Your health and  
 wellness, covered. 
 $0 or $20 monthly premium* 
 *Based on income 
 Low out-of-pocket costs,   
 with no deductible 
 **With a family of 4, you can make up to $51,500 a year  
 and qualify for the Essential Plan through the NY State  
 of Health Marketplace. Enroll all year long. 
 Essential Plan Income Guidelines 
 Maximum Yearly Income $24,980 $33,820 $42,660 $51,500 
 TIMESLEDGER   |   QNS.6     COM   |   MARCH 27-APRIL 2, 2020 
 DENTAL 
 AND 
 VISION  
 Available for an   
 additional premium 
 **See yearly income guidelines below. 
 The Essential Plan offered by Fidelis Care: 
 •  Designed for lower-income New Yorkers who   
 	
	 
 •  FREE preventive care like routine doctor exams   
 and screenings to keep you healthy 
 •  Inpatient and outpatient hospital care 
 •  	 
 •  
 
 •  Lab tests, X-rays, and more  
 •  Doctors you know and trust – over 80,000 providers   
 in our statewide network 
 Talk with your Fidelis Care Representative today. 
 Household Size 
 1 2 3 4 
 
	
	
	
	
	
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 1-855-355-5777. 
 	
 
 (1-888-343-3547) TTY: 711