Plan Benefits Comparison Chart
Covered Items and Services
| Abdominal Aortic Aneurism Screening | Medicare Part B Prescription Drugs |
| Adult Day Health Care | Medicare Part D Prescription Drug Benefit as Approved by CMS |
| AIDS Adult Day Health Care | Medication Therapy Management |
| Ambulance | Mobile Mental Health Treatment |
| Ambulatory Surgical Centers | Moving Assistance |
| Assertive Community Treatment (ACT) | Non-Emergency Transportation |
| Assisted Living Program | Nursing Facility (Medicaid) |
| Assistive Technology (State Plan and Supplemental to State Plan) | Nursing Hotline |
| Bone Mass Measurement | Nutrition (includes Nutritional Counseling and Educational Services) |
| Breast Cancer Screening (Mammograms) | NYS Office of Mental Health Licensed Community Residences |
| Cardiac Rehabilitation Services | Obesity Screening and Therapy to Keep Weight Down |
| Cardiovascular Disease Risk Reduction Visit (therapy for heart disease) | Opioid Treatment Services – Substance Abuse |
| Cardiovascular Disease Screening and Testing | Other Health Care Professional Services |
| Care Management (Service Coordination) | Other Supportive Services the Interdisciplinary Team Determines Necessary |
| Cervical and Vaginal Cancer Screening | Outpatient Blood Services |
| Chemotherapy | Outpatient Hospital Services |
| Chiropractic | Outpatient – Medically Supervised Withdrawal- Substance Abuse |
| Colorectal Screening | Outpatient Mental Health |
| Community Integration Counseling | Outpatient Rehabilitation (OT, PT, Speech) |
| Community Transitional Services | Outpatient Substance Abuse |
| Consumer Directed Personal Assistance Services | Outpatient Surgery |
| Continuing Day Treatment | Palliative Care |
| Day Treatment | Pap Smear and Pelvic Exams |
| Defibrillator (implantable automatic) | Partial Hospitalization (Medicaid) |
| Dental | Partial Hospitalization (Medicare) |
| Depression Screening | Primary Care Physician |
| Diabetes Monitoring (Self-Management Training) | Peer-Delivered Services |
| Diabetes Screening | Peer Mentoring |
| Diabetes Supplies | Personal Care Services |
| Diabetic Therapeutic Shoes or Inserts | Personal Emergency Response Services (PERS) |
| Diagnostic Testing | Personalized Recovery Oriented Services (PROS) |
| Durable Medical Equipment (DME) | Podiatry |
| Emergency Care | Positive Behavioral Interventions and Support |
| Environmental Modifications | Preventive Services |
| Family Planning Services | Private Duty Nursing |
| Freestanding Birth Center Services | Prostate Cancer Screening |
| Health/Wellness Education | Prosthetics |
| Hearing Services | Pulmonary Rehabilitation Services |
| HIV Screening | Respiratory Care Services |
| Home and Community Support Services | Respite |
| Home Delivered and Congregate Meals | Routine Physical Exam 1/year |
| Home Health | Sexually Transmitted Infections (STIs) Screening and Counseling |
| Home Infusion Bundled Services | Skilled Nursing Facility |
| Home Infusion Supplies and Administration and Medicare Part D Home Infusion Drugs | Smoking and Tobacco Cessation |
| Home Maintenance Services | Social and Environmental Supports |
| Home Visits by Medical Personnel | Social Day Care |
| Immunizations | Social Day Care Transportation |
| Independent Living Skills and Training | Specialist Office Visits |
| Inpatient Hospital Care (including Substance Abuse and Rehabilitation Services) | Structured Day Program |
| Inpatient Mental Health Care | Substance Abuse Program |
| Inpatient Mental Health over 190-day Lifetime Limit | Telehealth |
| Intensive Psychiatric Rehabilitation Treatment Programs | Transportation |
| Inpatient Services during a Non-covered Inpatient Stay | Urgent Care |
| Kidney Disease Services (including End Stage Renal Disease services) | Vision Care Services |
| Mammograms | "Welcome to Medicare" Preventive Visit |
| Medicaid Pharmacy Benefits as Allowed by State Law | Wellness Counseling |
| Medical Nutrition Therapy | |
| Medical Social Services |
