NY State of Health
The Official Health Plan Marketplace

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Fidelis Care offers quality, affordable health insurance products that you and your family can enroll in through NY State of Health: The Official Health Plan Marketplace.  

Enrolling is easy!

1. Learn about Fidelis Care Products

Through NY State of Health, Fidelis Care offers:

Year-Round Enrollment

  • Child Health Plus: For children under the age of 19, Child Health Plus provides free or low-cost comprehensive coverage. Almost every child in New York State is eligible - regardless of family income.
  • Medicaid Managed Care: For children and adults who meet income, resource, age, and/or disability requirements, Medicaid Managed Care offers comprehensive coverage with no copays for covered services and no monthly premium.
  • Essential Plan: A new product that costs much less than other products and offers the same essential benefits. It's for lower-income people who don't qualify for Medicaid.

Enrollment November 1, 2015 - February 1, 2016

  • Metal Level Products: Standardized products which fall into various "metal" levels based on their design and the level of cost sharing required: Platinum, Gold, Silver, Bronze, and Catastrophic Coverage.
Missed the open enrollment deadline? Learn about Special Enrollment Periods


2. Determine Your Eligibility and Potential Costs

Each product has different eligibility guidelines, and you may have monthly premiums or copays. To give you a better picture of your health coverage and costs, check out the Fidelis Affordable Care Advisor. It's an easy-to-use tool that helps you learn what coverage you and your family may be eligible for, and what your costs may be. It even includes your subsidies or tax credits if they apply.

As another helpful tool, our Treatment Cost Calculator lets you estimate your share of costs for many common conditions and health care services. It's easy:

  1. Choose a medical treatment, service, or condition.
  2. Review a general estimate based on your personal information.

3. Enroll through NY State of Health

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Helpful Resources

A drug formulary is a list of both generic and brand name prescription drugs that are covered by your prescription drug benefit. The formulary is managed by our Pharmacy and Therapeutics Committee, qualified pharmacists and doctors whose primary focus is offering safe, high-quality and cost-effective drugs. New drugs are added to the formulary periodically based on the latest medical research and some drugs may be removed periodically based on the findings and recommendations of the Pharmacy and Therapeutics Committee.

Member Handbooks

Child Health Plus (.pdf)

Medicaid Managed Care (.pdf)

Essential Plan (.pdf) Coming Soon!

Summary of Benefits

1-888-FIDELIS Available 24/7