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Formulary updates

The New York FIDA formulary documents can be found below.

Formulary

View the latest formulary

Formulary Updates

Formulary Updates

Prior Authorization Criteria

Prior Authorization Criteria

Step Therapy Criteria

Step Therapy Criteria

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Copyright © Aetna Better Health of New York, All Rights Reserved.

H8056_14_101R2
CMS APPROVED 7/31/2015
Updated 12/6/2017

Aetna Better Health FIDA Plan is a managed care plan that contracts with both Medicare and the New York State Department of Health (Medicaid) to provide benefits of both programs to Participants through the Fully Integrated Duals Advantage (FIDA) Demonstration. Enrollment in Aetna Better Health FIDA Plan depends on contract renewal.

Limitations and restrictions may apply. For more information, call Aetna Better Health FIDA Plan Participant Services or read the Aetna Better Health FIDA Plan Participant Handbook. 

Benefits may change on January 1 of each year.

You can get this information for free in other languages. Call 1‑855‑494‑9945 and 711 for TTY/TDD, 24 hours a day, 7 days a week. The call is free.

Puede recibir esta información en otros idiomas en forma gratuita. Llame al 1‑855‑494‑9945 o al 711 (línea TTY/TDD), las 24 horas del día, los 7 días de la semana. Esta llamada es gratuita.

È possibile ottenere queste informazioni gratuitamente in altre lingue. Chiamare il numero 1‑855‑494‑9945 e il numero 711 per il servizio TTY/TDD per i non udenti, 24 ore al giorno 7 giorni alla settimana. La chiamata è gratuita.

Ou kapab jwenn enfòmasyon sa a pou gratis nan lòt lang. Rele 1‑855‑494‑9945 ak 711 pou TTY/TDD, 24 èdtan chak jou, 7 jou pa semèn. Apèl la gratis.

您可以免費取得本資訊的其他語言版本。請撥打 1‑855‑494‑9945，若使用 TTY/TDD 請撥打 711, 每週 7 天、每天 24 小時均提供服務。此為免費電話。

Вы можете бесплатно получить эту информацию в переводе на другой язык. Позвоните по телефону 1‑855‑494‑9945. Линия работает круглосуточно и без выходных. Звонки бесплатные. Если вы пользуетесь устройством TTY/TDD, звоните по телефону 711.

다른 언어로 이 정보를 무료로 받으실 수 있습니다. 연중 무휴 24시간 1‑855‑494‑9945 번 또는 TTY/TDD의 경우 711 번으로 전화해 주십시오. 통화는 무료입니다.  

The State of New York has created a participant ombudsman program called the Independent Consumer Advocacy Network (ICAN) to provide Participants free, confidential assistance on any services offered by Aetna Better Health FIDA Plan. ICAN may be reached toll-free at 1-844-614-8800 or online at icannys.org.

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