Four FIDA plans are closing in January 2019:
NOTE that Agewell was the SOLE FIDA plan in Suffolk county.
- Guildnet GoldPlus FIDA plan NYC only (418 members) -they will be auto-enrolled in Healthfirst FIDA if they don’t select a different plan by Dec. 19th
- Village Care Max Full Advantage NYC only (23 members)
- MetroPlus FIDA NYC only (205 members)
- AgeWell NY FIDA plan NYC, Suffolk, Nassau, & Westchester (247 members)
Warning that as of now, MLTC Policy 17.02 described above for Guildnet MLTC, does not specifically apply to FIDA. However, if participants in terminating FIDA plans choose to switch to another FIDA plan, they will be given a 90-day transition period per the 3-way contract (§ 18.104.22.168). It is less clear what transition rights members of a closing FIDA plan have if they switch to an MLTC plan. Stay tuned for more on that. This is especially critical for Suffolk County residents, where the plan that is closing - Agewell FIDA - was the ONLY FIDA plan, so they do not have the option of switching to another FIDA plan.
Additionally, if a member of a closing FIDA plan decides to switch to an MLTC plan instead of to another FIDA plan or another "fully capitated" plan like PACE or Medicaid Advantage Plus, they must remember to select and enroll in a Medicare Part D prescription drug plan for January 1, 2019. Before, the FIDA plan covered their drugs. Now, they need to enroll in a stand-alone plan. For more info on Medicare Part D see a training manual and other info here and see NYS plans in 2019.