Fidelis Care Updates Essential Plan Income Guidelines for 2025
Fidelis Care, a prominent health plan serving over 2.4 million members throughout New York State, has announced revisions to the income guidelines for its Essential Plan for the year 2025. This significant decision aims to accommodate changes in the federal poverty level, ultimately enhancing the accessibility of health insurance for low- and moderate-income individuals. This initiative underscores Fidelis Care's commitment to ensuring that all New Yorkers have access to affordable and quality health coverage.
What is the Essential Plan?
The Essential Plan is specifically designed to support individuals and families who may not qualify for Medicaid Managed Care but still require affordable health insurance options. This plan provides essential health benefits without the financial burden of monthly premiums or deductibles. Covered services include basic health benefits, preventive care at no expense, as well as vision and dental coverage, all with a copay of $0.
2025 Income Guidelines
Here are the updated income thresholds for the Essential Plan in 2025:
- - Individuals – Maximum yearly income: $39,125
- - Household of 2 – Maximum yearly income: $52,875
- - Household of 3 – Maximum yearly income: $66,625
- - Household of 4 – Maximum yearly income: $80,375
These updated guidelines reflect a pivotal step towards increasing the accessibility of the Essential Plan, allowing more low-income residents to benefit from comprehensive healthcare solutions tailored to their needs.
Additional Benefits of the Essential Plan
Apart from the primary health insurance coverage, Fidelis Care offers a range of additional benefits under the Essential Plan. These include:
- - Fitness reimbursement program that supports members in maintaining their well-being.
- - Access to a statewide network of high-quality healthcare providers, ensuring that care is always within reach.
- - Various healthcare resources that provide information and assistance in managing health conditions or preventive care.
The Essential Plan emphasizes the importance of not just offering coverage but also enhancing member health and wellness through various supportive resources and programs.
Enrollment Availability
Enrollment in the Essential Plan is available year-round, providing flexibility for those who may have fluctuating income levels or are encountering unexpected life changes. Representatives from Fidelis Care are readily available throughout the state to offer guidance on how the Essential Plan can meet diverse healthcare needs effectively. For greater convenience, potential applicants can find more details about the Essential Plan and the enrollment process online at
Fidelis Care's official website.
About Fidelis Care
Fidelis Care is a mission-driven health plan dedicated to offering quality, affordable coverage for children and adults across various demographics. The organization believes strongly in the principle that all individuals in New York should have access to adequate and affordable health insurance. Fidelis Care regularly engages with its member base through various channels, including social media platforms such as LinkedIn, Instagram, and Facebook, to foster community and disseminate information.
For additional inquiries or to connect directly with Fidelis Care, interested parties can reach out at 1-888-FIDELIS (1-888-343-3547).
This initiative by Fidelis Care not only aims to alleviate the healthcare strain experienced by many low-income families but also seeks to empower these individuals with the health coverage they deserve. By adjusting the income guidelines for the Essential Plan, Fidelis Care is playing a vital role in making healthcare more inclusive and accessible for all.