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Member Frequently Asked Questions (FAQs)

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Play all FAQs.  [3:24]

    Member FAQs Introduction

Start your research here.  [0:32]

From our experience, people who are thinking about enrolling in Amida Care often ask these particular questions. Start your research right here. We hope the answers will help you.

If you have any other questions or issues regarding Amida Care and all the ways we can serve you, please let us know. Remember, we’re here to help you Live You Life. For more information, please call us at 1-800-556-0689. Or, if you prefer, send an email.

1. Do I lose my Medicaid if I join Amida Care?

Do I lose my Medicaid if I join Amida Care?  [0:39]

You will still have Medicaid -- and all the services you need. Think of it like this: Amida Care becomes your insurance company under Medicaid Managed Care, and we pay for most of your medical and mental healthcare, including doctor visits, hospital care and medications. Meanwhile, regular Medicaid pays for your dental care, COBRA case management, and outpatient substance abuse treatment such as Methadone Maintenance and Day Treatment – if you need it.

2. Will my Primary Care doctor understand my special needs?

Will my Primary Care doctor understand my special needs?  [0:34]

As an HIV+ Amida Care Member, you are guaranteed a Primary Care Provider who is a credentialed HIV specialist. Also, any specialist you see will send all results of their findings directly to your Primary Care Provider. Just choose your Primary Care Provider from the Amida Care Provider network.

3. Can I still see the Primary Care doctor I'm seeing now?

Can I still see the Primary Care doctor I’m seeing now?  [0:30]

You can -- if your doctor is a participating Primary Care Provider with the Amida Care Plan. It's easy enough to find out if your doctor is part of the Amida Care network. Just call us -- any time, at 1-800-556-0689, and we'll tell you right away.

4. Does Amida Care help me with housing issues too?

Does Amida Care help me with housing issues too?  [0:28]

Amida Care is a health Plan - with special care coordination services geared toward the needs of people living with HIV/AIDS, and their children. While we're not a housing program like HASA, we still help Members by referring them to housing and supportive services organizations.

5. Is Amida Care an HMO? Is there a limit to the services you can get?

There is no video answer for Question 5.

Amida Care is a Special Needs Plan (SNP). There are no limits on the care Members can receive as long as it is medically necessary. At Amida Care we believe that regular ongoing care and HIV monitoring are important to maintaining health. We want our Members to get all the care they need.

6. Do I have to make co-payments when I see doctors?

Do I have to make co-payments when I see doctors?  [0:25]

Forget about co-payments. There are none! As an Amida Care Member, you'll make no co-payments whatsoever for any Amida Care covered services. We'll pay those doctors and hospitals directly. You pay nothing to them.

7. What if I decide to dis-enroll from the Plan?

What if I decide to dis-enroll from the Plan?  [0:43]

There's no problem. We make every effort to ensure your complete satisfaction at all times, so if the Plan is not meeting your needs, call our Member Services department. It's important that you let us know if you’re dissatisfied in any way, so we can try to resolve any issues. Of course, if you still want to leave the Plan; simply call NY Medicaid CHOICE at 1-800-505-5678. They'll ask you to choose another Plan. In the meantime, you will likely be dis-enrolled from Amida Care on the first day of the very next month.

8. Can my spouse or partner enroll with me?

Can my spouse or partner enroll with me?  [0:24]

Only adults with HIV/AIDS can join Amida Care. However, Members who are parents or guardians can also enroll their children – whether they have HIV/AIDS or not.

To see more Amida Care Member videos, visit our Members Video Library.

 

Amida Care is an NYS sponsored HIV Special Needs Plan (SNP) that provides health care services for people on Medicaid living with HIV and their children. Amida Care services Manhattan, Brooklyn, the Bronx and Staten Island. Starting September 1, 2010, if you live in New York City, choosing a Special Needs Plan or a regular Medicaid managed care plan is mandatory for PLWHA. To learn more about HIV SNPs, call NY Medicaid CHOICE helpline at 1-800-505-5678. (TTY 1-888-329-1541)

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