Fidelis Care Executive Summary

After the collapse of the Health Republic co-op health insurance plan in November 2015, 200,000 New York residents were left with the prospect of having no insurance for December 2015. To ensure that there was no gap in coverage for the individuals affected, the NY State of Health marketplace encouraged them to select a new plan immediately. For those consumers that had not selected a plan in time,, the NY State of Health marketplace arranged for auto-enrollment into one of three health plans, depending on whether the consumer lived in the state. The vast majority of these consumers were auto-enrolled into a plan offered by Fidelis Care. Fidelis was chosen, in part, because it has premiums that are comparable to those charged by Health Republic.
However, there is an important difference in the coverage offered for women’s reproductive health services, between Health Republic and Fidelis. Fidelis, which is Catholic-run, (the legal name for Fidelis Care is The New York State Catholic Health …show more content…
She was specifically interested in finding out whether she could use her Fidelis Care coverage to continue getting contraceptive care from a nearby Planned Parenthood affiliate or other local family planning clinic. She visiting the NY State of Health webpage and clicked on individuals and families. A screen with filter options appeared. The options available were metal level, coverage type, plan year, county, insurance company, persons covered, quality rating, estimated financial help, and HIOS plan ID. She chose Bronx county, silver metal level, medical coverage, and Fidelis Care for individuals. Of the two plan options that populated, she chose the option with the least expensive premium, $408 per