2017 Participant Materials

2017 Participant Materials

The list below includes links to a variety of materials that participants receive for VNSNY CHOICE FIDA Complete. Just select the materials you want, and you will be able to view or download them. You may also obtain a printed copy by calling 1-866-783-1444, 7 days a week, 8 am – 8 pm.  TTY users should call 711.
 
Participant Handbook 
 
Summary of Benefits
 
Over-the-Counter Health Products Catalog
 
List of Covered Drugs (Formulary) 
English   Spanish   Chinese  Korean  Russian Haitian-Creole  Italian 
Formulary ID: 17129.000, Version 9
 
Annual Notice of Change
English  Spanish   Chinese  Korean  Russian  Haitian-Creole  Italian  

FIDA Provider and Pharmacy Directory Notice 
(How to get up-to-date information on a Provider or Pharmacy)

English  Spanish  Chinese  Korean  Russian  Haitian-Creole  Italian

Request for Medicare Prescription Drug Coverage Form (English)

Information About Getting Care During a Disaster

Multi-language Insert: Information on Multi-language Interpreter Services 

VNSNY CHOICE Notice of Privacy Practices
(English, Spanish, Chinese, Korean, Russian)

VNSNY FIDA Participant Newsletter 
Spring 2017 (English, Spanish)
Summer 2016 (English)
Summer 2015 (English, Spanish)
Spring 2015 (English, Spanish)

This is a FIDA-related page; some of the links will take you to non-FIDA information or to a different website.

VNSNY CHOICE FIDA Complete 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. 

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.


You can get this information for free in other formats, such as Braille or audio CD. Call toll-free 1-866-783-1444, TTY: 711, 8 am – 8 pm, 7 days a week. The call is free.
 
You can get this information for free in other languages. Call 1-866-783-1444 (TTY is 711) from 8 am - 8 pm, 7 days a week. The call is free.
 
Enrollment in VNSNY CHOICE FIDA Complete depends on contract renewal.

Last updated: 3/3/2017

 

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