FOR BREAKING NEWS VISIT WWW.QNS.COM JUNE 28, 2018 • THE QUEENS COURIER 7
Medicare + Medicaid =
More Benefits for You!
You may be eligible for additional money-saving
benefits through Fidelis Dual Advantage plans,
including:
• Monthly Over-the-Counter (OTC) Card
(to pay for items like OTC medications,
toothpaste, incontinence supplies,
and more)
• Transportation
• Flexible Spending Dollars
• Dental
• Care Management support
• Top-quality doctors and hospitals
• Discounts for hearing devices*
MEDICARE HEALTH INSURANCE
JOHN L SMITH
Medicare Number/Número de Medicare
HOSPITAL (PART A) 01-01-2018
Medicaid/Common Benefit
Identification Card (CBIC) NEW
OR
This is not a complete listing of plans available in your service area. For a complete listing, contact the plan. The
benefit information provided is a brief summary, not a complete description of benefits. For more information,
contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network,
premium and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay
your Medicare Part B premium. Out-of-network services may require more out-of-pocket expense than innetwork
services. Benefit restrictions apply. Fidelis Care is an HMO plan with a Medicare contract. Enrollment
in Fidelis Care depends on contract renewal. *Fidelis Care partners with TruHearing for discounted purchases
of hearing devices.
Call us today! 1-800-860-8707 TTY: 711
Monday–Friday, 8:00 a.m.–8:00 p.m. from February 15–September 30
Monday–Sunday, 8:00 a.m.–8:00 p.m. from October 1–February 14
@fideliscare www.fideliscare.org H3328_FC 17123 Accepted
Name/Nombre
1XX0-XX0-XX00
Coverage starts/Cobertura empieza
MEDICAL (PART B)
01-01-2018
Entitled to/Con derecho a
SAMPLE
Medicare Card NEW
OR
/www.fideliscare.org
