2018 Participant Materials

2018 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 get for free, a printed copy or request a preferred language or other formats, such as large print, braille, or audio by calling 1-866-783-1444, 7 days a week, 8 am – 8 pm. TTY users please call 711.

Participant Handbook (English and Spanish)  
Summary of Benefits (English and Spanish)   
List of Covered Drugs (Formulary) 
English and Spanish  
Formulary ID: 00018005, Version 9
Annual Notice of Change (English and Spanish) 

CHOICE FIDA Complete Provider and Pharmacy Directory

CHOICE FIDA Complete Provider and Pharmacy Directory Notice 
(English, Spanish)

Your MedImpact Prescription & Mail Service Pharmacy Benefits (English, Spanish)
Request for Medicare Prescription Drug Coverage Form (English)

Information About Getting Care During a Disaster

Notice of Non-Discrimination and Information on Multi-language Interpreter Services 

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

VNSNY FIDA Complete Participant Newsletter 
Summer 2017 (English, Spanish)
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: 11/10/2017


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