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OvertheCounter (OTC) Product Catalog 2024 Medicare Advantage PlanY0020_WCM_123224E1_C Internal Approved 09192023 Wellcare 2023NY4WCMOTC36467E_0000Program OverviewWellcare TM Spendables for a healthy
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How to fill out fidelis care at home

01
To fill out Fidelis Care at Home, follow these steps:
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Start by gathering all the necessary information and documents, including personal identification details, insurance information, and medical history.
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Visit the official Fidelis Care website or contact their customer service to request the necessary forms.
04
Complete the forms accurately and legibly, providing all the required information in each section.
05
Double-check your answers and make sure you haven't made any errors or left any sections blank.
06
Attach any supporting documents or medical records that may be required to complete the application.
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Review the filled-out application one more time to ensure accuracy and completeness.
08
Submit the application through the provided channels, whether it's through mailing it, faxing it, or submitting it online.
09
Keep a copy of the submitted application and any supporting documents for your records.
10
Wait for a response from Fidelis Care regarding your application. They will contact you if they need any additional information or if your application has been approved or denied.
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If your application is approved, follow any further instructions provided by Fidelis Care to continue the enrollment process.

Who needs fidelis care at home?

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Fidelis Care at Home is designed for individuals who require long-term care and wish to receive it in the comfort of their own homes. This program is suitable for:
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- Elderly individuals who need assistance with daily activities and personal care
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- Individuals with chronic illnesses or disabilities that require ongoing care and monitoring
04
- Patients recovering from surgeries or medical procedures who need temporary home care
05
- Individuals with complex medical needs who prefer home care over institutional settings
06
- Individuals who want to maintain their independence and receive personalized care at home
07
- Caregivers and family members who want to provide support and care for their loved ones in their own homes
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Fidelis Care at Home is a program that provides healthcare services and support to individuals in their own homes, focusing on those who are elderly, disabled, or have chronic health conditions.
Individuals who are enrolled in the Fidelis Care at Home program or those who are caregivers on behalf of enrolled individuals are required to file with Fidelis Care.
To fill out Fidelis Care at Home, you need to complete the required application forms, provide necessary personal and health information, and submit the documentation through the designated channels, either online or by mail.
The purpose of Fidelis Care at Home is to ensure that individuals receive necessary healthcare and support services in the comfort of their own home, improving their quality of life and healthcare outcomes.
Information that must be reported includes personal identification details, health history, current medical conditions, caregiver information, and any services currently being provided.
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