Welcome SWH Whole Health Fully Integrated Duals Advantage (FIDA) Medicare-Medicaid Plan participants.
The SWH Whole Health FIDA plan provides benefits and services to adults 21 or older who have both Medicare and Medicaid in New York State and require community or facility based long-term services and supports (LTSS). Participants must live in the SWH Whole Health service area which includes Bronx, Kings, New York or Queens counties.
The SWH Whole Health FIDA Plan offers comprehensive support, services and care where you live.
This section provides you with detailed information about benefits and services you receive from SWH Whole Health FIDA.
Call toll-free with any questions or for assistance at 1-877-353-0185 (TTY/TDD 711).
A Person-Centered Service Plan (PCSP)
How does the plan work?
Our team works with you and your Doctors, Specialists, Home Health Aide, home and community or facility based long term care services — along with family members or caregivers — to help you get the Long-term services and supports (LTSS) you need, where you live. SWH Whole Health FIDA Plan is here to help you and your caregiver. We are part of your team.
SWH Whole Health FIDA Plan is a managed care plan that combines and coordinates all of your services. With SWH Whole Health FIDA plan you use only one card to get all the care that you need. FIDA is like combining your Medicare Advantage plan/Original Medicare, Medicare Part D and Medicaid Prescription Drug Plan, Medicaid Managed Long Term Care Plan, and your regular Medicaid card into one plan. And, we help coordinate all your services with you and for you.
All of these services are now covered by SWH Whole Health FIDA Plan. Your SWH Whole Health FIDA Plan Care Team will work with you to coordinate all of your care with you and for you.
Medicare Star Ratings
The Medicare Program rates all health and prescription drug plans each year, based on a plan's quality and performance.
Click here to review SWH Whole Health FIDA's overall 2018 Plan Rating from Medicare (PDF).
Click here to review SWH Whole Health FIDA's overall 2018 Plan Rating from Medicare (PDF) in SPANISH.
Click here to review SWH Whole Health FIDA's overall 2018 Plan Rating from Medicare (PDF) in CHINESE.
2019 Multi-Language Interpreter Services Insert & Notice of Non-Discrimination
We have free interpreter services to answer any questions you may have about our health or drug plan. Someone who speaks your language can help you. This is a free service. All published materials are available in alternate formats. To obtain or to get an interpreter, just call us at 1-844-861-FIDA (3432), TTY/TDD 711. We are open from 8 a.m. - 8 p.m., seven (7) days a week.
Download the 2019 Multi-Language Interpreter Services Insert (PDF).
Download the 2019 Notice of Non-Discrimination (PDF) in ENGLISH.
Download the 2019 Notice of Non-Discrimination (PDF) in SPANISH.
For more information on SWH Whole Health FIDA Plan, contact us toll-free at 1-844-861-FIDA (3432) 8 a.m. - 8 p.m., seven (7) days a week, TTY/TDD: 711, or the New York Enrollment Broker.
To enroll or learn more about options for your healthcare, call the New York Enrollment Broker at 1-855-600-FIDA (TTY/TDD 1-888-329-1541) from 8:30 a.m. - 8:00 p.m., Monday through Friday, and Saturday from 10:00 a.m. to 6:00 p.m., or visit www.nymedicaidchoice.com*.
You have a right to file a complaint with Medicare at any time. You may submit feedback about your Medicare health plan or prescription drug plan directly to Medicare by calling 1-800-MEDICARE or using the form linked here.
Medicare Complaint Form*
* Please note: By clicking on this link you will be leaving the SWH Whole Health FIDA Plan website.
The Centers for Medicare & Medicaid Services value your feedback and will use it to continue to improve the quality of the Medicare program. If you have any other feedback or concerns, or if this is an urgent matter, please call 1-800-MEDICARE (1-800-633-4227) 24 hours a day, 7 days a week. TTY/TDD users can call 1-877-486-2048.
You can get this information for free in other languages. Call 1-844-861-FIDA (3432) and 711(TTY/TDD) during 8am-8pm, 7 days a week. The call is free.
您可以免费获得这份信息的其他语言版本。请于每周七天，每天上午8点到晚上8点致电1-844-861-FIDA (3432) 或 711 (TTY/TDD - 听说障碍人士专用)。
Ou gendwa jwenn enfòmasyon sa yo gratis nan lòt lang. Rele 1-844-861-FIDA (3432)ak 711(TTY/TDD) pou malantandan depi 8am rive 8pm, 7 jou sou 7.
Può ottenere queste informazioni, gratuitamente, in altre lingue. Chiami il numero 1-844-861-FIDA (3432) o il 711(TTY/TDD) dalle 8 am alle 8 pm, tutti i giorni.
본 정보를 다른 언어로, 무료로 받으실 수 있습니다. 연중 무휴, 오전 8시에서 오후 8시사이에1-844-861-FIDA (3432) 번 그리고 711번(TTY/TDD) 으로 전화하십시오.
Вы можете бесплатно получить эту информацию на других языках. Обращайтесь по телефону 1-844-861-FIDA (3432) или телексу 711 с 8:00 до 20:00 7 дней внеделю.
Puede obtener esta información en otros idiomas en forma gratuita. Llame al 1-844-861-FIDA (3432) y al 711 (usuarios TTY/TDD) de 8:00 am a 8:00 pm, los 7 días de la semana.
Senior Whole Health encourages you to report fraud or suspected fraud by calling the SWH Fraud Hotline at 1-800-341-4915, our anonymous compliance hotline at 1-800-915-2108 or the Main SIU Hotline at 1-800-755-0850.
Last Updated 06/21/2019
H8851_2018_099 Pending CMS Review