I live in NY but want Fidelis Care NJ can I list a NJ add?

amother

OP ↓

Yesterday at 7:52 pm

I live in NY and want Fidelis NJ since I'd like to use an ob in NJ. Can I just use a relatives address in NJ and claim I live there? How can I get onto NJ coverage?

amother

Feverfew ↓

Yesterday at 7:54 pm

That's called insurance fraud. You can get jail time if you're caught.

Plus you would have no coverage at all for any new York doctors.

amother

↑ OP ↓

Yesterday at 7:55 pm

amother Feverfew wrote:

That's called insurance fraud. You can get jail time if you're caught.

Plus you would have no coverage at all for any new York doctors.

How would they find out?

amother

↑ Feverfew

Yesterday at 7:56 pm

amother OP wrote:

How would they find out?

They can find out because you do live in New York. And you're using other services in New York. You probably won't get awarded it. But if you do, you can easily get caught.

amother

↑ OP

Yesterday at 7:58 pm

amother Feverfew wrote:

They can find out because you do live in New York. And you're using other services in New York. You probably won't get awarded it. But if you do, you can easily get caught.

Can't I have a second home?

amother

Hibiscus ↓

Yesterday at 7:58 pm

What you’re describing is 100% fraud

amother

↑ Hibiscus

Yesterday at 7:59 pm

amother OP wrote:

Can't I have a second home?

Even if you had a second home (which it doesn’t sound like you do) you have only one primary residence

Don’t take our word for it. Ask your Rav and report back here to let us know his opinion

gottago

Yesterday at 8:05 pm

amother OP wrote:

How would they find out?

Is that relevant? Is sheker only wrong if someone will find out?

amother

Sage

Yesterday at 8:08 pm

If they find out you can end up in jail or best case scenario you’d owe them tons of money.

You can only have one address as a primary residence.

You would need to change your license, vote in NJ, and a host of other things.

They absolutely can find out- it’s happened before to frum people.

amother

Amaranthus ↓

Yesterday at 8:09 pm

Try gettinv on to straight medicaid instead of Fidelis. They cover care in surrounding areas regardless if NY or NJ.

NotFunny ↓

Yesterday at 8:18 pm

amother Amaranthus wrote:

Try gettinv on to straight medicaid instead of Fidelis. They cover care in surrounding areas regardless if NY or NJ.

Not so simple.
A) unless you have a waiver, you generally need to have a managed care plan.
B) not all (out of state) hospitals will accept NY Medicaid. Some do, and for that it is generally easier to work with straight Medicaid, but again, they don’t all.

amother

Lilac

Yesterday at 8:19 pm

amother Amaranthus wrote:

Try gettinv on to straight medicaid instead of Fidelis. They cover care in surrounding areas regardless if NY or NJ.

The majority of doctors don't accept straight Medicaid
Not likely that the ob that op wants to use takes it

amother

↑ Amaranthus ↓

Yesterday at 9:22 pm

amother Lilac wrote:

The majority of doctors don't accept straight Medicaid
Not likely that the ob that op wants to use takes it

I think they can cover bills you receive as personal bills, fwd to Medicaid and they will pick up the tab.
Valley Hospital accepts it.

amother

↑ Amaranthus

Yesterday at 9:25 pm

NotFunny wrote:

No need for waiver. You can be on straight Medicaid

out-of-towner

Yesterday at 9:29 pm

amother Lilac wrote:

The majority of doctors don't accept straight Medicaid
Not likely that the ob that op wants to use takes it

That's not true that doctors don't take it, but unless you have an exemption (like a Waiver), you are required to have an HMO.

Unfortunately if you are on Medicaid or the like, you can only be covered for emergencies in other states. The Medicaid funding goes by state. That's just reality.

↑ NotFunny

Yesterday at 9:43 pm

amother Amaranthus wrote:

No need for waiver. You can be on straight Medicaid

Afaik the only way to be on straight Medicaid is if you either have a primary private insurance or have a waiver.