What Is the Income Limit for Fidelis?
Fidelis Care is a New York-based health insurance program that offers affordable health coverage to individuals and families. It is known for providing coverage to low-income and vulnerable populations, making it an important resource for those who may not have access to other insurance options. One of the key factors in determining eligibility for Fidelis Care is the income limit.
The income limit for Fidelis Care varies depending on the specific program and coverage level. Fidelis Care offers several different programs, including Medicaid, Child Health Plus, and the Essential Plan. Each program has its own income eligibility requirements, which ensure that those who truly need assistance can access the appropriate level of coverage.
Medicaid is a government-funded health insurance program that provides coverage to low-income individuals and families. The income limit for Medicaid eligibility depends on factors such as family size and the specific program within Medicaid. Generally, for adults, the income limit is set at 138% of the federal poverty level (FPL). For example, in 2021, the income limit for a family of four is $36,570 per year to qualify for Medicaid. However, it’s important to note that these limits can change annually, so it’s always best to check with Fidelis Care for the most up-to-date information.
Child Health Plus is another program offered by Fidelis Care, specifically designed to provide health coverage to children under the age of 19. The income limit for Child Health Plus eligibility also depends on family size and the specific program within Child Health Plus. Generally, the income limit is set at 400% of the FPL. For example, in 2021, the income limit for a family of four is $106,000 per year to qualify for Child Health Plus.
The Essential Plan is a program offered by Fidelis Care that provides affordable health coverage to individuals and families who do not qualify for Medicaid or Child Health Plus but still have limited income. The income limit for Essential Plan eligibility is set at 200% of the FPL. For example, in 2021, the income limit for a family of four is $53,000 per year to qualify for the Essential Plan.
FAQs:
1. What is the income limit for Medicaid eligibility with Fidelis Care?
The income limit for Medicaid eligibility with Fidelis Care depends on factors such as family size and the specific program within Medicaid. Generally, it is set at 138% of the federal poverty level.
2. What is the income limit for Child Health Plus eligibility with Fidelis Care?
The income limit for Child Health Plus eligibility with Fidelis Care depends on family size and the specific program within Child Health Plus. Generally, it is set at 400% of the federal poverty level.
3. What is the income limit for the Essential Plan eligibility with Fidelis Care?
The income limit for Essential Plan eligibility with Fidelis Care is set at 200% of the federal poverty level.
4. Is the income limit the same for all Fidelis Care programs?
No, the income limit varies depending on the specific program and coverage level.
5. Are the income limits subject to change?
Yes, the income limits can change annually, so it’s best to check with Fidelis Care for the most up-to-date information.
6. How do I determine if I qualify for Fidelis Care based on income?
You can check the income limits for each program on the Fidelis Care website or contact their customer service for assistance.
7. Can I apply for Fidelis Care if I exceed the income limits?
If you exceed the income limits for Medicaid, Child Health Plus, or the Essential Plan, you may not be eligible for those specific programs. However, Fidelis Care offers other health insurance options that you may qualify for.
8. Do I need to provide proof of income when applying for Fidelis Care?
Yes, you will need to provide proof of income when applying for Fidelis Care to determine your eligibility.
9. Can I include my spouse’s income when calculating my eligibility for Fidelis Care?
Yes, if you are married, your spouse’s income will be considered when calculating your eligibility for Fidelis Care.
10. Are there any exceptions to the income limits for special circumstances?
In some cases, there may be exceptions to the income limits for individuals with special circumstances, such as disabilities. It’s best to contact Fidelis Care for more information.
11. Can I apply for Fidelis Care if I am unemployed?
Yes, you can still apply for Fidelis Care if you are unemployed. Your eligibility will be based on your income and other factors.
12. What if my income exceeds the limits halfway through the year?
If your income exceeds the limits halfway through the year, you may need to notify Fidelis Care and update your coverage accordingly. Failure to report changes in income may result in a loss of eligibility or penalties.
