![]() ![]() CT scans, PET scans, MRI's, nuclear medicine) and Therapeutic Radiology (e.g. Outpatient Services including Surgery, X-rays, Outpatient Diagnostic Radiology (e.g.Durable Medicare Equipment & Prosthetic Devices.The following services are not covered out-of-network and you will be responsible for all of the costs if you obtain these services: $0 Prescriptions and Wellcare Spendables CardĢ024 Covered Diabetes Meters and Testing Supplies Resumen de Beneficios (NOT YET AVAILABLE) Our members receive all of the benefits that the Original Medicare Program offers but we also offer additional benefits to help you stay healthy. For each benefit, you can see what our program covers and what the Original Medicare Program covers. The charts in this booklet list important health benefits. You can use this document to compare Wellcare By Fidelis Care Programs and the Original Medicare Program. ![]() It explains how to get coverage for the health care services and prescription drugs you need.Įvidencia de Cobertura (NOT YET AVAILABLE) This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2024. List of Drugs Change Notice (Coming February 2024) Narrative Summary of Requested Rate Changes Effective January 1, 2024.Off-Exchange: Silver One, and Gold Wellness.Off-Exchange: Silver and Gold: Enhanced.Member Notice - Smoking Cessation Counseling Member Handbook Insert - Physical Therapy (PT), Occupational Therapy (OT), and Speech Therapy (ST) Member Handbook Insert - National Diabetes Prevention Program (NDPP) Member Handbook Insert - Maximum Pharmacy Copay Member Handbook Insert - Interoperability and Patient Access rule Member Handbook Insert - Family Planning Coverage Member Handbook Insert - Children and Family Treatment and Support Services (CFTSS) Member Handbook Insert – Behavioral Health Community Oriented Recovery and Empowerment (CORE) Services Member Handbook Insert - Medicaid NYRx, the Medicaid Pharmacy Program (Effective April 1, 2023) ![]() Search for a Pharmacy or Medical Equipment Supplier (NYRx) HARP List of Covered Drugs and Over the Counter (OTC) Products (NYRx) Effective April 1, 2023, members enrolled in HealthierLife (HARP) plans will receive their pharmacy benefits through NYRx, the Medicaid Fee-for-Service (FFS) Pharmacy Program. ![]()
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