Fidelis Care Member Services' telephone is answered 24 hours a day, every day of the year. The free number is 1-888-FIDELIS (1-888-343-3547). We can answer your questions and help you get the care or services that you need. Never hesitate to call us. We are always here to help you!

Call Member Services at 1-888-FIDELIS (1-888-343-3547) to ask for an application or to request a visit from one of our representatives, who will assist you in completing an application.

Child Health Plus coverage has to be renewed or recertified every year. Renewing your coverage is very important and we can help you complete your recertification form. Fidelis Care will send your recertification form approximately 3 months before your coverage will expire. Our representatives will be happy to help you complete your recertification/renewal forms. Fidelis Care will continue to send you a reminder until you complete your recertification or renewal forms. It's very important that you complete your recertification forms right away to ensure that your child(ren) remain covered.

It depends on your household size and total gross household income. There is no maximum income as long as you meet the eligibility requirements. You can pay either nothing, or $9, $15, or full premium (about $100) monthly per child.

If your application is received by the 20th of the month, your child(ren) will get coverage the first of the next month.

We will send you a notice two months before your Fidelis Care Child Health Plus anniversary date. It is very important that you tell us if you move, so we can send the notice to your new address and your child does not lose coverage. Renewing your Child Health Plus coverage is easy and we are happy to help you complete the forms. If you need assistance completing your renwal or recertification papers, call us at 1-888-FIDELIS.

1. Proof of Age (a copy of either a birth certificate, passport/visa, alien registration card, naturalization card, religious record, or school record).
2. Proof of Residency (a copy of either a utility bill, postmarked envelope, rent receipt, or lease agreement).
3. Proof of Income (a copy of 4 recent pay stubs, recent tax return, employer letter, worker's compensation, unemployment statement, child support statement, and/or savings bank statement).

Fidelis Care Child Health Plus members receive a welcome letter, an identification card, newsletter, and a subscriber contract. The subscriber contract tells you about your coverage. Be sure to read it and call Member Services at 1-888-FIDELIS (1-888-343-3547) if you have any questions.

All physician visits, baby and child check-ups, immunizations, lab tests and X rays, prescriptions, emergency room care, dental care, vision care, and inpatient hospital care.

Any child under the age of 19 living in Fidelis Care's service area, who doesn't have Medicaid or other health coverage.

Fidelis Care Member Services is available 24 hours a day, every day of the year. The toll-free number is 1-888-FIDELIS (1-888-343-3547). We can answer your questions and help you get the care or services that you need. Never hesitate to call us. We are always here to help you!

To become a member of Fidelis Care Family Health Plus, you will need to meet with an enrollment counselor. He or she will help you complete the application and answer any questions you have. For more information, or to receive an application, call Member Services at 1-888-FIDELIS.

Family Health Plus coverage has to be renewed every year. Renewing your coverage is very important and we can help you complete your recertification form. Your local Department of Social Services (DSS) will send your recertification form to your home approximately 2 to 3 months before your coverage will expire. If you move it is very important that you report any change in address to your local DSS office to ensure that you receive your recertification forms so that you and your family do not lose healthcare coverage. Our representatives will be happy to help you complete your recertifcation/renewal forms. For more information about how to get help completing your recertification forms, please call 1-888-FIDELIS.

Your completed application will be processed by the local Department of Social Services or the Human Resources Administration. The Department of Social Services has up to 45 days to make an eligibility decision, although it may take longer. Once you receive the notice that you are approved for the Family Health Plus Program, your application will be processed for managed care enrollment. Upon enrollment, you will receive a welcome packet with your ID cards from Fidelis Care.

Not necessarily. Family Health Plus has maximum income levels depending on household size. Child Health Plus does not.

Fidelis Care Family Health Plus members receive a welcome letter, an identification card, newsletter, and a subscriber contract. The subscriber contract tells you about your coverage. Be sure to read it and call Member Services at 1-888-FIDELIS (1-888-343-3547) if you have any questions.

Doctor visits, hospital and emergency care, prescriptions, dental care, eye exams and glasses, lab tests and x-rays, speech and hearing therapy, diabetic supplies and equipment, radiation therapy, chemotherapy, mental health care, drug and alcohol treatment, and more.

Family Health Plus is a New York State program that provides health coverage to adults who do not have insurance but who have income too high for Medicaid.

Parents and adults without children, and who are between the ages of 19-64, are eligible if they live in New York State, have little or no health insurance coverage, and have income at or below certain levels.

No. Children will still be covered under the Child Health Plus program. Child Health Plus is a program for children up to the age of 19 and Family Health Plus is a program for adults ages 19-64. If you or your child is turning 19 this year, you may want to consider finding out more information about Family Health Plus.

Fidelis has a BabyCare^TM program to give pregnant women the extra help they need. The BabyCare program helps pregnant women choose a doctor for prenatal care, sign up for prenatal classes, arrange for transportation, choose a doctor for their new baby, and much more. To learn more about the BabyCare program call 1-800-247-1441. Or click on, Special Programs.

No, as long as you go to a Davis Vision provider. If you need vision services beyond an eye exam and glasses, the Davis Vision provider will work with your primary care doctor to refer you to an eye specialist.

Fidelis Care Medicaid members can get prescriptions, over-the-counter medicines and certain medical supplies by using their Medicaid Card at any pharmacy that accepts Medicaid.

Call Member Services at 1-888-FIDELIS (1-888-343-3547). We can help you change your doctor or dentist.

Fidelis Care Member Services' telephone is answered 24 hours a day, every day of the year. We can help you reach your primary care doctor or an on-call doctor who can help. We can tell you where to go for care or how to get the care you need. The free telephone number for Member Services is 1-888-FIDELIS (1-888-343-3547).

Call Member Services at 1-888-FIDELIS (1-888-343-3547).

Fidelis Care Medicaid members are eligible for a yearly eye exam and glasses.

Your local Department of Social Services (DSS) will send your Medicaid recertification form to your home approximately 2 to 3 months before your coverage will expire.  It is very important that you notify your local DSS office if you move, so they can update your address and send the notice to your new address. Renewing your Medicaid coverage is easy and we are happy to help you complete the forms. If you need assistance completing your recertification papers, call us at 1-800-545-0571.

Fidelis Care Medicaid Members use their Medicaid card to get orthodontic services from any doctor that accepts Medicaid.

Call Member Services at 1-888-FIDELIS (1-888-343-3547). We will order a new ID card for you. If you need care before your new card arrives, we can confirm your membership for the provider and tell the provider how to bill Fidelis for the care that you need.

Yes, providers must also submit, along with the global code, dates of service and the appropriate codes for all prenatal visits and the postpartum visit as well.

Yes, Fidelis Care follows the Guidelines adopted from the Clinical Preventive Guidelines, 2^nd Edition regarding Adult Immunizations.

No, Fidelis Care does not require MRIs to be pre-authorized. Just fill out a prescription and send the patient to any in-network MRI facility.

No, Fidelis Care does not require that Nebulizers be pre-authorized.  Just fill out a prescription and direct your patient to any in-network DME supplier. Remember to call Fidelis Care and register your asthmatic patient with Fidelis Care's AsthmaCare^TM Program.

The patient can self refer to any Davis Vision provider. Patients can obtain a list of Davis Vision providers by calling Member Services. If a PCP would like to obtain a list of Davis Vision providers please call provider relations at 1-888-FIDELIS (1-888-343-3547)

Claims must be submitted so Fidelis Care can report to the State Department of Health that its members are receiving the appropriate types of care, such as immunizations, prenatal care, adult preventive care etc. Additionally providers may be eligible for reimbursement above capitation through "bill aboves" and\or our Quality Incentive Program and the Baby Incentive Program.

The PCP or specialist refers the member for the initial visit/evaluation only. Once the evaluation is complete, the therapist must obtain pre-authorization for all services provided to the member.